Gichure wa Gathua

Father of two, Farmer and Chelsea fan

[Afshine Emrani MD FACC @afshineemrani]

1/5
I'm a cardiologist. Here's why I recommend men take 5 mg of tadalafil — Cialis — every single day.
Not for ED. Not for performance.
I take it for the same reason every serious longevity physician I respect does: to protect my cardiovascular system, my brain perfusion, and my endothelial health at the most fundamental level.
This drug — famous for all the wrong reasons — has quietly become one of the most powerful tools in preventive cardiology. And the data is now too strong for me to keep quiet about it.

[Marto🇰🇪 @marto254_]

Sijui kama nyinyi mmenote lakini hizi HOWO mpya zimetokea za waChinese ziko strong ata kuliko Shacman, FAW na Isuzu

[Gichure wa Gathua @GichureG]

@ChigaCzr 2-0;psg

[Nyakundi Junior🇰🇪 @VictorNyakund10]

I am not against SACCOs. They work well for many people, especially those seeking disciplined savings, dividend income, and access to relatively affordable credit. However, personally, I have never been a strong fan of the SACCO model in Kenya and I have never joined any!

Here is why:
1.Why should I write a withdrawal letter and wait 60 days or more just to access my own savings?
Most SACCOs impose notice periods before refunds are processed, especially for non-withdrawable deposits. While this is meant to protect liquidity and the stability of the SACCO, it significantly reduces financial flexibility for members.
2.Why is it that if I accumulate share capital worth Ksh 1 million, I may not freely access it unless another member agrees to buy or transfer the shares from me?Why can't I sell them or why can't the sacco pay me and absorb them?
Unfortunately, in many SACCOs, share capital forms part of the institution’s permanent/core capital and is generally non-withdrawable. In most cases, it can only be transferred or sold to another member upon exit.
3.Why should I borrow “cheap loans” against my own savings instead of simply withdrawing my savings?
The SACCO model is designed around leveraging deposits to create access to credit rather than allowing unrestricted withdrawals. This works well for members who want long-term disciplined savings and credit access, but for liquidity-focused investors, it may feel inefficient.
Why do I need guarantors to borrow money that is already secured by my own deposits?
Many SACCOs require guarantors because loans are issued based on cooperative risk-sharing principles. Members often qualify for loans worth two to three times their deposits, and guarantors act as additional security to protect the SACCO from defaults.
From a purely liquidity and capital-efficiency perspective, it may not always make financial sense to pay interest on a Ksh 300,000 loan when you already have Ksh 600,000 locked in deposits that are not easily accessible

[Lema @LemayianLeiyan]

Hii by the time nafika destination nitakuwa nimemaliza nilete review

[Gichure wa Gathua @GichureG]

@HonKangata Putting up a proper drainage is where your engineers draw a line in the sand

[Apple TV News Hub @AppleTVNewsHub]

Nothing stays secret forever.

Elisabeth Moss
Kerry Washington
Kate Mara

The first 2 episodes of #ImperfectWomen, a new psychological thriller, premieres this Wednesday on #AppleTV

[Jae @Real_jaeflex]

If you’re not 18+, Don’t watch this movie. 😱😱😱😱😱

[Gichure wa Gathua @GichureG]

@Kibet_bull @grok which song is that at the background?

[MedicoNotes @MedicoNotes]

🧠 STROKE MANAGEMENT

⸻

1️⃣ Overview

Stroke refers to an acute neurological deficit caused by a disruption in cerebral blood flow, categorized into ischemic (∼85%) and hemorrhagic strokes.

⸻

2️⃣ Initial Assessment

➊ Immediate Actions (DO):
🔹 NCHCT (Non-contrast Head CT) – rule out hemorrhage
🔹 Labs: Glucose, CBC, PT/PTT, troponin, creatinine
🔹 Fingerstick glucose: If <60 mg/dL → treat for hypoglycemia
🔹 Evaluate for signs of intracranial hemorrhage (ICH)
  • If ICH suspected, assess for coma (↑ ICP) or severe headache (suggestive of SAH)

