Larry raul

VERY OBIDIENT

[Dr. Priyam Bordoloi @DocPriyamMD]

Let me explain to you stepwise why this happens.

• One of their primary jobs of the kidneys is to clear and degrade circulating insulin. In a healthy person, the kidneys are responsible for clearing up to half of the insulin from the bloodstream.

• ​When a patient develops advanced Chronic Kidney Disease, that renal tissue dies. The failing kidneys completely lose their ability to degrade insulin. Because of this, the insulin (whether produced by the pancreas or injected) just circulates in the blood for much longer, constantly driving blood sugars down.

• ​But it gets worse. The kidneys also act as a backup glucose factory. Through a process called renal gluconeogenesis, they normally produce new glucose during fasting states to keep your levels stable.

​• In advanced CKD, this backup factory completely shuts down. So the patient loses their ability to produce baseline glucose, while simultaneously having prolonged, uncleared insulin circulating in their blood.

• ​Add in the fact that the buildup of toxic kidney waste (uremia) makes the patient chronically nauseous so they eat significantly less, and you have a perfect storm for severe, spontaneous low blood sugar.

• ​This is clinically known as the Burnt-Out Diabetes phenomenon. The diabetes isn't cured; the kidneys have just failed so severely that the body's entire metabolic clearance has collapsed.

• ​This is exactly why we have to drastically reduce or even stop anti-diabetic medications in severe CKD patients otherwise, that uncleared insulin will cause fatal hypoglycemia.

👉​Hi, I am Dr. Priyam. I break down complex medical science and advocate for Evidence-Based Medicine. Follow me for more clinical facts.

[Dr. Priyam Bordoloi @DocPriyamMD]

My junior asked on rounds today: "This patient had severe diabetes for 15 years, but now that they have Chronic Kidney Disease, their blood sugar is suddenly normal. Are they cured?"

No. It’s actually a massive clinical red flag.

[Harry Da Diegot @trigottista]

Edo State Governor will rather use the police to secure Tinubu’s billboards than secure the lives of Edo people

[Jude Bela @realJudebela]

We often hear about the 1999 constitution and how it returned Nigeria to democracy. But what were the deals behind that return to democracy?

This is episode 11 of #powerandplunder. Don’t miss any episode from here on. Things are about to get really crazy.

[Biggest Mack @Big_Mck]

I remember when this dude was appointed, Jack d Builder came on here to celebrate, quoting himself verbatim - “God has remembered the South East.”

I asked a simple question - what makes think anyone Tinubu and his masters appointed will develop the South East?

This is where I struggle to reconcile the thought process of most Nigerians. You say Tinubu is tribalist emilokan, yet you believe he will appoint someone that will deliver development to a region you admit he hates.

This typifies the average Nigerian colonial religion induced mentality. They always believe in miracle, even from the “devil.”

Omo, I have seen many things on these streets, and have also said so many things that unfortunately keep ending in “I told you so.” I hate to be this prophet of doom, but you guys really can’t help yourselves with your delusions, can you?

[Elvis Tunde @Tunnykvng]

I love you Reece James but that’s not enough for me to support England at the World Cup. I need that round of 16 exit

[NEFERTITI @firstladyship]

Dear young bandits,

“Please be careful about kidnapping for ransom, they are meant to create distractions & give the impression that Nigeria is not safe.”

Akpabio said be careful. If you like carry all the pikin in Nigeria. BAT said you can’t remove him.

UNA DON HEAR????

[The_Bearded_Dr_Sina @the_beardedsina]

In all my life, I have never seen any fraud as strategic as this.

You contacted a foreign airline, got them to paint Nigeria Air on their own plane, got people to disguise as NG Air pilots, organised a team to wear Nigeria Air clothes, organised media to cover Nigeria Air arrival, clear the airport for Nigeria Air.
Got Newspaper to cover Nigeria Air.
Got media houses to cover emergence of Nigeria Air.
Cut Ribbon to celebrate Nigerian Air
Flew the plane back to the original country.
Told the Masses of a breaking project.
Got creme de last creme of the country.

This is crazy and evil.

[Peter Obi Grassroots Mobilization. @PO_GrassRootM]

BREAKING: “No crisis in Kano NDC. We’re united for Obi-Kwankwaso.”

– Kwankwasiyya says

[PIDOMNIGERIA @UNOFFICIALFACT]

Fresh Terror attack in Kogi state.

Terrorists have attacked Government Secondary School Iluke Bunu, in Kabba-Bunu Local Government Area of Kogi State.
They shot and killed the vice principal and two others before kidnapping unspecific number of students writing WAEC.

[UptownOfLagos @Uptownoflagos]

Obi has donated OVER 3 BILLION in 3Years to schools but needs 10M Naira ‘bribes’ to fund his campaign. 😂😂😂

[David Hundeyin @DavidHundeyin]

Apparently the word "Niger" - the country name used in news context - is a "racial slur". Per the genius platform AI of TikTok. And we have been penalised for it.

@barrahart has a few words

[David Hundeyin @DavidHundeyin]

I was in Nairobi a few days ago for my premiere and I spent a few hours with @wmnjoya at the Sarit Centre rooftop area.

You could barely move because of how many people there were. People were out with their families spending money and enjoying a day out. Literally hundreds of people. By the way, Kenya is not by any means a successful economy, but the visible symbols of commercial activity in Nairobi are undeniably busy. Commerce is actually taking place there.

And then there is Nigeria. Every single time I meet someone who just came from there, I hear the same thing - all the shops and malls are empty. People go into malls to buy one item and take pictures, because the mere experience of going to the mall has become out of reach for most regular people. You have no idea how much this pisses me off!

I've been warning for years that Nigeria is being deliberately steered into complete irrelevance. Uber makes more money in Nairobi than Lagos - and Lagos has 4 times Nairobi's population! Africa's largest population centre is increasingly being treated as if it has no more economic importance than Lesotho or Eswantini!

I fucking hate this shit!

[AMB. SERAH IBRAHIM @TheSerahIbrahim]

There is nobody in this 2027 election that is more qualified to run for President like Peter Obi
There’s a reason why he’s still the most competent in Nigeria today ..
Go and verify.

[Sir Dickson @Wizarab10]

Life happens to people. Single motherhood is not a disease.

Everything comes down to choice. Your choice to be with a single mother is valid. Your choice to not be with a single mother is valid.

[MaziTundeEdnutfan @originalproflle]

“tinubu you removed fuel subsidy, still we’re suffering……

tinubu you must go, let our children rule us, you’re old enough to be at home….”

[Harmless @HarmlessHQ]

Kenneth Okonkwo!

If I say Tinubu is not performing well as a president; we call it criticism.

But if I say Tinubu is a criminal and a scammer; that is criminal defamation and you can sue me for it.

There's a difference between criticism and criminal defamation.

But, I thought you have a Law degree??

[Dr. Kenon @drkenon2]

EFCC investigated Peter Obi & found nothing.

Na Kenneth Okonkwo wan find something 😹😹

Dear @PeterObi, please take this case seriously. No mercy for this lunatic called Kenneth. He is still not tired of living in bondage.

[Sir Dickson @Wizarab10]

On this one, I stand with the women. It is not audacity, it is family values.

You cannot choose to commit to a single mother and not accept her child or children as your own. That makes you a bad father. There is no sentiment to it.

If you cannot love a non-biological child and treat them as yours, you have no business dating/marrying a single mother.