Dr Vishnu Vasudevan

Endocrinologist

[Dr Vishnu Vasudevan @vvdevandr]

I’m an endocrinologist who sees 50-60 patients a day in Kerala. Most of what patients believe about GLP-1 drugs, thyroid disease, and weight loss is wrong — not because they’re careless, but because the information reaching them is.

[Anuja Jaisswal @AnujaJaiswalTOI]

The Indian Medical Association (IMA) has written to the Union Information and Broadcasting Ministry to urgently review the promotional content of Sunny Deol-starrer Suryaa – Ant Se Aarambh Tak, alleging that it generalises corruption in the medical profession and depicts violence against healthcare workers in ways that could erode public trust and put doctors’ safety at risk. #IMA #DoctorsSafety #HealthcareWorkers #MedicalProfession #SunnyDeol #Suryaa #PublicTrust #Healthcare #india

[Dr Vishnu Vasudevan @vvdevandr]

@deepduttaendo @delhiendo @CMEINDIA1 @Rssdi_official @ICMRDELHI @CDSCO_INDIA_INF Good work sir 👍

[Dr Vishnu Vasudevan @vvdevandr]

@NeilFlochMD @mcuban Hearing something sensible after a lot of fairy tales ❤️

[Dr Vishnu Vasudevan @vvdevandr]

Interesting one from clinic this week: a tirzepatide patient reporting intense meat cravings — not sugar, not carbs — right before her next dose.
End-of-dose hunger rebound is well known (t½ ~5 days). Craving specificity like this isn’t.
Anecdote, not evidence. Anyone else seeing this?
@IndiaESI

[Dr Vishnu Vasudevan @vvdevandr]

@bmj_latest We doctors in India are the ones teaching patients such systems by catering to their whims and fancies.

[Dr Vishnu Vasudevan @vvdevandr]

But the part that stayed with me most wasn’t clinical. Dr Kalra’s closing appeal: stop judging people living with obesity. They did not choose this disease. Avoid hurtful labels, insensitive jokes — use respectful, person-first language.

[Dr Vishnu Vasudevan @vvdevandr]

Dr Sanjay Kalra @SanjayKalraDr1 — my Manasa Guru, Ex-President, Endocrine Society of India 🇮🇳 @IndiaESI , mentor to so many of us — did something rare. He shared his own 6-month journey on tirzepatide, as both physician and patient. 110kg → 20kg down. Here’s what he learned 🧵

[Dr Vishnu Vasudevan @vvdevandr]

Tip 6: Don’t self-adjust your dose especially women. Just like diet and exercise, GLP-1 dosing needs balance — not aggression.

[Dr Vishnu Vasudevan @vvdevandr]

The fix:
→ Protein 1-1.2g/kg/day
→ Resistance training 2-3x/week
→ Monitor lean mass AND function, not weight alone

Muscle today. Independence tomorrow.

#GLP1 #Tirzepatide #Endocrinology #DiabesityCare

[Dr Vishnu Vasudevan @vvdevandr]

Ozempic and Mounjaro don’t just melt fat.

20-30% of the weight you lose is lean mass.

Is that dangerous? 🧵

https://t.co/xHI7Iuu1Cz

[Dr Vishnu Vasudevan @vvdevandr]

Less intramuscular fat likely means better insulin sensitivity too.

Strength is usually preserved in trials. Function — how well you actually move — is where the real risk sits, especially in older or frail patients.

[Dr Vishnu Vasudevan @vvdevandr]

Every week, multiple DMs like this:

“Took my 2nd dose of Mounjaro. Weight stuck for 2 weeks. What do I do?”

The pattern is always the same — patients started on GLP-1/GIP therapy without proper pre-treatment counseling.

Plateaus in the first weeks are expected, not a treatment failure. Dose titration takes months, not days.

This isn’t a patient education gap. It’s a prescribing practice gap.

@IndiaESI @deepduttaendo @idrlakshmi @DrVanishriG @endo

[Dr Vishnu Vasudevan @vvdevandr]

@idrlakshmi Exactly @idrlakshmi

[Dr Vishnu Vasudevan @vvdevandr]

Fellow GLP-1 prescribers — what’s your in-use cutoff, and why? Would genuinely value real practice patterns here, not just theory.

#Tirzepatide #GLP1 #EndocrinologyIndia

[Dr Vishnu Vasudevan @vvdevandr]

But Lilly has stated on record: they don’t condone this, have no data on its risk/benefit, and flag contamination risk from using devices beyond intended design — these formulations are preservative-free.

[Dr Vishnu Vasudevan @vvdevandr]

And that’s the real gap: no RSSDI, no Endocrine Society of India position exists on multi-dose pen duration or microdosing. We’re each setting our own rules right now.