Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕

Adult and paediatric endocrinologist..Passionate about solving endocrine problems and preventing metabolic disease.Optimist.RTs and follows arent endorsements.

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

Hi Folks

This years Magna endoupdate is on 20th and 21st of September

You can register by

Clicking

https://t.co/cuK0DHgvHx

Abstracts are invited - visit the website- register for the conference which is free and submit your abstracts

[Official Layoff @LayoffAI]

Yesterday, graphics on illegal immigration into the country went viral.

So we built one for legal immigration.

6.9M Department of Labor LCA filings, required by law before H-1B petitions are filed. 11 years.

Every red dot is a filing for an Indian to be hired instead of you.

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

@pnatarajanmd @harvardmed @Harvard @MGBResearchNews @CGM_MGH @mghcvrc @MGHCVFellows @broadinstitute @BroadMPG @BrighamMedRes @MGHMedicine @MGHHeartHealth Congratulations Pradeep!

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

That’s because of govt policy they have decided 350cc and above is 40% GST

If u are a lifelong senior motorcyclist you have to buy expensive foreign brands or be satisfied with 350cc lifelong if u cannot afford !! No manufacturer will make a 800 cc bike at 40% tax

The market will simply vanish

It applies every where - Currently motorcycles are banned in SK highways - u can still drive around inside cities at 50kmph

But no customer will buy !!

The more the government regulates more economy will die

May be some potential motorcycle mechanics have become waiters in South Korea

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

All asset prices are irrational in India don’t you think sir ?

Even equities are overpriced - due to prolonged socialism 2 -3 generation of Enterpreuners were wiped out

Whoever does any business can claim high valuation despite poor competence both business wise and competence wise in comparison to people in other countries

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

@mayukh_panja AQI can be factor too due to lower temperatures at higher latitudes ?

I’ve noticed what you have observed often

Even within India places like Kashmir and Leh should have such a feel

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

No it will not

What use does a labourer have for a Ferrari

It will be just a white elephant

Skilled and talented workers are of no use to India UNLESS they themselves become Enterpreuners

The salary paid to a geologist with 20 yrs experience is 30 lakhs in India

A country which has no oil wells and has minimal exploration

The HUMAN CAPITAL OF the Enterpreunerial class matters

That is near zero due to multiplicative law of probability

P someone is very knowledgeable in domain 0.05

P that same person is enterpreunurial 0.05 *0.05 =0.0025

This is the reason why Elon Musk is so exceptional

The moment such a person arrives the politicians in India will feed him to the dogs

[James Blunt @JBlunt1018]

People forget that Britain ruled India for roughly two centuries, draining resources and distorting its economy. After independence in 1947, India chose a heavily state-controlled model—partly shaped by colonial trauma and distrust of foreign capital. That meant decades of slower growth under the “License Raj.”

It wasn’t until the 1991 economic reforms that India seriously opened markets, reduced controls, and embraced capitalism at scale. In historical terms, India is one of the youngest major economies to fully liberalize.

Since then, India’s rise has been dramatic. It is now the world’s fastest-growing major economy, with IMF forecasts around 6%+ annual GDP growth, far ahead of many developed nations.

The H-1B system let America tap into that human capital pipeline. Instead of spending decades building equivalent talent domestically, U.S. firms could hire already-trained engineers, doctors, researchers, and specialists educated partly at India’s expense.

That means America often got:
• Peak productive workers in their prime years
• Lower training costs
• Immediate plug-and-play talent for growth sectors
• More startups, patents, and tax revenue
• Global competitiveness without waiting a generation

In blunt terms: India invested in raising talent, and America benefited by importing it at the highest-output stage.

That’s why anti-H-1B politics can be economically self-defeating. If you block access to global talent, that talent doesn’t disappear—it builds the next boom somewhere else.

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

@svembu @abledoc @grok what percent of IIT Students work abroad for those who graduated between 2021-2022

[Sridhar Vembu @svembu]

In the 1980s, most IITians would go abroad. In 1989, when I graduated from IIT Madras, I remember feeling extremely dejected about our country. Punjab, Kashmir and Assam were all burning.

My heart was not in engineering. I was mostly reading books in Economics and Philosophy - we had a good library. The burning question in my mind was "Why are we so poor?"

Some of my classmates and I wrote an article in the IIT campus newspaper in late 1988-early 1989 (there were two newspapers, Focus and Spectator, and I believe we published in Focus, they were reproduced using "cyclostyling" machines - please look them up!).

In my vague recollection, the thrust of the article was that the IIT system was failing to serve the needs of the country and the country itself was facing a profound stagnation (I wish I could get that article now - a copy may be in some dusty basement in IIT). I want to know what I thought and said as a 21 year old in 1989 that I agree with and what I disagree with today.

By 1989, I had become a committed anti-socialist, having lived through the socialist stagnation of India. By 1989, the collapse of the Soviet Union was on, and China was in turmoil - the Tinananmen student protests and their forced suppression.

By 1991, India needed an emergency IMF loan. The 1991 economic reforms by Shri Manmohan Singh happened due to pressure from the IMF. So you can imagine the mood in 1989.

That was the India I left in 1989. I was feeling miserable to leave but hopeless to stay. In 1990, I came home for a visit and thought of dropping out of my PhD and staying home. I was home sick.

I started to study Singapore and Japan during 1990-94 in my PhD years - the "Why are we so poor" question. By 1994, I decided I would be in the private sector and took up an R&D job in Qualcomm.

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

This particular episode made clinical trials a bad thing burning a generation of stake holders that included myself

The state tightened screws so tight that the machine could not move

Between 2009 and 2013 I wa co investigator in more than 15 post the regulations for a generation it’s frozen - I’ve moved on to other things since 2013 !!

