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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 2d

I honestly don’t understand how the politicians can just fight about access to health insurance when it seems to me that the U.S. healthcare system’s dysfunction is rooted less in access to insurance and more in how the insurance system itself operates.
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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 4d

Another trial supporting artificial sweeteners over sugary consumption; after weight loss, randomized showing better maintenance with prolonged consumption of S&SEs in a healthy diet is a safe strategy for obesity management.

doi.org/10.1038/s422...

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 14d

Health insurance - they don’t just deny coverage of necessary therapy for patients.

➡️Referral to endocrine for elevated estrogen in a male.

👌We eval and submit claim

🖕insurance denies paying us because males don’t have high estrogen 🤦🏼

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 15d

Tylenol's Tweet on Pregnancy Use Shared by the White House Out of Context
The 2017 tweet appears to be a canned customer service response to a since-deleted post from a presumed customer."

www.medpagetoday.com/obgyn/pregna...

Tylenol's Tweet on Pregnancy Use Being Taken Out of Context, Experts Say

White House, HHS rehash an insignificant customer service tweet

www.medpagetoday.com

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Reposted by Dr. Karl Nadolsky

Dr. Tom Frieden @drtomfrieden.bsky.social · 16d

The United States has swiftly retreated from global health leadership. In @lemonde.fr, I share why this retreat will have serious repercussions worldwide.

Tom Frieden, former CDC director: 'The US is dismantling its own health infrastructure and retreating from global health leadership'

OP-ED. The physician and former director of the Centers for Disease Control and Prevention warns that by 2030, the new US health policy could cause the deaths of more than 14 million people.

www.lemonde.fr

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Reposted by Dr. Karl Nadolsky

Gil Carvalho MD PhD @gilcarvalhomdphd.bsky.social · 16d

Dr Robert Lustig gets Fact-checked by MD PhD Doctor

Lustig´s views on sugar, saturated fat, heart disease, LDL and much more get examined for their scientific accuracy
https://youtu.be/vdoDx9dIuNE

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 17d

Exercise: consistency over complexity.

Most people just need to stick with the fundamental on a consistent basic for health benefits from aerobic (ie walking, swimming, biking) and resistance training.
💪🏽❤️

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 24d

FDA Takes Aim at Hims & Hers, Weight-Loss Drugs in New Advertising Blitz www.medpagetoday.com/practicemana...

FDA Takes Aim at Hims & Hers, Weight-Loss Drugs in New Advertising Blitz

Telehealth companies promoting unofficial drugs targeted for the first time

www.medpagetoday.com

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 29d

Stopping direct-to-consumer drug marketing is a universally agreed upon bipartisan desire so let’s make it happen!
#maha @robertfkennedyjr @martymakary
jamanetwork.com/journals/jam...

The FDA’s Crackdown on Misleading Pharmaceutical Advertisements

This Viewpoint discusses the enforcement action that the FDA is taking to correct decades of regulatory failure regarding direct-to-consumer pharmaceutical advertising.

jamanetwork.com

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · 29d

The US is one of only 2 countries worldwide that permits direct-to-consumer pharmaceutical advertising. The patient-doctor relationship has been distorted, creating increased demand for medications regardless of clinical appropriateness.

The FDA’s Crackdown on Misleading Pharmaceutical Advertisements

This Viewpoint discusses the enforcement action that the FDA is taking to correct decades of regulatory failure regarding direct-to-consumer pharmaceutical advertising.

jamanetwork.com

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Sep 11

Posting about health/wellness & medical information feels futile after the assassination + another school shooting yesterday.
Fighting online misinformation triggers people in this divisive political environment these days too so let’s spread love. We are all human ❤️

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Sep 2

Compared with Roux-en-Y gastric bypass, single anastomosis duodeno-ileal bypass with sleeve gastrectomy was superior for weight lossopens in a new tab or window after 2 years, a randomized trial found.

www.thelancet.com/journals/lan...

Efficacy and safety of single-anastomosis duodeno-ileal bypass with sleeve gastrectomy versus Roux-en-Y gastric bypass in France (SADISLEEVE): results of a randomised, open-label, superiority trial at...

