Russia also played a stupid and dangerous game... I think their interest rate is at 19%? Sounds unsustainable...

I had achilles tendonitis before (stupidly started sprinting forgetting that I'm old lol)

Not a sports doc but I wonder if they aren't rushing him back... took a while for that to disappear for me and my case was really mild but still annoying AF

Getting harder to read stuff up close 😭

Will start a clinic injecting these into testicles asap...

why’s that?

Mostly GI side effects- nausea, abdominal upset, vomiting, gastroparesis. A lot can be mediated by carefully titrating but certainly some people cannot tolerate it.

Just met an elderly vet at the pool with a bad knees who said he's lost 50 pounds and his a1c went from 11 (really really bad diabetes) to 6.5 (pre-diabetes range) in the past year.

There will always be anecdotes of people who do poorly but study after study (and real world results) are showing convincing evidence that these drugs are making huge impacts on a variety of indications- diabetes, obesity, CKD, heart failure, cardiovascular risk reduction... continues to show results almost too good to be true.

In the real world 90% of people simply don't have the will power to sustain weight loss. It's not because they are bad or lazy... we're humans with money problems, stress, families etc. It is simply hard to maintain dietary discipline and a calorie deficit for long periods of time.

Hard to know what is doing the obesifying, probably some mix of sugars and toxic chemicals but given our capitalistic society and desire for freedom and free markets it is unlikely we can undo pandora's box there...

The main issue is you do lose muscle mass so it is important if you don't want to look emaciated to also do weight training. But even if you don't do weight training it's still far better than the poisonous side effects of being fat.

The answer is no. Most people join one of these cults, annoy all of their friends and family with their zealotry, lose an impressive amount of weight but then two years later are back to their starting weight or worse.

It’s hard to know how much of the euphoria is placebo. The best diet is just “less”, or the diet that you can stick to long term.

IMO life is too short to sacrifice carbs or meat in moderation. Ribeye is so good. Pasta is so good. You can do everything right and reduce your risk of X cancer but some minuscule percent but you probably die in a fluke car accident- I’ve seen it too often.

Everyone feels great until they hit 50s and 60s. For every guy on twitter selling their keto diet you hear case reports from cardiologists about guys on those diets with early MIs. It’s hard to know what is genetic or which diet is best/personalized for which populations.

There is no magic pill- enjoy life in moderation. They all rely on calorie deficit which is so hard over the long term when your body is used to excess- which is why these GLP1 drugs appear to work miracles on your cravings.

Storm water surge sounds lethal though... hopefully things cool down.

This hurricane Milton looks absolutely terrifying.. hope any FL stackers are evacuating safely :/

hmmm never really thought about it tbh. I use appletv so no sense plugging in my tv as well…

Really like Vivek, so well spoken.

We all lose with both of these idiots. Kamala is just dumb. Trump doing his best to throw the election like a QVC fraudster selling coins, shitcoins, watches within weeks of the election.

ILA mob boss thinks we should bring back toll booths 😭

haha had to look that up. what an amazing cultural phenomenon that was.

A bit depressing to learn that was already 8 years ago now...

At least now we have podcasts. One full self driving is commonplace people will get a lot of their time back.

why is palmer luckey able to create game boy hardware? Did the patents just expire?

yup amazingly. those were some good times in its heyday though. so fun being at a public park at 1am with so many dorks out chasing pokemon.

At my favorite coffee shop and opted for the coffee cake... 4 cookie (previously $3).

I find it fascinating that they can basically be allowed to collapse our economy like this. Doctors often want to strike but it's been deemed illegal, understandably, because it puts lives at risk.

I'm glad your kid is ok.

I think it is always easy to Monday morning quarterback in situations like this, but there are a ton of outside pressures that make these situations especially difficult. Your family member is not the only patient they're stressed about, they are often called out in the middle of a difficult surgery, where another patient is still under anesthesia. There can be a list of sick inpatients admitted to the hospital for which they might have 5 unanswered pages waiting for them, or another surgeon paging them for an airway emergency. If they were called in on "home call", this often means they are getting woken up throughout the night to answer pages after a full day of work, and still have to be in the hospital at 5am the next day.

The truth is if they have ~10 minutes to try to McGyver the situation before they have to move on to triage other issues, and if they have not figured it out in that time then the best course of action is to schedule surgery to definitively remove in a more controlled situation. There isn't time to sit down and do research, you have to fall back on your training or you'll never get through the day.

It worked out in your case, but waiting too long to act could quickly lead to pressure and ischemic injury that can easily snowball into severe infections and a series of far more dangerous surgeries down the road. Then the doctor gets dragged in front of a jury and dinged with a malpractice lawsuit for not acting soon enough.

Medicine would be easy if you didn't have to see 20-50 patients a day. Maybe in the future AI advisors will help with these "out of the box" situations.