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timothyvealmd.bsky.social
Timothy Veal MD
@timothyvealmd.bsky.social
4 followers 16 following 47 posts
Board-Certified Psychiatrist. Your brain is the original performance engine—I help to fine-tune it. Follow for evidence-based insights—posts ≠ medical advice.
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timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 14
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 14
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 14
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 12
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 11
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 10
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 9
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 8
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jul 8
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jun 19
The best advice I ever ignored: “You can’t do it all.”

I chose to define “all” differently—focused intensity, not scattered effort.

Fewer things, done better. More meaning, less burnout.

What’s yours?
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Jun 19
I wish more people knew that high achievement in sports doesn’t protect against mental illness — it can sometimes hide it.

The grind can be both a mask and a trap.

Study: Gouttebarge et al., Br J Sports Med (2019)
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 22
Protein needs shift with age.

More in your 20s–30s to grow

Less animal protein after 45 to reduce aging pathways (mTOR)

More in your 60s+ to preserve muscle. Prioritize plant-based sources as you age

www.thelancet.com/journals/ebi...
www.thelancet.com
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timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 19
New brain scan study finds cannabis use linked to higher dopamine in the same brain region tied to psychosis. The more severe the use, the stronger the signal. What does this mean for mental health?

Ahrens J et al. Convergence of Cannabis and Psychosis on the Dopamine System. JAMA Psychiatry. 2025.
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 19
It’s just a stimulant side effect,” they said.

But a new study finds even non-stimulant ADHD meds can raise your child’s heart rate and blood pressure. Would you want their heart checked before the next refill?

www.thelancet.com/journals/lan...
www.thelancet.com
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 16
She thought her metabolism was broken. He blamed genetics. But brown and beige fat burn calories. Cold, exercise, and spicy food can activate it. Could this be your body’s built-in fat-burning switch?

onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 16
After Clozapine REMS Removal (FDA, Feb 2025): REMS is gone, but CBC monitoring remains essential.

No REMS ≠ no risk.

It does mean fewer access barriers—and more patients may now be eligible. Are you re-evaluating your clozapine criteria?

www.psychiatrictimes.com/view/answeri... via @@psychtimes
Answering 3 Clinical Questions in the Wake of the Removal of the Clozapine REMS Requirement
Without the scaffolding of the REMS requirement for clozapine, how can you best utilize this treatment?
www.psychiatrictimes.com
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 14
Why do so many people with schizophrenia smoke? Nicotine helps their brain focus by calming an overactive network. Now scientists are testing brain stimulation (rTMS) to do the same thing—without smoking.

www.psychiatrictimes.com/view/in-schi... via @@psychtimes
In Schizophrenia, Nicotine Enhances Cognitive Performance by Improving Brain Network Function
The prevalence of tobacco use in schizophrenia is over 60%—3 times that of the general population. However, the reason for the high prevalence of tobacco use in schizophrenia remains largely unknown.
www.psychiatrictimes.com
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 13
Turns out, 150–300 min/wk of vigorous or 300–600 min/wk of moderate activity offers the most mortality benefit. Pushing harder beyond that? No harm—but no added reward either.

What if your “sweet spot” for longevity isn’t intensity, but consistency?

www.ahajournals.org/doi/full/10....
www.ahajournals.org
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 12
He stopped drinking years ago. But his brain still showed the scars. A new autopsy study links past heavy alcohol use to brain shrinkage & memory issues—driven by damage to tiny blood vessels.

What do we carry even after we quit?

www.neurology.org/doi/10.1212/...
www.neurology.org
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Apr 8
Outcomes of Babies with Opioid Exposure (OBOE) study (N=269): Antenatal opioid exposure linked to reduced volumes in cortex, deep gray matter, cerebellum, and amygdala on neonatal MRI. Methadone → ↓ white matter; buprenorphine → ↓ right amygdala.

jamanetwork.com/journals/jam...
jamanetwork.com
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Timothy Veal MD @timothyvealmd.bsky.social · Mar 30
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Timothy Veal MD @timothyvealmd.bsky.social · Mar 29
timothyvealmd.bsky.social
Timothy Veal MD @timothyvealmd.bsky.social · Mar 28
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Timothy Veal MD @timothyvealmd.bsky.social · Mar 27
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Timothy Veal MD @timothyvealmd.bsky.social · Mar 26