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Reposted by Leticia Kawano-Dourado

MAGIC Evidence Ecosystem Foundation @magicevidence.bsky.social · 1d

At MAGIC, we turn the best evidence into trustworthy guidance to improve patient care.

💡 #MAGICapp powers this process — a digital platform to build, publish, and update clinical practice #guidelines.

😎 Backed by a global network of leading methodologists.

magicevidence.org

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Reposted by Leticia Kawano-Dourado

Richard Kadrey @richardkadrey.bsky.social · 5d

The mystery of medical diagnosis!

Anyone: Why are there suddenly so many AHDH diagnoses?
Dr. Jen: Same reason there are suddenly more stars after we built telescopes.

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Leticia Kawano-Dourado @leticiakawano.bsky.social · 7d

In my #Krav class I’m the only woman (besides the instructor). However, women are the main targets of violence — 1 in 3 face it in life. I train hard, for myself and to inspire my daughter 🧑‍🧒‍🧒and her friends which is already happening 🫶

Reposted by Leticia Kawano-Dourado

MAGIC Evidence Ecosystem Foundation @magicevidence.bsky.social · 7d

Come hear @leticiakawano.bsky.social share her 2️⃣ favorite features in #MAGICapp 💥
Leticia is a guideline developer who first used MAGICapp as Clinical Chair of the WHO guideline on COVID-19, & later as a methodologist with the BMJ Rapid Recs,

book 🗓️ a demo here: forms.monday.com/forms/baaf06...

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Leticia Kawano-Dourado @leticiakawano.bsky.social · 17d

How can evidence-based medicine #EBM guide decisions on hormone therapy (HT) for #menopause &
#perimenopause?

Have a look at this a conversation with @guyattgh.bsky.social exploring the particular context of HT to address irritability, brain fog 🧠, and sleep 😴🔥

youtu.be/2SN6yxb8KTU?...

[English] Hormone Therapy for Menopause & Evidence-Based Medicine #EBM

YouTube video by RenovaMeta

youtu.be

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Leticia Kawano-Dourado @leticiakawano.bsky.social · 21d

Had such a great time recording these snippets with you, @guyattgh.bsky.social Beyond the fun, I’m deeply grateful for your mentoring and friendship over these past five years—time really does fly. Your guidance has truly shaped me into a better clinician. #EBM

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Leticia Kawano-Dourado @leticiakawano.bsky.social · 22d

Behind the scenes with @guyattgh.bsky.social , where we trade some of academia’s pomp & circumstance 👑for a bit of humor 😎😅
But wait the topic is serious (shared decision-making on hormone therapy for #menopause, through the lens of #EBM).
Stay tuned for the full conversation 🤩

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Leticia Kawano-Dourado @leticiakawano.bsky.social · 22d

One of the best parts of in-person events is the chance to actually meet *in person* the colleagues you’ve been working with from afar.
These moments remind me that collaboration is not just about outputs, but also about people: I need this! #GIN2025
@guyattgh.bsky.social @lisheyu.bsky.social

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Leticia Kawano-Dourado @leticiakawano.bsky.social · 23d

Why I never skip the gym when traveling for conferences:
Endorphins first, sharper mind after.
Healthspan is built choice by choice, day by day. Consistency matters

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Leticia Kawano-Dourado @leticiakawano.bsky.social · 26d

With rising violence against women 🤷‍♀️, learning to neutralize a threat is more than self-defense 💥 it’s reclaiming agency, while investing in healthspan.
Training #KravMaga adds explosiveness (fast-twitch fiber resilience), ballance & coordination under stress #LoveThat

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Sep 6

Honored to celebrate 🥳 the 1st anniversary of Público 🇧🇷 Brasil, nested within Público — one of Portugal’s 🇵🇹 leading newspapers. In 2025, Público Brasil reached over 2M views, amplifying the voice of the Brazilian community in Portugal.

www.publico.pt/autor/letici...

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Sep 6

Kinda scary you wanna say right?
(“Having fun” where there’s no room for fun?)