SADI-S showed superior weight loss compared with RYGB at 2 years, with a similar safety profile.

www.thelancet.com

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 31

@RFKJr_Official- “Trusting the experts is not a feature of either a science or democracy.”
🤦🏼

You wouldn’t board a plane and say, “I don’t trust pilots, I’ll fly it myself.” Why should public health, engineering, or climate be any different?

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 31

Patients initiating semaglutide or tirzepatide had a more than 40% lower risk of hospitalization for heart failure or all-cause mortality compared with sitagliptin (DPP-4inh).

jamanetwork.com/journals/jam...

Semaglutide and Tirzepatide in Patients With Heart Failure With Preserved Ejection Fraction

This study evaluates the effectiveness and safety of semaglutide and tirzepatide in patients with cardiometabolic heart failure with preserved ejection fraction in clinical practice.

jamanetwork.com

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 29

Teva Pharmaceutical Announces FDA Approval and Launch of Generic liraglutide (“Saxenda®) injection– First Generic GLP-1 Indicated for obesity

ir.tevapharm.com/news-and-eve...

Teva Announces FDA Approval and Launch of Generic Saxenda® (liraglutide injection) – First Generic GLP-1 Indicated for Weight Loss

Generic Saxenda® is the first-ever generic GLP-1 indicated for weight loss, addressing increased demand for this category of therapies in the U.S. market. This approval and launch add to Teva’s contin...

ir.tevapharm.com

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 22

Secondary Prevention of Atherosclerotic Cardiovascular Disease | review

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 19

Since influencers (and sadly, docs) are selling creatine in pink packaging upselling to women 👛, I’ve decided to make special packages of creatine at higher cost for type 1 diabetes and other endocrine disease states 😂

Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 19

In type 2 #diabetes + #kidney disease, benefits of semaglutide (#ozempic) on kidney outcomes, #heart outcomes, & death were observed regardless of baseline mineralocorticoid antagonist use (meds that block the adrenal blood pressure hormone, aldosterone).

doi.org/10.2337/dc25...

Effects of Semaglutide With or Without Concomitant Mineralocorticoid Receptor Antagonist Use in Participants With Type 2 Diabetes and Chronic Kidney Disease: A FLOW Trial Prespecified Secondary Analys...

OBJECTIVE. In the Evaluate Renal Function With Semaglutide Once Weekly (FLOW) trial, semaglutide reduced the risk of major kidney and cardiovascular (CV) o

doi.org

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 7

I don’t know who needs to hear this, but organic shit is still, “shit.”

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Aug 7

My simple way of explaining to patients of why exercise is so important metabolic health, including #diabetes, etc, is describing your muscle cells as sugar/fat burning factories.

Building and exercising your muscles is key for metabolic #health

#exercise #muscle #DocsWhoLift

Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Jul 31

“I feel like myself again!”

Common quote from patients in endocrinology clinics after starting menopausal hormone therapy (MHT) or other hormone replacement therapies (#HRT) for deficiencies (ie #thyroid, #adrenal, #testosterone, etc).

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Jul 31

Oh Canada

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Jul 29

If it tastes better, fine, but if we want to make it healthier, make it a diet.
#maha #health #sugar

Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Jul 27

onlinejcf.com/article/S107...

GLP-1 Receptor Agonist in Nonobese Patients with Type 2 Diabetes Mellitus and Heart Failure with Preserved Ejection Fraction

Heart failure with preserved ejection fraction (HFpEF) differs from heart failure with reduced ejection fraction (HFrEF) in its pathophysiology, association with increasing age, burden of obesity, sed...

onlinejcf.com

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Dr. Karl Nadolsky @drkarlnadolsky.bsky.social · Jul 27

➡️ lowered the risk of:

1️⃣ 🏥ER visits or hospitalizations: 33%
2️⃣ ❤️Heart Failure Exacerbation: 18.7%
3️⃣ ❤️Acute MI: 31%
4️⃣ ❤️Atrial Fibrillation: 20%
5️⃣ 🧠Ischemic Stroke: 19.7%
6️⃣ 🫁Pulmonary Hypertension: 34%
7️⃣ 🫘Acute Kidney Injury: 27%
8️⃣ 🫘Renal Replacement Therapy: 52%

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