Dr. Het Modi

MBBS 🩺⚕️@bjmc_ahmedabad @civilhospamd | Unreserved | 🎼Pianist |

[Gul Panag @GulPanag]

Not cool.

You can dislike a Prime Minister, disagree with a government, protest, debate and vote differently. That’s democracy.

But reducing the office of India’s Prime Minister, the man, the office, and what he represents abroad, to a joke on foreign soil -doesn’t feel like the right thing or dissent - to me.

It diminishes him, the institution, and ultimately, us.

[Dr. Het Modi @het_modi_25]

@spendwiselyx You can get the GST invoice in the company’s name, but you won’t be able to claim GST input credit if the hotel is in a different state from where your company is registered.

My dad faced the same issue last year in Mumbai, since our company is registered in Gujarat.

[TheLiverDoc™ @theliverdoc]

VERY IMPORTANT ANNOUNCEMENT.

Dear friends, we have published the largest analytical study of Ayurveda, Homeopathy, Siddha, Unani and Folk-Traditional Medicinal products that have harmed patients - presenting with liver damage - to our department. This is the most exhaustive analytical study that correlated clinical outcomes in such patients.

Interestingly, one of the Reviewers who peer-reviewed our paper (notification after paper publication) and cleared it for publication is a senior professor of Ayurveda (Rasashastra and Bhaishajya Kalpana) at All India Institute of Ayurveda. This makes our paper even more impactful.

Here is a plain language summary of the study's major findings, highlighting what patients and the public need to know about the safety of alternative medicines:

Severe Liver Damage is a Major Risk: The study looked at 386 alternative and complementary medicines taken by patients who experienced liver damage. It found that these products frequently triggered a severe, life-threatening form of liver failure, called Acute-on-chronic liver failure (or ACLF) which resulted in death for nearly 40% of the patients who developed it.

Unlabeled Products Can Be Deadly: Taking "unlabeled" products—those sold without proper ingredient lists, manufacturer details, or batch numbers—was a strong predictor of death. The risk of dying increased the more unlabeled products a patient consumed, showing how dangerous an unregulated supply chain can be. Data revealed a dose-response relationship where death rates escalated progressively, reaching 42.9% among patients who consumed three or more unlabeled products.

Dangerous Levels of Heavy Metals: A shocking number of the tested products were heavily contaminated with toxic metals like mercury, lead, arsenic, and cadmium, often at levels far above safety limits. Exposure to cadmium, in particular, was strongly linked to patients developing the most severe form of liver failure. Exposure to cadmium was strongly and significantly associated with the development of ACLF (75.9% in exposed versus 22.6% in unexposed patients).

Hidden Prescription Drugs: Almost one-third of the products secretly contained modern pharmaceutical drugs, meaning patients were taking them without knowing. These hidden drugs included steroids, antibiotics, and painkillers, and some were even banned or well-known to cause liver damage.

"Natural" Doesn't Always Mean Safe: Over 40% of the products contained plant ingredients that are medically documented to be toxic to the liver. Well-known herbs like Giloy (Tinospora cordifolia) and Ashwagandha were among the most common potentially harmful plants found in the products.

Secret Animal Ingredients: Testing revealed that nearly a third of the products contained undisclosed animal ingredients (such as dairy, marine products, or animal extracts). This is a major concern for vegans, vegetarians, and people with religious dietary restrictions who believe they are taking plant-based medicines.

Risks from Concentrated Plant Extracts: The study discovered that high concentrations of certain common plant fats and compounds (called phytosterols) were tied to higher rates of severe liver failure. This shows that highly concentrated "natural" extracts can act differently in the body and become harmful, even if they come from everyday plants.

Lead Reseacher: @arifhussaintm
FULL PAPER (free to read): https://t.co/3RIqoZdXyD

[Indian Tech & Infra @IndianTechGuide]

Hands down, the best stadium in India. 👏

[Dr. Ligma @PruritusAnii]

If they are "already MBBS" and competent enough, then why reserve seats in the PG??????