Leticia Kawano-Dourado @leticiakawano.bsky.social · Sep 3

Box jumps 💥aren’t just about performance😎. Research shows high-impact jumps increase hip bone mineral density and recruit type II muscle fibers — the ones we lose fastest with age #perimenopause #menopause health prevention 😍
Refs: PMID: 37790374, 39822926, 37748300;

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 26

2/ Depending on political decrees to validate an immigrant's rights can feel fragile, especially where far-right discourse grows louder 🇵🇹. That moment at the border reminded our family to stay cautious. The tension did not escape our children.
www.publico.pt/2025/08/12/p...

Nova lei de imigração contraria tratado, e Brasil pode aplicar reciprocidade, diz embaixador em Portugal

Embaixador Raimundo Carreiro afirma que o governo brasileiro está analisando todas as medidas do pacote anti-imigração proposto pela administração de Luís Montenegro. E promete reagir.

www.publico.pt

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 26

1/ 🇵🇹 Immigrant Residency by Decree = Fragile Ground

Crossing back into #Portugal after weeks in 🇧🇷 brought discomfort. The operational backlog in processing residency permits, with a record influx of immigrants in 🇵🇹, means that many live under temporary decrees rather than secure documentation +

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 25

Spotted at Brasília #Brazil airport 👀😅
“Epic journeys begin with a warm welcome” — says the New York tourism ad, under the gaze of 🗽 the Statue of Liberty.

Hard not to read it with irony, given how warm the US reception often feels for foreigners lately…🤌🤯

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Reposted by Leticia Kawano-Dourado

Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

8/ #Menopausecare has long been trapped between rigid protocols and “trial-and-error.” N-of-1 trials offer a third way: science, but personal.
It’s time we move beyond averages—and start building evidence that begins with the individual ♥️
End

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

The land of freedom 🤌

Thanh Neville, MD, MSHS @thanhneville.medsky.social · Aug 21

This is horrific. FFS.

Government’s demand for trans care info sought addresses, doctors’ notes, texts

Legal experts said the Justice Department subpoenas related to medical care for transgender minors appear to be unprecedented.

wapo.st

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Reposted by Leticia Kawano-Dourado

Eric Topol @erictopol.bsky.social · Aug 21

What I love about interferons is their simplicity ;-)
But seriously a great @cellcellpress.bsky.social new review of IFNs that are our 1st line of defense vs infections and have a critical role in many inflammatory an autoimmune diseases www.cell.com/cell/fulltex...

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

8/ #Menopausecare has long been trapped between rigid protocols and “trial-and-error.” N-of-1 trials offer a third way: science, but personal.
It’s time we move beyond averages—and start building evidence that begins with the individual ♥️
End

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

7/ That would create not only personalized care but a collective resource: thousands of N-of-1s, aggregated into patterns, refining guidelines in real-time. Ping @guyattgh.bsky.social

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

6/ Blue sky 🦋 thinking: What if every woman had access to a simple digital tool to run her own N-of-1 trial—logging symptoms, integrating wearables, feeding back into shared databases?

a poster for the great shows a woman with blonde hair

ALT: a poster for the great shows a woman with blonde hair

media.tenor.com

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

5/ This approach could be a paradigm shift in #menopause #perimenopause care:
• More precise tailoring of hormone therapy
• Better alignment with patient values
• Filling in the evidence gap in #HRT

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

4/ Imagine a woman trying two hormone therapy regimens, or HT vs. non-hormonal options, with systematic monitoring of sleep, cognition, metabolic markers, or quality of life.

the man is wearing a suit and tie and clapping his hands .

ALT: the man is wearing a suit and tie and clapping his hands .

media.tenor.com

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Leticia Kawano-Dourado @leticiakawano.bsky.social · Aug 21

3/ An N-of-1 trial is a structured way to test therapies within a single patient. Instead of “one-size-fits-all,” it’s personalized evidence: alternating treatment periods, careful symptom tracking, shared decision-making (when interventions & outcomes allow it)

a dog wearing sunglasses is sitting in a car with a man .

ALT: a dog wearing sunglasses is sitting in a car with a man .

media.tenor.com

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