Lijo Ittoop

Founder at @prodigiconnect & Host at Marketing and Coffee - Podcasts with Lijo. Using digital marketing to help companies increase sales.

[Lijo Ittoop @lijoittoop]

The short, mind and long term of marketing.

[Lijo Ittoop @lijoittoop]

My grandfather and his brothers and cousins mostly lived till their late 80’s and 90’s while eating read meat. I had a lot of respect for Dr. Pal. Damn. They coming out of woods.. with hidden agendas. 😣

[TheLiverDoc™ @theliverdoc]

I am sorry but Dr Pal Manickam, the Gastroenterologist from California, is becoming not just a health misinformation menace, but also a subtle "hate-monger" with his divisive attitude towards dietary choices in India, also known as Bharat, a Union of States and marriage of [dietary] cultures and traditions.

Claims:
1. Eating red meat (beef and pork) causes colon cancer
2. Nitrosamines (from nitrites/nitrates) in red meat causes colon cancer
3. Cancer screening in USA above age of 50, but not in India
4. Kerala has maximum number of colon cancers in India
5. Kerala has maximum number of colon cancers because Malayalees eat a lot of beef. A lot.

Response:
1. Eating red meat does not cause colon cancer
https://t.co/rHYLCtFnA0
Higher red meat consumption was shown to have a correlation with increased risk for colon cancer, but the evidence for independent association was weak and remains weak
https://t.co/lgtOetDajU
Eating red meat does not increase risk of colon cancer. Excessive consumption of red meat/ processed meat (excessive not yet fully defined across populations) was confusingly correlated with increased risk of colon cancer
https://t.co/QITFuHVvjd

2. Studies have only looked at nitrites and nitrates [and hence nitrosamine formation] causing stomach cancer and not colon cancer. The International Agency for Research on Cancer (IARC) also focussed on nitrosamines and stomach cancer, but the potential role for dietary nitrate/nitrite in colon cancer is not conclusively proven.

Meat-based diets (specifically processed meat, not fresh meat) have a well described higher risk for cancer, but it is not readily attributable to nitrite consistently in all studies. Most studies are on ground and well water and not meat. https://t.co/bWtn4mBkfl
And the strongest study to show cancer link and nitrite consumption is in mice, not humans
https://t.co/hRSk6hzFoJ
The biggest source of nitrate exposure is dietary consumption of certain types of vegetables that are naturally high in nitrate.
This is a clear case of investigator bias, looking at any possible way to force the data into a specific conclusion (like Dr. Pal is doing in the video).
The IARC maintains the tone of its conclusion, but only to reiterate its validity in a theoretical state, while acknowledging that the epidemiology does to support these conclusions.
https://t.co/bKVYSoJSSH

Nitrites are just one reason processed meats may contribute to bowel cancer, and their relative importance is uncertain. Other factors that may contribute include iron; PAHs (polycyclic aromatic hydrocarbons) which are formed in smoked meats; and HCAs (heterocyclic amines), which are created when meat is cooked over an open flame – and which also are tumour-promoting. So its not just red meat, but the cooking method signficantly affecting health outcomes.
https://t.co/fyCZWEBP8L

3. India does not have a national level screening protocol because the proportion of colon cancer among all cancers in India is only 3% which would lead to wastage of medical resources on a low-incidence cancer detection protocol. But in the USA, colon cancer is the second most common cause of cancer death. Overall, the lifetime risk of developing colorectal cancer is about 1 in 23 for men and 1 in 26 for women - which is much much higher compared to India and that is why they have screening protocols in place - not because they eat more red meat than Indians.
https://t.co/Axx8zRbxf0

4. Kerala has the highest crude incidence rate of all cancers followed by Mizoram. Not colon cancer. All cancers. https://t.co/h6eOAyA4mZ
Highest colon cancer rates and burden of colon cancer are observed in Goa and Orissa, not Kerala.
https://t.co/qWCjSpl9IX & https://t.co/I3RxMPANdq
While the discussion on beef and colon cancer is ongoing in the video, a segment of the clip shows a news item "concerning increasing cases of colon cancer in Kerala" - this is that news piece - https://t.co/OkMqZwDSkl - and read what it says: it talks about only younger age group and colon cancer. "Experts opine that underlying factors leading to the rise in cases, especially at this age, could be lifestyle, environment and genetic factors" - they do not mention beef at all. The report also says: "Though we have no authentic records to show the statistics of rising cases, we have been observing a trend here. Our changing lifestyle is most likely to blame for the rise in colorectal cancer cases amongst younger people, though hereditary reasons are also a major cause." - again, no mention of beef eating.

