Miriam E. Tucker
@miriametucker.bsky.social
đ¤ 649
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Writer/journalist specializing in medicine/health. Living with type 1 diabetes since 1973.
Shocks me every time a person with
#type1diabetes
posts that they were ordered to fast for routine lab tests and had a low blood sugar. I have NEVER fasted for labs in 52 years of T1D.
medscape.com/viewarticle/...
#medicine
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Do Patients With Diabetes Need to Fast for Lipid Tests?
Increasing evidence suggests fasting for lipid tests may not be necessary and could be dangerous for some diabetes patients, but an overall shift away from the practice will likely take time.
https://medscape.com/viewarticle/834431
1 day ago
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reposted by
Miriam E. Tucker
Sally James
9 days ago
A well-reported story by
@miriametucker.bsky.social
about how
#aging
people with
#diabetes
are advocating for new models of care, and asking
#endocrinologists
to step up. Quotes
@uwmedicine.bsky.social
physician.
www.medscape.com/viewarticle/...
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Aging With Type 1 Diabetes: Success Story Brings Challenges
As people with type 1 diabetes live longer than ever before, both clinicians and patients are recognizing the need to prepare for the challenges that accompany aging with this condition.
https://www.medscape.com/viewarticle/aging-type-1-diabetes-success-story-brings-challenges-2025a1000yrd?&icd=login_success_email_match_fpf
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Thanks to Medscape for the opportunity to write this.
#type1diabetes
#aging
#longtermcare
www.medscape.com/viewarticle/...
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Aging With Type 1 Diabetes: Success Story Brings Challenges
As people with type 1 diabetes live longer than ever before, both clinicians and patients are recognizing the need to prepare for the challenges that accompany aging with this condition.
https://www.medscape.com/viewarticle/aging-type-1-diabetes-success-story-brings-challenges-2025a1000yrd
13 days ago
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"The initial rationale behind such high-deductible plans was to encourage people to become wiser health care shoppers," which doesn't work when it comes to expensive chronic conditions like
#diabetes
and especially
#type1diabetes
:
www.washingtonpost.com/health/2025/...
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His deductible is $4,000. To control his diabetes, heâs had to cut corners.
The rising cost of health insurance and high deductible plans are forcing people with diabetes to make tough choices about their treatment.
https://www.washingtonpost.com/health/2025/12/07/high-deductible-plans-diabetes/
15 days ago
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reposted by
Miriam E. Tucker
Wilhelmina Jenkins
27 days ago
Another excellent article from
@miriametucker.bsky.social
covering the panel on disability at the International Association of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFS/ME) 2025 virtual meeting. Very helpful insights.
add a skeleton here at some point
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reposted by
Miriam E. Tucker
Billy Hanlon
28 days ago
Medscape: 'How to Help With ME/CFS and Long COVID Disability Claims' By Miriam E. Tucker
www.medscape.com/viewarticle/...
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How to Help With ME/CFS and Long COVID Disability Claims
A disability attorney specializing in chronic disabling conditions and a physician with extensive experience helping patients file claims offer advice.
https://www.medscape.com/viewarticle/how-help-me-cfs-and-long-covid-disability-claims-2025a1000x2z
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"If RFK Jr. wanted to be honest with the American public, he would make it clear on the CDCâs website that chicken nuggets also might cause autism, which has never been and will never be disproven."
add a skeleton here at some point
about 1 month ago
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reposted by
Miriam E. Tucker
Society of Professional Journalists
about 1 month ago
SPJ strongly condemns President Donald Trumpâs latest attacks on journalists, including his disparaging treatment of Mary Bruce during Mondayâs Oval Office press availability, and his recent âQuiet, piggyâ insult aimed at Catherine Lucey. đRead the full statement:
www.spj.org/spj-statemen...
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reposted by
Miriam E. Tucker
Association of Health Care Journalists
about 1 month ago
"I donât know if the CDC will survive with what theyâre doing." Debra Houry, M.D., MPH. Former Chief Medical Officer and Deputy Director for Program and Science, CDC
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On a webinar, a former CDC scientist just described the new HHS
#MAHA
approach as a switch from evidence-based decision-making to "decision-based evidence-making."