⸻

3️⃣ If CT shows no hemorrhage → Suspect Ischemic Stroke

➊ Acute Management (Based on Timing):
🔹 <4.5 hours since last normal
  • Evaluate tPA criteria → Administer IV tPA
  • Maintain BP <180/105 mmHg
  • If large vessel occlusion (LVO) → consider mechanical thrombectomy

🔹 4.5–24 hours since last normal
  • If LVO present (on CTA/MRA) → mechanical thrombectomy
  • No tPA unless part of extended window trials

🔹 >24 hours since last normal
  • No acute intervention → Begin secondary stroke prevention

🔹 TIA (Symptoms resolved)
  • Manage with permissive hypertension, glucose control, and etiology-based prevention

⸻

4️⃣ Ischemic Stroke Workup – Identify Etiology

➊ Thrombotic Stroke
🔹 Due to atherosclerosis or large artery stenosis/dissection
🔹 Tests: CTA/MRA head & neck, ECG, echocardiogram
🔹 Treatment: Aspirin ± Clopidogrel
  • Carotid stenosis >60% → Consider carotid endarterectomy
  • Refer to hematology for hypercoagulability testing if indicated

➋ Cardioembolic Stroke
🔹 From atrial fibrillation, cardiac thrombi, or reduced EF (<30%)
🔹 Seen on echocardiogram or ECG
🔹 Treatment: Long-term anticoagulation

➌ Venous Embolic Stroke
🔹 Often due to paradoxical embolism via PFO
🔹 Consider bubble study + evaluate for VTE risk
🔹 Requires hypercoagulable workup and possible PFO closure

⸻

📚 Visit our website to get the new neurology book at: https://t.co/2UQyCbb6in

⸻

#MedEd #USMLE #Neurology #stroke #DoctorsOfInstagram

[乃卂áㄥẹ̀🫧 @caveabdulrma]

I need a movie where the plot twist is so insane that I will be thinking it weeks after watching the movie

[Gichure wa Gathua @GichureG]

@fit_ermined What a shame that u were bought, aki you guys are forever fake fighters,have no spine at all

[Gichure wa Gathua @GichureG]

@KijanayaKabras Huyu by 6.13am tutakua tumemaliza mambo yake,na tuzike yeye katika kaburi la sahau

[Chidanand Tripathi @thetripathi58]

If Google wants you to pay for Gmail storage, do this first.

I went from 14.9/15GB to 4GB in one night.

I hope this helps you as it has helped me:

[Mudryk Jr @mudryk_jr]

Top 50 Greatest Movies For Matured Audiences 🔞🔞🔞🔞

Bookmark & Enjoy “ Chudai ” 😝🍿🎬

1. 2B Honest (2019)
2. after (2019)
3. long shot (2019)
4. the last summer (2019)
5. someone great (2019)
6. what men want (2019)
7. isn’t it romantic (2019)
8. the sun is also a star (2019)
9. five feet apart (2019)
10. plus one (2019)
11. the perfect date (2019)
12. the kissing booth (2018)
13. to all the boys i’ve loved before (2018)
14. set it up (2018)
15. sierra burgess is a loser (2018)
16. the half of it (2020)
17. love, guaranteed (2020)
18. chemical hearts (2020)
19. the lovebirds (2020)
20. after we collided (2020)
21. palm springs (2020)
22. the broken hearts gallery (2020)
23. the kissing booth 2 (2020)
24. work it (2020)
25. after we fell (2021)
26. to all the boys: always and forever (2021)
27. malcolm & marie (2021)
28. the map of tiny perfect things (2021)
29. the one (2021)
30. the kissing booth 3 (2021)
31. resort to love (2021)
32. the last letter from your lover (2021)
33. single all the way (2021)
34. the princess switch 3: romancing the star (2021)
35. the royal treatment (2022)
36. through my window (2022)
37. tall girl 2 (2022)
38. love in the villa (2022)
39. the perfect pairing (2022)
40. purple hearts (2022)
41. falling for christmas (2022)
42. love hard (2022)
43. something from tiffany’s (2022)
44. after ever happy (2022)
45. the lost city (2022)
46. your place or mine (2023)
47. anyone but you (2023)
48. red, white & royal blue (2023)
49. the idea of you (2024)
50. challengers (2024)

[Gichure wa Gathua @GichureG]

@kimBOVILLE @nyaika256 @grok which toyota is this?

