James Wantuck, MD

Internist. Associate CMO @Accolade, Co-founder @PlushCare; Building Personalized Healthcare for all Americans.

[James Wantuck, MD @jmatthewMD]

Some tips on how to find a new primary care doctor. (Hint: go to @PlushCare)

[PlushCare: Virtual Doctor Visits + Online Therapy @PlushCare]

Thanks for the feature @USNewsHealth!

[James Wantuck, MD @jmatthewMD]

@dp_oneill When plans ask us to update our directory information (quarterly as required), they also ask us which of THEIR plans we accept…like they don’t/shouldn’t know! It’s mind boggling.

[James Wantuck, MD @jmatthewMD]

@dp_oneill They probably will just deny new contracts more frequently in order to stay ahead of the 90 day limit, or some other unintended consequence.

[James Wantuck, MD @jmatthewMD]

@nikillinit Need to be a student, but @SUBiodesign has the "product realization lab" which is open to students in the Biodesign programs and classes. https://t.co/FXGpuFBrpZ

[James Wantuck, MD @jmatthewMD]

@dp_oneill Another way to look at it: A third of physicians went from 4.5 mins to 2.5 mins per note. 2 mins saved times 25 patients per day in Kaiser primary care equals nearly an hour spent at home with family instead of at work.

[James Wantuck, MD @jmatthewMD]

Is this the obesity “set point” we all talk so much about?

[Eric Topol @EricTopol]

New @Nature
A mechanism for why durable weight loss is so difficult: epigenetic memory of fat cells
https://t.co/bfyTkvWS1P
@vonMeyenn @laurahinte

[James Wantuck, MD @jmatthewMD]

@elliotcohen Agree 100%

[James Wantuck, MD @jmatthewMD]

It would seem better to watermark real content so you can verify it. If you only watermark AI content, there will always be cheaters creating content without the watermark. @Apple has the power to watermark any video/image on iPhone camera as ‘real’, for example.

[Andrew D. Huberman, Ph.D. @hubermanlab]

Watermark for AI ! This is important!
I was AI-poached selling Jaw Exercisers (I NEVER endorsed nor did I ever say “you can go from a 3 to 7” ! (So dumb; & fake AI generated). The arrival of true watermarks is critical and long awaited.

[James Wantuck, MD @jmatthewMD]

@elonmusk Now enable Grok to help retrieve / download the images from the hospital in the first place.

[James Wantuck, MD @jmatthewMD]

@dp_oneill @amazon With Amazon's same day Rx delivery, the experience is top notch; they are claiming 20 more cities in 2025; impressive that WalMart is ahead and I think they both will continue to crush brick and mortar pharmacies.

[James Wantuck, MD @jmatthewMD]

@nikillinit Seems like hospital GPOs (group purchasing organizations) help create this problem by limiting competition among manufacturers. Don’t claim to understand it but heard that and it sounded smart and right.

[James Wantuck, MD @jmatthewMD]

@EricTopol Confounder is that GLP-1 Rx seeking probably correlates with 'cleaning up my life' by also quitting alcohol/opiates. Very few heavy alcohol/opioid users think "I'm going to try and lose 20% of my bodyweight by getting on this $1500/mo drug but keep hitting EtOH and opiates hard."

[James Wantuck, MD @jmatthewMD]

@deedydas Most of these studies show that these children grew by an extra 2 inches or so vs kids who didn't get rhGH, but it is highly variable. Since they started short, they still were shorter than avg.

[James Wantuck, MD @jmatthewMD]

@deedydas I will pull some. You have to read into the data a bit because doctors won’t ethically study giving HGH to kids on track to be 5’11”. I’ll also point out if your parents didn’t meet their genetic potential (ie were malnourished or similar) than your parental height might mislead.

[James Wantuck, MD @jmatthewMD]

@deedydas So the bottom line is that some kids respond to rh GH and some don’t. You give a daily or weekly injection or rhGH to your kids (starting at age 6 or so, doesn't work well for 12 year olds). You generally only keep doing it if they are growing more than an inch a year.

[James Wantuck, MD @jmatthewMD]

@deedydas The trouble with this group is that since we don’t know why they are short, it probably is from a mixed bag of different causes. Some people have families that are short, one parent who is abnormally short, or conditions or genetics that are unknown to us.

[James Wantuck, MD @jmatthewMD]

@deedydas For better data, look at rhGH for Idiopathic Short Stature (ISS). ISS means kids who are very short and we don’t know why; less than the 2.3 percentile or two SDs less than average. The FDA is more strict, the 1.2nd percentile which is 5’3” for males and 4’11” for females

[James Wantuck, MD @jmatthewMD]

@deedydas https://t.co/y6xiMuIvhc

[James Wantuck, MD @jmatthewMD]

@deedydas https://t.co/6bPqK6m3Lk

[James Wantuck, MD @jmatthewMD]

@deedydas If you are not on track to hit your parents height, or are much shorter than your peers, HGH can help. Even in the study you quoted, the average adult height of the girls was 5’2” and boys was 5’5”. The seven inch gain was real but was solely because they were HGH deficient.

[James Wantuck, MD @jmatthewMD]

@deedydas I’ll qualify that I am not a pediatric endocrinologist, but generally HGH treatment helps you achieve your potential, not exceed it. If your parents are short, you will likely be short and HGH won’t help.