#science
#health
#publichealth
about 1 month ago
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#WorldDiabetesDay
1) Adults can get
#type1diabetes
and kids can get
#type2diabetes
. 2) Both arise from genetics and environment. The "genetic"
#diabetes
types are separate. 3) The tech is helpful, but it doesn't automate control (yet). 4) Beyond "lifestyle," T2D is also socioeconomic.
about 1 month ago
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Just to illustrate the insanity of
#type1diabetes
, this is what I woke up to today. Using connected tech. No, I donât sleep-eat. Nothing unusual at bedtime. Chalking it up to
#T1D
gremlins. đđ
about 2 months ago
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Some healthcare providers are still referring to
#mecfs
and
#longcovid
as psychological or "functional" despite considerable research to the contrary. Here, I review the latest findings and expert thinking, with potential for treatment:
www.medscape.com/viewarticle/...
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Research Into ME/CFS Pathology Points to Possible Treatments
With greater understanding of the complex pathomechanisms of myalgic encephalomyelitis/chronic fatigue syndrome, researchers aim to target treatments.
https://www.medscape.com/viewarticle/research-me-cfs-pathology-points-possible-treatments-2025a1000uuu
about 2 months ago
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reposted by
Miriam E. Tucker
Billy Hanlon
about 2 months ago
Medscape: 'Research Into ME/CFS Pathology Points to Possible Treatments' By Miriam E. Tucker 'âWe think the immune dysregulation is probably at the beginning of this..."
www.medscape.com/viewarticle/...
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Research Into ME/CFS Pathology Points to Possible Treatments
With greater understanding of the complex pathomechanisms of myalgic encephalomyelitis/chronic fatigue syndrome, researchers aim to target treatments.
https://www.medscape.com/viewarticle/research-me-cfs-pathology-points-possible-treatments-2025a1000uuu
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"Graded exercise" is neither supported by evidence nor recommended for people with an illness defined by worsening with exercise.
#mecfs
#longcovid
www.medscape.com/viewarticle/...
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No Evidence Supports Using Graded Exercise for ME/CFS
Studies examining the effects of activity-based interventions havenât required post-exertional malaise as a core criterion for the now-termed âmyalgic encephalomyelitis/chronic fatigue syndrome.â
https://www.medscape.com/viewarticle/no-evidence-supports-using-graded-exercise-myalgic-2025a1000tuf
about 2 months ago
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There is a huge difference between "chronic fatigue" and the illness widely known as "myalgic encephalomyelitis," or "ME." In the US the compromise term is "ME/CFS," but many prefer to just eliminate the "chronic fatigue" part altogether, to minimize confusion.
#MECFS
2 months ago
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#longcovid
#mecfs
@zalaly.bsky.social
slide
2 months ago
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"We say 'trial and pivot,' not 'trial and error.' Even interventions that don't work will teach you more about their illness." - Jennifer Bell, PNP-C, at the IACFS/ME meeting.
#mecfs
#longcovid
2 months ago
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Adults with new onset
#diabetes
can be misdiagnosed as having
#type2diabetes
when it's actually
#type1diabetes
and not prescribed essential insulin, or as type 1 when it's actually a monogenic type and unnecessarily prescribed insulin. How to avoid:
www.medscape.com/viewarticle/...
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Expert Tips for Classifying New-Onset Diabetes in Adults
Misdiagnosis of type 1 diabetes in adults and of monogenic diabetes at all ages often occurs, with adverse consequences.
https://www.medscape.com/viewarticle/expert-tips-classifying-new-onset-diabetes-adults-2025a1000rrm
2 months ago
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reposted by
Miriam E. Tucker
David Ludwig MD, PhD
2 months ago
The notion of "ultra-processed" food is so complicated, not even
@fda.gov
knows how to define it. There's a simpler way. Focus on the main health offenders: đRefined grains, sugar, and other highly processed carbs. In print today. Free online access (requires email)
wapo.st/3WuPHGJ
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Continuous glucose monitors are powerful tools but will not "rectify our Bad Energy crisis." To add,
#type2diabetes
is due to a combination of genetics and environment as well as lifestyle. And
#type1diabetes
is not preventable by lifestyle.
