Rippetoe MD

Psychiatrist Telehealth
Medical Education
Professional Collaboration
Executive Coaching
Not an AI bot, DM me!

[Rippetoe MD @rippetoeMD]

https://t.co/SxyoCh4hLt

Great book

[Rippetoe MD @rippetoeMD]

Borderline PD DDx: Vs bipolar (mood lability), PTSD (trauma), ADHD.

Clinical: Instability, splitting; trauma hx.

Basic sci: Amygdala-PFC imbalance; vs dopamine in PFC.

[Shoshana Weissmann, Sloth Committee Chair 🦥 @senatorshoshana]

Checking out this @BShapiroMD webinar on cymbalta withdrawal (it is not going as easily as I'd hoped lol) and some really interesting stuff.

Length of antidepressant use is important because most studies extend weeks or months- not years - and the longer you're on it the harder to get off it

[Rippetoe MD @rippetoeMD]

@senatorshoshana @BShapiroMD yikes

[Rippetoe MD @rippetoeMD]

Delusional Disorder DDx: Vs schizophrenia (no disorg), OCD (fixed beliefs).

Clinical: Non-bizarre delusions; reality testing intact.

Basic sci: Prefrontal dopamine; vs loops in basal ganglia.

[Rippetoe MD @rippetoeMD]

The architect of your destiny is the consistency of your daily action plan.

[Linda @Lin_DAO_]

bodegas are selling peptides now… this is the future

[Susan @BlackshepSusan]

Hot take.
Psychiatrists and Doctors need to be paid on treatment outcomes.
Did your patient recover? Big bonus.
Patient back every month or two for repeats of prescriptions ? docs are functioning as vending machines and should be paid accordingly. Minimum wage.
There would be a fast switch to nutrition, exercise, outside in nature, sleep. Things that actually heal people.

[Adam Urato, MD @AdamUrato1]

These two major articles recently showed that SSRIs are linked to in utero brain changes & childhood autism (Prozac & Zoloft).

About 5-10% of US women take SSRIs in pregnancy.

And there's been basically NO media coverage of these important studies.
https://t.co/GBZb3M28Ti
https://t.co/JhdHddcnbf

[Mary L @US_Brit]

@rippetoeMD @doubtingdumbass @DavidBCollum Personal experience - cannot be dropped 37.5 mg at a time. I’m 6 months in, and still removing 12 grains from 37.5 mg 😩

[Benedictine Sparrow @LMnewest2323]

@US_Brit @rippetoeMD @doubtingdumbass @DavidBCollum Yes, that’s what I did. I opened the extended release capsule & took out some of the “balls”. I VERY slowly increased the number I removed. Took me way over a year. I’m still having severe brain zaps several years later.

[Rippetoe MD @rippetoeMD]

@CCHRInt Especially at the higher doses which cause brain damage in baboons

[Rippetoe MD @rippetoeMD]

@doubtingdumbass @DavidBCollum It can be dropped 37.5mg at a time.

[Rippetoe MD @rippetoeMD]

@DavidBCollum That’s SNRI and I call is “side Effexor”. It is the worst

[Rippetoe MD @rippetoeMD]

@bryan_johnson No supplement for heart ache

[Rippetoe MD @rippetoeMD]

@jedishaman @CCHRInt Often examples of scientology trying these techniques are used as cautionary tales.

[Rippetoe MD @rippetoeMD]

@Grace_ADHDNoN Literally it is Pharmaceutical grade meth.

[Rippetoe MD @rippetoeMD]

@wsvn Yikes! https://t.co/vDz6MFGJFg

[Rippetoe MD @rippetoeMD]

@MassieforKY Presidential candidate????

[Rippetoe MD @rippetoeMD]

@AlobhaPatrick Agreed