[Zayyad ➐ ✨ @Itz_zayyad1]

TOP 50 CIA MOVIES OF ALL TIME🔥

1. Bridge of Spies (2015)
2. Mission: Impossible – Rogue Nation (2015)
3. Mission: Impossible – Fallout (2018)
4. Sicario (2015)
5. Sicario: Day of the Soldado (2018)
6. Jason Bourne (2016)
7. The Bourne Identity (2002)
8. The Bourne Supremacy (2004)
9. The Bourne Ultimatum (2007)
10. Tinker Tailor Soldier Spy (2011)
11. Three Days of the Condor (1975)
12. Eye in the Sky (2015)
13. Snowden (2016)
14. American Made (2017)
15. Jack Ryan: Shadow Recruit (2014)
16. Beirut (2018)
17. The Report (2019)
18. The Spy Gone North (2018)
19. Red Sparrow (2018)
20. Atomic Blonde (2017)
21. Spy Game (2001)
22. The Good Shepherd (2006)
23. Body of Lies (2008)
24. Argo (2012)
25. Zero Dark Thirty (2012)
26. The Courier (2020)
27. Tenet (2020)
28. The Old Guard (2020)
29. Extraction (2020)
30. No Sudden Move (2021)
31. Wrath of Man (2021)
32. Without Remorse (2021)
33. The King’s Man (2021)
34. No Time to Die (2021)
35. Beckett (2021)
36. The Gray Man (2022)
37. The Contractor (2022)
38. The 355 (2022)
39. Blacklight (2022)
40. All the Old Knives (2022)
41. Hunter Killer (2018)
42. Triple Frontier (2019)
43. 21 Bridges (2019)
44. The Good Liar (2019)
45. The Traitor (2019)
46. Spy Game (2001)
47. The Recruit (2003)
48. Official Secrets (2019)
49. Munich (2005)
50. The Interpreter (2005)

[𝐌𝐨𝐯𝐢𝐞𝐬 𝐇𝐔𝐁 @movieshub26]

🎬 Top 50 Greatest TV Shows (Series) of All Time

50. Banshee (2013–2016)
49. Slow Horses (2022–)
48. Gullak (2019–)
47. Death Note (2006–2007)
46. Rick and Morty (2013–)
45. The Bear (2022–)
44. The Shield (2002–2008)
43. South Park (1997–)
42. Lost (2004–2010)
41. The X-Files (1993–2018)
40. Scam 1992 (2020)
39. BoJack Horseman (2014–2020)
38. Dexter (2006–2013)
37. Curb Your Enthusiasm (2000–)
36. Money Heist (2017–2021)
35. Narcos (2015–2017)
34. Black Mirror (2011–)
33. Stranger Things (2016–)
32. Mr. Robot (2015–2019)
31. Hannibal (2013–2015)
30. Fargo (2014–)
29. Peaky Blinders (2013–2022)
28. Attack on Titan (2013–2023)
27. M*A*S*H (1972–1983)
26. The Simpsons (1989–)
25. Seinfeld (1989–1998)
24. The Twilight Zone (1959–1964)
23. Game of Thrones (2011–2019)
22. Fullmetal Alchemist: Brotherhood (2009)
21. Avatar: The Last Airbender (2005–2008)
20. Severance (2022–)
19. Shōgun (2024–)
18. True Detective (S1) (2014)
17. The Leftovers (2014–2017)
16. Deadwood (2004–2006)
15. Six Feet Under (2001–2005)
14. The West Wing (1999–2006)
13. Succession (2018–2023)
12. Sherlock (2010–2017)
11. Dark (2017–2020)
10. The Americans (2013–2018)
9. The Office (2001–2003)
8. Twin Peaks (1990–1991)
7. Chernobyl (2019)
6. Better Call Saul (2015–2022)
5. Band of Brothers (2001)
4. Mad Men (2007–2015)
3. The Wire (2002–2008)
2. The Sopranos (1999–2007)
1. Breaking Bad (2008–2013)

[Veronica, Collagen Scientist 🇵🇱 @celestialbe1ng]

Listen to me diva and listen carefully:

What you’re experiencing isn’t JUST terrible skin! This one is a systemic INFLAMMATORY RESPONSE showing up on the face.

