What does the research evidence show?
✅ Iron deficiency anemia can falsely elevate HbA1c
✅ HbA1c often falls after iron replacement therapy, even without any change in actual blood glucose levels
✅ The degree of HbA1c elevation can be clinically significant enough to move a patient from the normal range into the prediabetes range, or from prediabetes into the diabetes range.
3/n
A woman in her 50s presented with this tender lesion on her abdomen.
She was previously healthy, did not recall a recent insect bite, and otherwise had no symptoms.
Likely diagnosis?
• The main culprit is Capsaicin, the chemical that gives chilies their heat.
But here is the secret: it doesn't actually burn your tissue. Instead, it binds to the TRPV1 receptors in your digestive tract, which are your body's dedicated pain and heat detectors.
• Once capsaicin hits those receptors, your brain gets tricked. It thinks "We just swallowed a dangerous toxin!" or "The gut is literally on fire!"
To protect itself, your GI tract hits the emergency eject button.
• To flush this "toxin" out as fast as humanly possible, your intestines ramp up their movements (hypermotility).
It pushes everything through at lightning speed, meaning your colon doesn't have the time to absorb water from the waste like it usually does.
• Fast transit time + zero water absorption = liquid stools
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My cousin asked: 'Doc, if diarrhea is caused by a virus or bacteria, how come eating really spicy food gives us loose stools?'
I am surprised most people don’t know the actual mechanism behind this
🧵 “Doctor, why is my BP still 190/110 despite 4 medicines?”
Because sometimes hypertension is NOT the disease.
It’s the symptom.
Clinical cases that reveal the hidden causes of SECONDARY HYPERTENSION 👇
You are sitting in OPD.
A patient comes with:
• HIV positive
• Hepatitis B positive
• Hepatitis C positive
• Sputum CBNAAT positive without Rif resistance
How will you approach this patient?
In what sequence will you start treatment, assuming all reports are truly positive?
(Image for illustrative purpose only)