Had the ecosystem been intact we might have had a shot at developing our own new drugs

[The Centre for New Economic Diplomacy @ORF_CNED]

#India’s #HPV vaccine rollout was delayed not by safety concerns but by regulatory and ethical failures in a 2009 demonstration project — lapses that were later mistaken as evidence that the vaccine itself was unsafe: @oommen https://t.co/zZlVtrjiHp

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

Why China ?

Thailand , Vietnam are way better

Why Thailand , Vietnam

Just before Gaza Bombing - I saw Gaza city photos and was jealous !!

Gaza City was better managed by Hamas than BJP and congress ruled Bangalore

It’s not a money problem

You can never wake up someone pretending to be asleep

[The Bengaluru @epic_bengaluru]

While traveling around Chongqing, China a mountainous city, 450bn+ GDP, stunned by the infra , tall bridges , tunnels , public transit, rail, roads.

Indian metros with simple geography is struggling for pothole free, clean, garbage free roads 😬

Corrupt to core😶

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

This is a dangerous take

A good proportion of type2 have strong genetics of beta cell dysfunction - obesity is incidental

While GLP1 can be highly effective - if there is progression beyond a point Insulin will be required

It’s already no longer the third drug automatically but it will still be required by quite a few people with Type2 DM

[Brett Sperry, MD @BrettSperryMD]

Insulin is dangerous for most type 2 diabetics.

It doesn’t fix the problem… there is enough endogenous insulin. Often too much even. Insulin masks the problem, drives weight gain, worsens insulin resistance, and keeps patients trapped in a cycle of escalating doses while metabolic syndrome gets worse.

We shouldn’t be subsidizing insulin for Type 2 diabetics in the United States. We should be subsidizing the drugs that actually target the root cause: metabolic syndrome and insulin resistance.

Look at the just-released ACHIEVE-4 trial: oral GLP-1 orforglipron vs. insulin glargine.

The GLP1 crushed it on all-cause mortality - 57% lower risk (HR: 0.43; 95% CI: 0.25 to 0.75; nominal p = 0.002). It also delivered superior A1C reductions and ~10 kg more weight loss while meeting CV safety non-inferiority.

Not to mention the joint and orthopedic benefits of weight loss!

https://t.co/DGmKF63rTf

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

@karthik2k2 AOM =AHT ?

In a few years I think

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

I’ve directly lost 1 lakh gross after following his advice

Net may be still positive - time will tell

I should still thank him for my first learnings in stock market

1) never invest directly in stocks (with my limited knowledge)
2) never trust anyone blindly when it comes to investing

he has become suddenly more negative about Investing in India before he was super bullish

He may mean what he says it’s genuinely not a lie

it’s more a belief that’s why investing advice to others is always dodgy and one needs to take it with a grain of salt

[Muthukrishnan Dhandapani @dmuthuk]

Saurabh Mukherjea has been saying consumption is drastically slowing down. Nestle and Bajaj Consumer results tell a different story. Let's wait for other results. But it definitely looks like Saurabh Mukherjea is becoming inverse Cramer for Indian markets.

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

But it’s genuine criticism sir

Taxes are still very high

Every farmer in Thailand has a Toyota Hilux

In India it’s a luxury brand

Government policies are holding back economic growth

We need REAL liberalisation and REAL tax cuts

The YAWNING gap between us and rest of ASIA is just government policy

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

It’s not a bad idea - the cost of building an airport is fairly low similar to that of a large bus depot. Many skilled workers find it difficult to travel by train

Either they or their employers will pay for them to visit home town

Rails are not practical for country size of India

[ChessBase India @ChessbaseIndia]

On 20th of April 1976, R.B. Ramesh was born! 50 years ago! He became a GM at the age of 27 years in 2003. In 2002, he had won the British Championships, and in 2007 he became the Commonwealth Champion.

In 2008, he took a bold step in his chess career. He gave up playing chess and started a chess academy and named it Chess Gurukul. He also gave up his job in Indian Oil (IOCL) around the same point. Many told him that this was a dangerous decision. But Ramesh had 2 things going for him:
1. He loved coaching
2. His better half WGM Aarthie Ramaswamy was also ready to support him in this endeavour!

With his immense chess knowledge, willingness to learn and ability to work extremely hard, Ramesh created the base for a real chess boom of Indian chess! Players like Praggnanandhaa, Vaishali, Aravindh Chithambaram, Karthikeyan Murali, Bharat Subramaniyam and many others grew up at his academy! There was a point when almost every single rising talent of Indian chess wanted to work with him.

Today as Ramesh celebrates his 50th birthday, it is interesting to see the road he has travelled. Vaishali is going to play the World Championship Match in a few days! He also received the Dronacharya award recently. He started a completely free chess academy named Chola Chess to develop the next generation of Indian chess.

Thank you Ramesh for powering Indian chess! Your contribution to the growth of the sport in the country has been immense. Wishing you a very happy 50th birthday.

Photo: Tushar Damor

#chess #chessbaseindia #rameshchess

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

Intercepting a ballistic missile is a tough job

Looking at what’s happening in Wes Asia right now

Fired at populated area it can cause severe damage

Always wondered how it was done !

[Himanshu Jain @HemanNamo]

1/7
Pakistan didn’t just retaliate with drones & artillery during Operation Sindoor.
They fired a ballistic missile straight at Delhi.
One IAF officer stopped it cold.
Most of India still doesn’t know his name.
This is his story. 🧵🇮🇳
#OperationSindoor #IndianAirForce #IAF

[Anantharaman R MBBS,MD, DM(endo)🇮🇳👨‍⚕️⚕ @Endoananth]

@sameermathad Tamil and Malayalam had an “an” ending

As in Raman, Krishnan to many common words

Kannada does not have it

Why is this ?