Let me help you.

Those deep painful bumps and clusters come from internal stress signals, especially:

• Gut irritation / endotoxin overload
• Hormonal imbalance, especially high estrogen, serotonin, cortisol and histamine
• A liver that’s overwhelmed and can’t fully clear those hormones
• Low metabolic / thyroid function which slows healing and increases inflammation

When the gut leaks endotoxin into the bloodstream, the immune system responds aggressively and the skin (one of the first places inflammation shows up) reacts with swelling, redness, clogged pores and cyst-like breakouts.

This is why topical treatments alone rarely solve severe acne: the skin is a mirror of inner stress, not the source of it.

What actually helps

A. Calm the gut: this is the biggest lever for clearing skin

The fastest-acting gut tools for acne:

• Daily raw carrot salad (grated carrot + coconut oil + vinegar and salt)
—> binds endotoxin and estrogen, lowers inflammation, improves bowel movements
• Avoid foods that bloat you (they feed bacteria behind the breakouts)
—> e.g. beans, oats, raw leafy salads, excess starch, nuts/seeds
• Eat easy to digest carbs: ripe fruit, orange juice, honey, well cooked roots
• Cook your vegetables well or choose low-irritant ones (mushrooms, zucchini)
• 1 bowel movement per day minimum
—> magnesium glycinate/citrate or cascara sagrada can help safely
• Coconut oil (1–2 tsp/day)
—> antimicrobial, pro-thyroid, reduces endotoxin

Lower gut inflammation —> lowers estrogen, serotonin, histamine, cortisol —> skin rapidly calms.

B. Support metabolism and liver function. A strong metabolism = strong skin healing

• Get enough protein (80–100 g/day)
Best sources: dairy, eggs, gelatine, shellfish, white fish, beef/lamb; 150g of liver a week
• Avoid all PUFA oils
—> no seed oils, vegetable oils, nuts, nut butters, margarine, avocado oil, fish oil, fatty fish
They slow metabolism, increase inflammation, worsen acne, just cut off
• Eat saturated fats instead: butter, coconut oil, dairy fat, tallow
• Don’t undereat because calories help the liver detox estrogen
• Sunlight / tanning shop daily to raise vitamin D and lower inflammation
• Sleep 8–9 hours —> cortisol drops, skin heals

C. Balance hormones. Most severe acne involves estrogen dominance + high cortisol.

What lowers estrogen safely:
• Raw carrot salad (again, it’s huge)
• Adequate protein + low-PUFA diet (crucial!!!)
• Good thyroid function (all my tips will help you with this)
• Daily bowel movements
• Avoiding soy and excessive alcohol consumption

What raises protective hormones:
• Orange juice / fruit sugar
• Dairy
• Enough calories
• Saturated fats (esp. coconut oil)

Supplements:

Niacinamide (Vitamin B3): 50–100 mg, 2× per day
• lowers inflammation
• supports metabolism
• decreases cortisol
• helps “oiliness” and skin healing

Magnesium glycinate: 200–400 mg nightly
• helps bowel movement regularity
• lowers stress hormones
• supports sleep

Vitamin E (mixed tocopherols): 100–200 IU/day
• anti-estrogen
• anti-inflammatory
• helps with cystic acne specifically

Use: Tocovit by Idea Labs, https://t.co/jZXBmCKZXs, ZENEMENT or LifeBlud

Activated charcoal (occasional use, 1–2×/week)
• binds endotoxin
• great during flare-ups
Take far from food/supplements.

Aspirin (low dose: 81–300 mg/day)
• anti-inflammatory
• mild antibacterial in the gut
• anti-estrogen
Take 1mg of vitamin K with every 300mg of aspirin

Bio-identical Progesterone (like Progest E complex)
• opposes estrogen
• reduces oil production
• fights inflammation
(Use only high-quality bioidentical!)

Helpful topicals

Nizoral (ketoconazole) 1–2×/week
• reduces fungal involvement
• anti-inflammatory

2.5% benzoyl peroxide
• kills acne bacteria
• use sparingly to avoid irritation

tbc👇🏻

[Moe @moneyacademyKE]

StanChart Kenya has launched a program allowing investors to borrow against CBK bonds.

Save the thread below for details.