5. Lakshwadeep is India's biggest meat eater followed by north-east states such as Arunachal Pradesh, Mizoram, Nagaland and Manipur followed by Kerala.
https://t.co/ichOVum2rM
MEAT EATING. Not beef eating. Specifically looking at the largest beef consuming state - it is Meghalaya, where more than 80% of the population consumes this meat, not Kerala.
https://t.co/NrWcmggQEY
Kerala is the largest beef consuming state in the context of male population only. [https://t.co/LmroARDOs6]

6. Oh by the way, about pork and colon cancer --> the risk was not increased consuming high amounts of pork: https://t.co/oBT5mQJo78 and there is only one study showing colon cancer risk in women in Japan, not India and that too who consumed pork >/= 3 times/week compared to </=1 time: https://t.co/EtMWN9oAjp

Add-on: The risk for colon cancer is not red meat alone (with weak evidence), but more importantly (with stronger evidence), alcohol use, smoking, family history of cancer, presence of inflammatory bowel disease, obesity and polyps or adenoma of colon. These have been very conviniently ignored by the Gastroenterologist from California.

Summary - red meat causing colon cancer is not convincingly proven. Increased intake of processed red meat more than higher intake of unprocessed red meat is weakly linked from evidence point of view to colon cancer risk. Nitrosamine in red meat as cancer causing in humans is not proven. Kerala does not have the largest burden of colon cancer in India, nor it is the largest consumer of beef. There is no realistic evidence that eating pork increases risk of colon cancer.

These are actual facts. And I am not even a Gastroenterologist from California. I am a Hepatologist. From India.

[Nehr_who? @Nher_who]

World Cup 2023
Host : New India

-Religious slogans used to mock players.
-Visitors not allowed to support their own country.
-Reports of misbehave and harassment with the Fans.

World Cup 2011
Host : India

- None of the above happened.

‘India’ Vs ‘New India’ summed up.

[Lijo Ittoop @lijoittoop]

https://t.co/nh6U6nKBHh

[Lijo Ittoop @lijoittoop]

Back with season 2

https://t.co/PhsSIQFuIp

[Lijo Ittoop @lijoittoop]

Lest we forget that a PM of a newly independent nation had the vision to have a space department.

[Lijo Ittoop @lijoittoop]

I kept showing them how the app was failing. Never had any issue while flying from Dubai. Eldho needs to be trained on handling consumer objections with empathy.

[Lijo Ittoop @lijoittoop]

@IndiGo6E really needs to work on its app experience. It keeps getting logged off. It doesn’t save my old PNR. It doesn’t even save if I add manually. One of the worst experiences I had in Kochi airport due to that as OTPs weren’t delivered for 30 mins to show ticket.

[Lijo Ittoop @lijoittoop]

It wasn’t helped by the team leader Eldho who was plain rude while the ticketing guy was calm and composed through it all. So was the senior later. Eldho kept on shouting over when I was talking. Literally shouting without listening. Never have that experience ever.

[Lijo Ittoop @lijoittoop]

😱🤦‍♀️

[Dr. Anastasia Maria Loupis @DrLoupis]

What are the odds of having 3 sons who all turned out to be transgenders?

Megan Fox sure is special.

[Lijo Ittoop @lijoittoop]

@Cryptic_Miind Lying is the least of the worries that this guy has done. Lying is the default setting. 🙄

[Lijo Ittoop @lijoittoop]

@ankurnagpal Cricket is a high stress sport. He hasn’t done great over the last few years. What I see is a person who has done stress eating over the last few years. He needs psychological intervention before physical. If you let your mind go, you will become like that. Sad.

[Lijo Ittoop @lijoittoop]

No transformation- be it business, self or relationships can happen without self accountability and being brutally honest with self.

[Lijo Ittoop @lijoittoop]

Ever thought that God wouldn’t have created humor if they couldn’t handle it?

[Lijo Ittoop @lijoittoop]

South India is different, eh?

[Comrade From Kerala 🌹 @ComradeMallu]

Here is another #KeralaStory

[Lijo Ittoop @lijoittoop]

Desi parents work hard and sacrifice a lot in life to pass on wealth, property and education. It’s time we also pass on knowledge about fitness, nutrition and the long term impact it has on life.

They are watching you and learning. You have a responsibility. 💪🏽

[Lijo Ittoop @lijoittoop]

@elonmusk Categorize bookmarks

[Lijo Ittoop @lijoittoop]

If you ok with this, then you really didn’t remove Congress for corruption. 😢

[Ravi Nair @t_d_h_nair]

Adani won the bid for six airports in February 2019. The Additional Secretary and ex-officio Financial Adviser &amp; JSFA, Civil Aviation Ministry during 2015-2018, Mrs Gargi Kaul IA&amp;AS (retd now), is presently the whole time director of Adani Airport Holdings Ltd.