Every rheumatologist & neurologist should read these guidelines.
Sjogren’s can present with neurological signs and symptoms rather than dryness. PCP should also learn the basics of these presentations.
Sjogren’s is a common, serious, systemic disease!
In 45% of peripheral neuro cases thought to be paraneoplastic it turned out to be autoimmune disease. In 17% of central nervous system cases it was AI. 🤞🏻 once they ruled out CA as cause they looked for Sjogrens bc Sjogrens has a huge Neuro footprint. https://t.co/o8FPl574qP
Cushing syndrome = too much cortisol in the body (from any cause).
Cushing disease = a specific type caused by a pituitary tumor in the brain that makes excess ACTH, telling the adrenal glands to release too much cortisol. #AADAM2026 NADF @nadf_adrenal@TheAACE@TheEndoSociety
Too many people are put on lifelong levothyroxine for borderline TSH elevations or nonspecific symptoms, then never reassessed, yet trials show little benefit for most with subclinical hypothyroidism and risks from overtreatment like a-fib and bone loss. We need to normalize “deprescribing” thyroid hormone when it was started for borderline labs, low doses, or no clear diagnosis, and routinely see if patients can come off instead of renewing forever.
https://t.co/7OxpBMhy0u
🧵
El gran peligro (poco comentado) de toda la “publicidad” de tratamientos sin evidencia que estamos viendo, es el abandono de terapias que, con limitaciones, están funcionando.
Acaba de salir un paper que compara la mortalidad por cáncer de mama…
1/5
https://t.co/amfjvLgXpc
Estudios científicos revelan: cuando te enfocas en lo bueno, tu cerebro se reconfigura para buscar más bueno.
Eso es la magia de la neuroplasticidad.
- HILO -
Magnífica publicación sobre OBESIDAD vía
@TheLancet
Es o no una enfermedad?
Hay obesos “sanos”?
El IMC sigue haciendo el diagnóstico? (Spoiler: No)
Síntomas y signos que acompañan a la obesidad… desde dolor de cabeza recurrente, falta de aire, hipertensión, hipogonadismo, falla cardiaca, hígado graso, no dormir bien, no descansar, dolor de rodillas y muchos más…
https://t.co/oX0OIdwoJs
rt
@OrlandoRPN
💊 ¿Es obligatorio tomar la levotiroxina en ayunas?
Clásicamente sí. Pero un nuevo RCT en JCEM (2026) plantea algo interesante que puede cambiar la práctica clínica 👇
GH replacement therapy in adults stimulates Fibroblast Activation Protein-α activity by Amanda Bæk et al
EJE Volume 193, Issue 6, December 2025
👉 https://t.co/QVyMzc0liQ
ESE members free via 👉 https://t.co/AxTMoXOoqV
#endocrinology#growthhormone