Sanket Meghpara M.D. M.P.H.

Internal Medicine / Sleep Physician, IG and TikTok: SunnyTheSleepDoc

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@AndyHolloway Could be ankle? The toes not angled up. Gosh, hoping it’s ankle over Achilles. Was so hyped for this guy

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

Best part about sleep is that it’s free, natural, healing for majority of your health conditions.

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@NicHulscher @grok fact check

[Jesse Morse, M.D. @DrJesseMorse]

Creatine:

A 2024 Nature Scientific Reports study found a single high dose (~20g) improved processing speed by 24.5% and buffered against sleep deprivation for 9 hours.

While 5g saturates muscle, recent reviews suggest 15–20g is necessary to maximize brain creatine level.

You should be taking 15-20 grams of creatine a day!

[Access Bad Bunny @AccessBadBunny]

The child who received the Grammy from Bad Bunny’s hands during the Halftime Show is Liam Ramos. #SuperBowl

Liam was arrested by ICE days ago and now was at the Super Bowl.

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@FantasyPros Justin Jefferson

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@TheFFBallers Hey Ballers, Your line up organizer and start sit tool both are recommending Michael Wilson in the line up over Sutton, Chris Rodriguez Jr. But in podcast u suggested not to start Wilson at all this week. Thoughts ? Is Wilson Flex worthy with Sutton in line up?

[Dr. Rhonda Patrick @foundmyfitness]

Magnesium is one of the most evidence-backed supplements for treating migraine.

400–600 mg per day of oral magnesium reduces migraine frequency and intensity vs placebo in randomized trials. Some studies find benefit only at the higher end (600 mg/day) while lower doses (250–360 mg) often fail to help.

For acute attacks, IV magnesium can also be effective, particularly for migraines with aura.

Magnesium stabilizes neuronal membranes (reducing brain hyper-excitability) and modulates cerebral vascular tone, two core processes in migraine biology.

For routine supplementation, magnesium glycinate, citrate or taurate are preferred for bioavailability. Magnesium threonate gets attention for brain uptake, but it contains very little elemental magnesium and should not replace more bioavailable forms when your goal is correcting total magnesium status.

Another evidence-based regimen for migraine prevention is combining magnesium with CoQ10 and riboflavin (B2), which reduced migraine days substantially in a 3-month trial.

If GI upset is a problem, split the total into ~200 mg doses taken 1–3×/day. This keeps you in the 400–600 mg/day range shown to be effective while reducing loose stools.

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

#triplegobble @TheFFBallers happy thanksgiving!

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@TheFFBallers Reheating rice is not gonna directly kill you, it causes gastroenteritis for a few days and self limiting. In rare cases, the severe dehydration from diarrhea can cause death.

[Nick Mark MD @nickmmark]

Fun physics fact:

Firm pressure (20-30 lbs) over 1-2 finger tips area (0.15-0.3 in²) applies ~100-130 psi of pressure.

That’s slightly more than a semi trucks tires apply to the road: 90-120 psi.

This is why direct pressure works! You can literally push harder than a truck!

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@TheFFBallers Is it worth stashing someone’s backup for Henderson spot? If so, which ones?

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@EM_RESUS Don’t take sleep for granted. It’s one of the few biological needs that hasn’t evolved over thousands of years — still demanding a full third of your life.

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@TheFFBallers Skattebu or Judkins? And Keenan Allen or Drake London? Thank you for daily discussions, it’s been awesome!

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

Imagine if @elonmusk becomes Robin Hood of the Modern Century and pays off all student loan debts through the government data he has to get back for what they did to him.

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@RitikaTuliMD Do you have to be on Anticoagulant for them to be on Droneadrone?

[CardiovascularCorner @TrackYourHeart]

Newly diagnosed #AtrialFibrillation? This flowchart breaks down acute & long-term management, rate vs. rhythm control, and when to consider catheter ablation.

Ref: UpToDate, AHA 2023, Mayo IM Board Review Course (Dr. Abhishek Deshmukh)

#AFib #CardioTwitter #MedEd

[Amy Faith Ho, MD MPH @amyfaithho]

I don’t believe the “40% of med students don’t plan to practice” stat…but even if I did, here’s some more relevant stats.

- the government has cut RVU reimbursement year over year, while inflation has only increased…in the past few years alone we took a double digit pay cut because of government @MedicareGov reimbursement when adjusted for inflation

- private equity has taken over healthcare, fairly unchecked. This results in bad patient care, unstable healthcare markets and poor working conditions for physicians…

-healthcare administrators have grown 3800% versus physician #s growing 200% since the 70s. This represents declining physician autonomy and an overwhelming administrative burden…much of which is created by government programs like CMS “Quality Measures” which are less about care quality and more about gamesmanship and documentation burden

- insurance companies have a chokehold on the finances of healthcare…and their lobby dollars fund the congressmen who help keep them in power and allow them to continue to squeeze physicians and patients both

How ‘bout you work on some of those issues, Congressman…and get back to the med students after you do?

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

Here’s a new sleep habit to try in 2025 — Set an alarm to go to bed on time this year in addition to wake up alarm. Conditioning your brain to sleep with regularly and routinely will help not to sacrifice sleep as it is just as essential to life as water and food.

[Sanket Meghpara M.D. M.P.H. @Sleep_Sunny]

@TheFFBallers Amari cooper