DoctorTro

Physician | Father | CMO @GoTowardHealth | ❤️‍🩹I help companies ⬇️ healthcare costs |💪🏻I help patients lose weight, improve diabetes |

[DoctorTro @DoctorTro]

1/ NEW STUDY: https://t.co/Vipdyqvl5b

If a ~$10 generic drug reduced LDL by 53% on a ketogenic diet why should we use statins or injection antibodies?

Why are cardiologists pushing drugs costing ~$700/month?

A thread 🧵

[Adrian Soto-Mota @AdrianSotoMota]

🚨NEW PAPER🚨 https://t.co/L8LRquSKXZ

@BioMedCentral: Lipids in Health and Disease.

Ezetimibe ⬇️ LDL-C by a median of 53% in patients with keto-induced hypercholesterolemia.

That is ~3x! what you would expect in conventional hypercholesterolemia (~18%).

🧵👇🏼

[DoctorTro @DoctorTro]

@AbudBakri @slotkinjr This type of thinking is analogous to antibiotics work so infections are caused by antibiotic deficiency

Glp works so problem must be hypothalamus

Feel bad even having to say this

[Renewed Health @Gramps_bloomers]

@AbudBakri I eliminated obesity independent of GLP1 and completely by MAHA principles . I submit the obesity reduction is multifactorial with many contributing factors .

[DoctorTro @DoctorTro]

@AbudBakri Lost 150lbs personally and have kept weight off
43lb average weight loss peer reviewed and published
Obesity medicine certified

Bro you have no idea about this topic and it’s painfully easy to say that

[DoctorTro @DoctorTro]

Everyone wants you to blame yourself for your obesity.

Your discipline.
Your willpower.
Your choices.
Bullshit.
You didn’t fail the system. The system failed you.

They fed you addictive ultra-processed food.

They gave you a bullshit food pyramid built around the foods most likely to keep you hungry.

Then they told you that eating “normal food” “in moderation” was healthy… while it destroyed your hunger signals, metabolic health, and hormones.

And when you gained weight?

They blamed you.

I have NEVER met anyone who wanted to be obese.

Stop treating obesity like a character flaw when it is the predictable result of an addictive food environment and decades of terrible advice.

The difference between these two pictures is NOT calories, its simply avoiding addictive food.

[DoctorTro @DoctorTro]

What do patients who use GLP-1s and patients who undergo Bariatric Surgery have in common? Weight-regain after 1-2 years. Why have these approaches to weight-loss proven so unsustainable?

[DoctorTro @DoctorTro]

@PapaOsoMD Restrictive diet cycles are tough

Hopefully you got support

[DoctorTro @DoctorTro]

I am so tired of seeing people being unable to tolerate GLP1s or they lose their “food noise” effect and that person has to deal with the PTSD of weight regain

My best advice:
find a community, get support… you can do this

[DoctorTro @DoctorTro]

Trying to address obesity, without addressing hunger and food addiction is missing the point.

Obesity is a neurohormonal disease. It is NOT about willpower.

The time is long overdue for the outdated energy balance model to be left behind.

Medscape interviewed me for this article on the ongoing issue of weight bias and stigma...

Check it out: https://t.co/ex1O5vWJ4D

[DoctorTro @DoctorTro]

200 years ago, before refrigerators, microwaves & Uber Eats

“time-restricted feeding” was “eating”

“Whole food plant based” was “summer/autumn”

“Keto/carnivore” was “winter/spring”

“Alternate day fasting” was “it got away”

[DoctorTro @DoctorTro]

@DrSuneelDhand Listen to The Low Carb MD Podcast across all platforms:
YouTube: https://t.co/OWL8Rk8WAl
Website: https://t.co/D6p9zuKwQB
Patreon: https://t.co/e1sUsctNWH
Spotify: https://t.co/v7ghuCqfJ4
iTunes: https://t.co/FdaXvY3eCz

[DoctorTro @DoctorTro]

How often does your doctor talk to you about lifestyle factors like nutrition and sleep quality for disease prevention? Internal Medicine and Metabolic Health specialist, Dr. Suneel Dhand (@DrSuneelDhand), talks about how the medical community has gotten so far away from prioritizing good nutrition, sleep, and movement.

