NicoleElizabeth

🍁🍁🎄❤️😍👻🎃

[NicoleElizabeth @tinypugland]

🍁🍁

https://t.co/T4s28opfvq

[NicoleElizabeth @tinypugland]

@drkeithsiau It is a pre required test for all bariatric surgeries

[NicoleElizabeth @tinypugland]

@az_crackel @drkeithsiau It varies patient to patient with what can be tolerated

[NicoleElizabeth @tinypugland]

@drkeithsiau @DrMaheshBanda @MajorPriapus Most patients are now being scheduled with department LCSW’s prior and after being seen by MWM

[NicoleElizabeth @tinypugland]

@GastroAGI @drkeithsiau Who doesn’t love an EGD

[NicoleElizabeth @tinypugland]

@DavidWilson721 @drkeithsiau Totally different

[NicoleElizabeth @tinypugland]

@drkeithsiau @Tortured_Verse Definitely. I see it everyday. People think this is a cure all and just want the weight off-immediate results. But people need to realize about the weight regain once faded out, the muscle mass loss, the potential deficiencies, and more etc

[NicoleElizabeth @tinypugland]

@Tortured_Verse @drkeithsiau Because they work differently for all patients. People who lose too much too fast though are at the greatest risk.

[NicoleElizabeth @tinypugland]

@drkeithsiau I hear about the side effects daily working in a health system.

[NicoleElizabeth @tinypugland]

@FOX29philly Interesting take that Karen has about being friends with the ex because of the. Is she friends with many of her exes? #thegooddayaftershow

[NicoleElizabeth @tinypugland]

@RepJayapal Did you really tell that woman who lost her daughter “there’s other things to talk about? Wow. That is absolutely unreal

[NicoleElizabeth @tinypugland]

@RealAmVoice Wow Jayapal , did you really just say that to that woman???

[NicoleElizabeth @tinypugland]

@DrMedica_13 Oxytocin

[NicoleElizabeth @tinypugland]

@albertoortegana B!

[NicoleElizabeth @tinypugland]

How awful and terribly frightening. People may test now and not show up positive for years. My heart goes out to anyone who visited this dentist office in Rittenhouse.

[NicoleElizabeth @tinypugland]

❤️❤️❤️. https://t.co/9ZQoDn6RZY

[NicoleElizabeth @tinypugland]

@Doctors_GUILD Careful with that stuff. A provider in our hospital play warned people that it can cause vitamin deficiency via your liver that cannot be reversed, is this true?

[NicoleElizabeth @tinypugland]

Take a moment to slow down and show someone how much you love them and how much they mean to you. Love is the core of it all.

[NicoleElizabeth @tinypugland]

@NBCPhiladelphia No words

[NicoleElizabeth @tinypugland]

Yay ❄️❄️❄️❄️❄️❄️