My approach is different.
I don’t start with:
“What drug does this diagnosis require?” Or
“What do the guidelines say I should prescribe?”
I start with:
“What is driving the disease?”
Then we rebuild your metabolism from the ground up:
Food quality & protein.
Carb control & meal timing.
Strength training.
Sleep & stress management.
Electrolytes.
Labs & tracking.
Medication adjustments when needed.
Most people with obesity, type 2 diabetes, hypertension, fatty liver, gout, PCOS, etc., aren’t suffering from a medication deficiency.
They’re suffering from metabolic dysfunction.
And the entire healthcare system is built to manage it, NOT reverse it.
Here’s why that matters (and what actually works).
🧵 👇
The Senate should reconvene to debate the SAVE America Act and other legislation made more urgently needed by recent Supreme Court rulings.
Who’s with me?
There’s no time to waste.
If you're a U.S. citizen and you're living abroad, you have to file taxes on your income. Doesn't matter where it's from. And if you want exclusions or credits, you still have to file. (This is the #1 reason why departing Americans renounce their citizenship.)
The IRS should be mining foreign countries looking for "anchor babies" and other citizens who aren't filing. Instead of obsessing about whether your grandma reported her Etsy knitting earnings, they should be focused on this.
And then you can give them a choice: renounce your citizenship or pay back taxes on everything you owed, including penalties.
HOLY SH*T: Justice Alito is going Scorched earth after SCOTUS allowed Birthright Citizenship:
"In my judgment the court has made a mistake that will seriously affect the country's future."
"Suppose that a persons ONLY connection to this country is that he was born here to a mother who was present just long enough to give birth and then quickly return to her native country.
Suppose that country is a strategic adversary or enemy of the United States.
Suppose the child never visited the United States while growing and was inculcated with hatred of this country.
According to this court, now, that person is a citizen of the United States.
He can enter and leave the country as he pleases. He can travel the world on a United States passport.
Even if he plots to harm this country, he cannot be deprived of his status as a citizen, at least under current precedent”
I introduced a constitutional amendment months ago, actually, to fix birthright citizenship.
After the Supreme Court decision, that amendment matters more than ever. I'm asking my colleagues to take it seriously and help me get this passed.
Kavanaugh is telling Congress they can pass a bill to fix birthright citizenship and it wouldn't violate the 14th Amendment
Just add this to the SAVE Act and pass it all
@ITalkOfChrist I have hopes that going back to weekly RS/PH will help us reconnect with our sisters and brothers, respectively and celebrate femininity and masculinity.
If SCOTUS rules incorrectly on this, Congress should immediately cite the cases in which the courts have recognized that illegals are not under the political jurisdiction of the United States and pass a law stating that illegals are not under the political jurisdiction of the United States and bar the 14th amendment from applying to babies born to non-citizens, or at the very least lawful permanent residents.
Congress must defend their power to statutorily define the scope of citizenship outside of political jurisdiction.
Your doctor's problem-solving, in full:
High blood pressure → pill
High cholesterol → pill
High blood sugar → pill
Reflux → pill
Joint pain → pill
Depression → pill
Tired all the time → a pill, naturally
Seven prescriptions, every one of them downstream of what's on the plate, and not a single word about the plate.
Patient: "Could I maybe just change my diet?"
Doctor, paling: "Let's not do anything drastic."
Drastic. Seven pills a day, a dosette box the size of a tackle case, and a repeat prescription that outlives the marriage. That's the sensible option.
Eating a steak and binning the cereal is the reckless one.
Somewhere along the way they swapped the meanings, and forgot to tell the patient.
Your doctor's problem-solving, in full:
High blood pressure → pill
High cholesterol → pill
High blood sugar → pill
Reflux → pill
Joint pain → pill
Depression → pill
Tired all the time → a pill, naturally
Seven prescriptions, every one of them downstream of what's on the plate, and not a single word about the plate.