[DoctorTro @DoctorTro]

“In this report, we expected – but did not find – information that would highlight the unique benefits of using MNT generally and TCR specifically to treat metabolic conditions. We believe the AAP missed a crucial opportunity to help curb bias against TCR, which has demonstrated efficacy and safety in multiple settings for adults and paediatric populations in long-term studies.”

[DoctorTro @DoctorTro]

The lead author from the @AmerAcadPeds biased statement AGAINST low carb diets received $225k from pharmaceutical companies and failed to disclose them in their highly flawed consensus statement.

According to AAP:
✅Bariatric surgery
✅Hormonal Injections
🤔Lowering carb? 😱That requires 20 blood tests to do safely😱

This is unacceptable.

Colleagues and I wrote a letter to their editor which they refused to publish, so we submitted to the @JnlMetabHealth read our response:
https://t.co/orRjKiRz5z

[DoctorTro @DoctorTro]

Make things easy:

💢Counting calories is hard
✅Counting hours is easier

💢Portion control is hard
✅Carb control is easier

[DoctorTro @DoctorTro]

Nobody needs juice

Full stop 🛑
End of story

IT ISNT A HEALTH FOOD.

You don’t need the “fiber, vitamins & minerals” to be delivered w/ hyperglycemia in a cup

Moderation as a concept in nutrition is abstract, has largely failed & is almost entirely bullshit

Have a nice day

[DoctorTro @DoctorTro]

Reminder:

🥩Beef is one of the healthiest foods on the planet🌎

[DoctorTro @DoctorTro]

Before: I ate whole grains, pasta, cereal, and many many fruits. I was pre-diabetic, obese and miserable

Now: I eat steak, eggs and am down 150lbs

My choice is easy.

[DoctorTro @DoctorTro]

Everyone wants you to blame yourself for your obesity.

Your discipline.
Your willpower.
Your choices.
Bullshit.
You didn’t fail the system. The system failed you.

They fed you addictive ultra-processed food.

They gave you a bullshit food pyramid built around the foods most likely to keep you hungry.

Then they told you that eating “normal food” “in moderation” was healthy… while it destroyed your hunger signals, metabolic health, and hormones.

And when you gained weight?

They blamed you.

I have NEVER met anyone who wanted to be obese.

Stop treating obesity like a character flaw when it is the predictable result of an addictive food environment and decades of terrible advice.

The difference between these two pictures is NOT calories, its simply avoiding addictive food.

[DoctorTro @DoctorTro]

@BrianLenzkes @sbrown64 @LCMDPodcast @anthonygjay seems to work!
https://t.co/DKRrkZGvJu

[DoctorTro @DoctorTro]

👨‍⚕️ Me:
"Eat fewer carbs. Keep fruit occasional. Focus on meat."

🙋 Patient:
"Got it."

Later…

👨‍⚕️ Me:
"You lost weight. Your A1c, cholesterol, and inflammation all improved. So happy! What did you do?"

🥩 Patient:
"I ate steak and got healthy."

🌱Vegan scientist:
“But we don’t know what these patients actually ate.”

[DoctorTro @DoctorTro]

@davidludwigmd @KevinH_PhD RT the tweet below to share this thread with your followers

https://t.co/mY95cbzL9l

[DoctorTro @DoctorTro]

There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!

[DoctorTro @DoctorTro]

There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!

[DoctorTro @DoctorTro]

The problem in obesity medicine is that doctors like to complicate it and then sell you drugs, its not that complicated.

This is the graph the pretend describes obesity.

The simple and elegant answer is much clearer, our modern food is addictive and it makes people keep eating despite ill health and bad outcomes.