FlexNP
banner
rnflex.bsky.social
FlexNP
@rnflex.bsky.social
Jack of all trades nurse practitioner, trail runner photographer, coonhound rescuer, lover of glucagon agonism in the liver, kidney and pancreas, fascinated by obesity medicine, retatrutide fan boy
That's what I'm talking about! Congrats! Keep it up!
January 17, 2026 at 12:11 AM
To be fair to me, this particular diagnosis was on my differential list but I couldn't believe the insurance company person just told me that.

I want to send them a box of chocolate just for having a sense of decency, cuz I was ready to go to war for this patient 🤣 IYKYK on peer to peer calls.
January 16, 2026 at 6:48 PM
Yeah they're trying to use the oral Wegovy pill that just launched as a bridge of sorts. New patent. Cheaper packaging even though it uses more active product. But it'll still get lapped by everything else
January 16, 2026 at 3:41 PM
The market is...irrational.

VK2735 is going to easily clear 25% weight loss. Has side effects similar to tirzepatide. Yeah it'll be awesome....but two liabilities. 1.) does not have Reta cardiometabolic benefits 2.) it'll be 2028 before it hits the market.

Still 8/10 tho.
January 16, 2026 at 1:31 AM
I'm not. It's an entirely new drug class. Even this FDA wants to make sure it's safe to approve.
January 15, 2026 at 11:57 PM
It'll probably go no where, especially since there's no shortage of the drugs anymore and both drugs are under patent.
January 15, 2026 at 8:58 PM
Exactly and they look too thin/texture appears off(says the person who has grown heirloom peppers for the last 15 years)
January 15, 2026 at 6:27 PM
That definitely looks AI to me. The reflections especially are weird. Like the light source is super bright but if it were that bright it should have washed out the whole image.
January 15, 2026 at 6:14 PM
That they continue to double down despite the intense push back really shows the lack of any sort of coherent plan.

Also this is why studying history matters. Yes try and repress Americans who so famously love being repressed. Ask the British empire about that.
January 15, 2026 at 2:16 PM
Who ran this poll? Everything I've seen is like 36% which is still far too many! But nothing in the 40s in a while unless it's like a fox news poll
January 15, 2026 at 11:04 AM
Yeah that's the reason I don't answer.

Therapeutic inertia.
January 15, 2026 at 12:54 AM
Meanwhile in the Midwest(it's still snowing)
January 14, 2026 at 11:22 PM
Like he has the very occasional decent take and/or shares good current research papers but then other times....😑😑😬😬
January 14, 2026 at 7:17 PM
I had the same exact thought!! Quick no one tell Dr Topol what's in a gelatin packet for making a pan sauce from cooking a chicken
January 14, 2026 at 6:53 PM
$50 lab test that prevents hundreds of thousands of dollars of medical expenses.

Nah let's not cover it.

(I feel this way when insurance won't cover a one time ferritin screening for patients with heavy menses as well)
January 13, 2026 at 3:58 PM
This routine care isn't routine according to our bean counters who require another bonus to continue denying necessary and valid care.
January 13, 2026 at 3:38 PM
The Meijer of the South. If you know you know
January 12, 2026 at 4:16 PM