Patient: "Could I maybe just change my diet?"
Doctor, paling: "Let's not do anything drastic."
Drastic. Seven pills a day, a dosette box the size of a tackle case, and a repeat prescription that outlives the marriage. That's the sensible option.
Eating a steak and binning the cereal is the reckless one.
Somewhere along the way they swapped the meanings, and forgot to tell the patient.
1/10 Your opening, "for the non-clinician," suggests this is something only clinicians can understand.
It isn't.
This isn't about medical titles, it's about evidence, trial data and biology. Those are open to scrutiny by anyone willing to read the literature.
/2
250 years ago today, on June 29, 1776, New Yorkers looked out at the water and saw a nightmare on the horizon. The British fleet had arrived, and so many ships filled the bay that witnesses said the masts looked like "a forest of pine trees" growing out of the sea. The timing could not have been more brutal.
This was the empire's answer to the rebellion, and it was overwhelming. The first wave of around 45 warships and transports dropped anchor off Sandy Hook and Staten Island carrying General William Howe and roughly 10,000 troops. Within days it kept growing. Then his brother Admiral Richard Howe arrived with more. It would eventually swell into one of the largest seaborne invasion forces of the entire 18th century, hundreds of ships and tens of thousands of professional soldiers and German mercenaries, aimed at one city.
Now sit with the timing. While that forest of masts was filling the harbor, delegates down in Philadelphia were in the final days of debating whether to declare independence. They voted for it on July 2 and signed off on the wording on July 4. So at the exact moment America was being born on paper, the most powerful military on earth was already anchored off its coast, getting ready to strangle it in the cradle.
The people of New York understood exactly what they were seeing. Alarm bells rang, panic spread through the streets, and soldiers sprinted to their posts to stare at a force they had almost no hope of matching. Washington's army was outnumbered, outgunned, and about to get badly beaten in the battles for New York that followed.
That's the part that gets lost in the fireworks every Fourth of July. Independence wasn't declared from a position of strength. It was declared with an enemy armada already sitting on the doorstep, knowing full well what was coming. They signed their names anyway.
A1C 8.9%.
BP 165/95.
Fatty liver.
100 lbs overweight.
No exercise.
Junk food at every meal.
“I’ll just take my meds.”
Suggest replacing cereal with steak.
“Isn’t red meat dangerous?”
We’ve become very good at fearing the wrong things.
The most metabolically ill country on Earth has a control group living right inside it, and the results are deeply inconvenient.
The Amish eat butter, lard, eggs, meat, and raw milk straight from their own cows, by the bucket. They cook in animal fat. They eat the saturated fat the rest of us were told to fear for fifty years. Their obesity rate sits around 4%. The country around them is closing on 40%, four in ten adults. Ten times lower, on the diet that was supposed to be killing them.
They are not dropping from heart attacks at the rate the theory demands either. Their overall cancer rates run lower than the surrounding American population, despite skipping most of the screening that is meant to be saving everyone else.
Now, honesty, because it matters. The Amish are not low-carb. There are pies and bread and plenty of sugar on an Amish table. This is no clean carnivore case, and I will not pretend it is.
What it is, is a controlled experiment sitting in plain sight across Pennsylvania and Ohio. Same country. Same supermarkets down the road. The Amish simply opt out of two things: the ultra-processed food and the sitting still. Their men walk upward of 18,000 steps a day. They eat food their grandmothers would recognise, and they move like their lives depend on it, because for most of history they did.
The animal fat was never what made America sick. The seed oil, the sugar, the packet, and the sofa did that, and the Amish skipped all four. They ran the experiment by accident, by living in the same country as everyone else and politely declining to join in.
1/14 A mainstream cardiologist who understood that most lipid-lowering trials have failed to deliver meaningful clinical benefits, and that whatever modest benefit statins appear to show in industry-funded secondary prevention trials may not primarily be due to LDL lowering.
/2