[Dr. Het Modi @het_modi_25]

✅✅

[Karnavati Speaks 🚇🚍🚲🇮🇳🇺🇸 @KarnavatiSpeaks]

વાત પહોંચી ગઈ લાગે છે…😂😂 હવે કામ જલ્દી શરૂ થાત તો સારું 😀

[Dr. Het Modi @het_modi_25]

@KarnavatiSpeaks @CMOGuj @sanghaviharsh Amdavad-Rajkot Semi HSR project toh khovai j gayo☹️

[Dr. Het Modi @het_modi_25]

But let’s be honest, people are equally responsible for blindly trusting, buying & promoting such wellness brands.

PSEUDOSCIENCE survives because demand exists.

@theliverdoc sir, this episode says it all.

@AnupamMittal @1kunalbahl @amangupta0303 @namitathapar #MohitYadav

2/2

[Dr. Het Modi @het_modi_25]

Just watched @sharktankindia S5 E1 - Pitch 2.

Kudos to the show for airing this pitch..it’s pure awareness!!

Misleading claims. Zero clinical trials. Crores in revenue. Years of free run.

Yes..the government is responsible for allowing such brands.

1/2

[Karnavati Speaks 🚇🚍🚲🇮🇳🇺🇸 @KarnavatiSpeaks]

Day 6: #SGHighwayNeedsMetro

@sanghaviharsh @CMOGuj @MetroGMRC
@AmitShah

[Dr. Het Modi @het_modi_25]

Must read this thread!!!
One of the most common misconceptions we encounter in clinical practice has been clearly addressed by none other than @theliverdoc
Thank you sir 🙏🏻

[TheLiverDoc™ @theliverdoc]

STAY WITH ME.

A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up.

He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues.

Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit.

But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food.

He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble.

I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble.

It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient.

This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence.

Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project.
1/11

[Dr. Het Modi @het_modi_25]

@PMvasavada @MetroGMRC @KarnavatiSpeaks @aditiraval @zeal1992 Haa. Metro ni andar eating allowed nathi.
Ane aa rules jo properly enforce thay chhe, toh aa facility pan saras rite implement kari sakay station upar.
Mein aaj sudhi jetli pan vaar metro ma travel karyu chhe, ek pan vyakti ne khata-pita joya nathi.

[Dr. Het Modi @het_modi_25]

Suggestion to enhance commuter facilities in Amdavad Metro @MetroGMRC - Chai/coffee & packed snack kiosks near ticket counters can add convenience! Also vending machines may be a cost-effective option at low footfall stations
@PMvasavada @KarnavatiSpeaks @aditiraval @zeal1992
🇮🇳

[Dr. Het Modi @het_modi_25]

@KarnavatiSpeaks @CMOGuj @MORTHIndia @GandhinagarMC Ekdam saachi vaat che.
Tram / Metro from Indroda circle to Bavla through SG Highway, bau j saro route che.

[Dr. Het Modi @het_modi_25]

Drove from Home (near Palladium Mall) to PHC–Dabhoda via SG Highway → Gandhinagar Bypass (Lavarpur).
34 km in 39 mins🔥
Smooth roads, seamless drive.
This is infrastructure done right!🙌🏻
Need this standard across the city & state. Kudos to @CMOGuj @MORTHIndia @GandhinagarMC

[Dr. Het Modi @het_modi_25]

@PMvasavada @bhav2406 @KarnavatiSpeaks @marinebharat

[Dr. Het Modi @het_modi_25]

My playing XI :
Abhishek, Samson, Tilak, Sky, Hardik, Dube, Axar, Sundar, Varun, Bumrah, Arshdeep
🇮🇳

[BCCI @BCCI]

🚨India’s squad for ICC Men’s T20 World Cup 2026 announced 🚨

Let's cheer for the defending champions 💪

#TeamIndia | #MenInBlue | #T20WorldCup

[Gujarat Plus @gujarat_plus_]

Don't ask again "Why Gujarat ?"

[Dr. Het Modi @het_modi_25]

@SartanparaYash @bethalaluka @getscapia @anilgoteti So BOB doesn’t have a 1 card policy?
I’ve seen many applications getting rejected with the bank stating the applicant already holds 1 card.

[Dr. Het Modi @het_modi_25]

@InvestorOfJAMMU Exactly! Instead of supporting them, ppl quesn why the govt backs industrialists. Dragging them into political rivalry is the worst thing the oppsn does. These grps, Ambani, Adani, Tata, Mahindra, have driven India’s growth & even contribute globally, strengthening our footprint.