Carlos Alvayero

Internista y endocrinólogo

[Cristina Tejera @cristinatejerap]

Llevamos años obsesionados con bajar los triglicéridos. Nueva revisión ➡️los TG no son directamente aterogénicos. Son el marcador de las lipoproteínas remanentes ricas en TG, que sí entran en la pared arterial. 🫀
Lo importante no es la cifra, es la carga de partículas apo B

@ESC_Journals

🔗 https://t.co/PfieuYrQSa

[FOCOS @focostv]

En un partido de fútbol, el árbitro no juega para ningún equipo. ¿Qué pasa cuando el árbitro ya eligió bando?

Una investigación de FOCOS documentó cómo Nuevas Ideas se tomó el Tribunal Supremo Electoral de El Salvador. 🧵

[The Lancet @TheLancet]

The co-occurrence of linked conditions such as type 2 diabetes, cardiovascular disease, and kidney disease, represent a growing global health challenge. But clinical care and research often remain siloed.

A Lancet Series aims to inform a more integrated response. Read more: https://t.co/VoulOR7ZkT #ADA2026

[Eric Topol @EricTopol]

In women with breast cancer and obesity or T2 diabetes, a large propensity matching retrospective analysis reports association of GLP-1 drug therapy with improved survival and reduced risk of recurrence
https://t.co/GjimCr97S0

[Samuel Hume @DrSamuelBHume]

Lilly's pipeline is jam-packed, including no less than 8 weight loss drugs in trials

Tirzepatide, Orforglipron, Retatrutide, Naperiglipron, Macupatide, Bimagrumab, Nisotirostide, Eloralintide

A short thread on their new deck

[William A. Wallace, Ph.D. @WilliamWallace]

This Nature Reviews Cardiology paper proposes reclassifying heart failure by skeletal muscle mass, not just ejection fraction.

When you account for body composition, it's not that higher BMI protects; it's that low muscle mass kills.

Person 1: Low BMI, wasted muscle → highest mortality Person 3: High BMI, preserved muscle → lowest mortality

BMI is hiding the real driver (muscle mass).

If you care about cardiovascular health, stop fixating on the scale. Preserve your skeletal muscle mass.

https://t.co/j3icNDGxFF

[El Faro @_elfaro_]

En todos sus intercambios con la prensa española, el vicepresidente salvadoreño Félix Ulloa fue un beligerante que pasó de regañarlos por criticar al régimen de Bukele, en el mejor de los casos, a acusarlos de ser parte de una conspiración internacional en la que, por descabellado que parezca, dijo que participan Le Monde, CNN, El País, The New York Times y los medios salvadoreños que la dictadura no controla.
https://t.co/k6YzQtfoBV

[American College of Cardiology @ACCinTouch]

Share this #CardioSmart infographic with your patients to explain high Lp(a), why knowing levels is important, and its impact on heart health.

Learn more: https://t.co/PWdYb3zpmS #KnowLpa #LpaAwarenessDay

[American College of Cardiology @ACCinTouch]

Learn about the unique role of Lp(a) as a genetic determinant for #ASCVD risk & the importance of testing for Lp(a) levels to better understand your patients’ cardiovascular health w/ ACC's online course. ⬇️

More: https://t.co/OY9j8lZRfI

#LpaAwarenessDay #KnowLpa #ACCEd

[JACC Journals @JACCJournals]

People consuming >9 servings/day of ultra-processed foods had a 67% higher risk of #MACE vs ~1 serving/day, per #ACC26 research. Ultra-processed foods include chips, frozen meals, processed meats, sugary drinks, cereals & breads. https://t.co/dDTQADEadA

#JACCAdvances #ASCVD #CVD

[Scott Isaacs @scottisaacsmd]

Honored to share that the new AACE Consensus Statement “Algorithm for Management of Adults With Type 2 Diabetes – 2026 Update” has been released for member review. Grateful to my coauthors and AACE colleagues for their incredible work on this important guidance for improving care for people with type 2 diabetes.
https://t.co/RJm4uwAZYu

[American College of Cardiology @ACCinTouch]

🆕 ACC/AHA Guideline on the Management of Dyslipidemia offers a comprehensive “one-stop shop” for addressing the evaluation, management & monitoring of individuals w/ dyslipidemias.

Read the full guideline in #JACC: https://t.co/rhUKNIRRL4 #cvLipids #ClinicalGuidelines

[Colegio Médico @colmed_es]

Conoce a los ponentes de la Jornada Científica "Día mundial de la obesidad"

Inscríbete llenando el formulario y sé parte de esta actualización médica clave para El Salvador
https://t.co/PaiHK7rRPK

[European Society of Endocrinology (ESE) @ESEndocrinology]

Today is @WorldObesityDay. Across Europe, nearly 60% of adults and almost 1 in 3 children are living with overweight or obesity.

For the latest science, head to our dedicated #OpenAccess journal @Obesity_Endo 👇 https://t.co/Erdv63PE5c

#BecauseHormonesMatter

[Colegio Médico @colmed_es]

En el marco del Día Mundial de la Obesidad, el Colegio Médico de El Salvador te invita a participar en esta Jornada Híbrida.

Modalidad presencial y virtual. Inscríbete llenando el formulario. https://t.co/PaiHK7rk0c

[The Lancet @TheLancet]

Incretin-based medications—developed based on the therapeutic potential of GLP-1—are now highly effective, widely recommended treatments for type 2 diabetes and obesity complicated by comorbidities.

What comes next? Find out: https://t.co/jdP9ViIRAH

[Dr.V.Mohan @drmohanv]

Our article published in DRCP, emphasizes the importance of glycemic control in T2DM management. With the popularity of SGLT2i and GLP1 RAs today there is a tendency to diminish the importance of glycemic control. This article is a timely reminder as to why glycemic control still remains central in type 2 diabetes management.

@kamleshkhunti @Chan68873575

[The Economist @TheEconomist]

His carefully crafted image as a young, innovative, can-do reformer, all baseball caps and bitcoin, is wearing away, to reveal just another thin-skinned Latin American dictator https://t.co/vy23xOl28u

[Foro del Agua El Salvador @ForodelaguaSV]

Si Nayib Bukele piensa que con esto vamos a dejar de acompañar a la gente y dejar de exigir la liberación de Alejandro y José Ángel, ESTÁ PROFUNDAMENTE EQUIVOCADO.

¡La tierra no se vende, se cuida y se defiende! 🌱📢📢

#LibertadParaAlejandro #LibertadParaJoséÁngel

[S. Enrique Anaya @enrique_anayasv]

Hola. Buenas tardes.
#LiberenARuth
Excelente editorial de La Nación, de Costa Rica, que retrata al dictador salvadoreño en toda su maldad: "Nayib Bukele sin máscara" https://t.co/iAqNwqWLOd