#diabetes
#science
www.washingtonpost.com/health/2025/...
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She left the medical mainstream and rose to be RFK Jr.âs surgeon general pick
Casey Means, the surgeon general nominee, has criticized the medical establishment. She could be put in position to change it.
https://www.washingtonpost.com/health/2025/10/09/casey-means-surgeon-general-nominee/
2 months ago
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It's obvious that high-deductible health plans aren't ideal for people with chronic medical conditions such as
#diabetes
but this study found that such plans also delay diagnosis:
www.medscape.com/viewarticle/...
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High-Deductible Health Plans May Delay Diabetes Care
People who switch to health plans with high deductibles may experience delays in the diagnosis of diabetes and face high medical costs around the time of diagnosis.
https://www.medscape.com/viewarticle/high-deductible-health-plans-may-delay-diabetes-care-2025a1000qri
3 months ago
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Yes, kids with
#type1diabetes
can get exemptions that allow them to use their smartphones in schools that restrict their use. But there may be unforeseen consequences:
www.medscape.com/viewarticle/...
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Are School Smartphone Restrictions Harming Kids With T1D?
There is rising concern about the impact on children who use their phones for type 1 diabetes management, even when granted medical exemptions.
https://www.medscape.com/viewarticle/are-school-smartphone-restrictions-harming-kids-t1d-2025a1000qaf
3 months ago
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Grateful to have been able to cover so much
#type1diabetes
material at this year's @EASDnews conference, including population screening, new treatments, overall management, and
#diabetes
distress.
#EASD2025
www.medscape.com/viewcollecti...
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EASD 2025
European Association for the Study of Diabetes (EASD) 2025 Annual Meeting : Read clinically focused news coverage of key developments from EASD 2025
https://www.medscape.com/viewcollection/37872
3 months ago
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reposted by
Miriam E. Tucker
Eric Topol
3 months ago
To be clear, there are no data that provide a link between short-term use of Tylenol during pregnancy and autism. In fact, one of the best prospective studies w/ sibling controls, if anything, pointed to a protective effect for use less than 7 days
acamh.onlinelibrary.wiley.com/doi/10.1002/...
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reposted by
Miriam E. Tucker
Steven Petrow
3 months ago
Writing is at its most powerful when it makes you feel less alone. This beautiful booo from Emma Heming Willis on her marriage to Bruce Willis and experience navigating dementia did just that. A beautiful read.
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Review | Bruce Willisâs wife, Emma, has a vital message for caregivers
In âThe Unexpected Journey,â she delivers a candid look at Bruce Willisâs struggle with dementia and offers a road map for others.
https://www.washingtonpost.com/books/2025/09/10/bruce-willis-emma-heming-unexpected-journey/
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"Appropriate questions to patients might be: 'What's challenging you the most about your diabetes?â or âWhat's bothering you the most at the moment?'"
#diabetes
#EASD2025
www.medscape.com/viewarticle/...
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Assess Diabetes Distress at Every Visit, EASD Says
In its first evidence-based clinical practice guidelines, the European Association for the Study of Diabetes advises clinicians to inquire about the emotional aspects of diabetes.
https://www.medscape.com/viewarticle/assess-diabetes-distress-every-visit-easd-says-2025a1000ovg
3 months ago
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The European Association for the Study of Diabetes recommends population screening for early
#type1diabetes
starting with children aged 2-4 years.
www.medscape.com/viewarticle/...
#EASD2025
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EASD Urges Population Screening for Early Type 1 Diabetes
The European Association for the Study of Diabetes has called for universal autoantibody screening for early-stage type 1 diabetes in children beginning at age 2.
https://www.medscape.com/viewarticle/easd-urges-population-screening-early-type-1-diabetes-2025a1000omy
3 months ago
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It's that time again when LinkedIn tells everyone to wish me a happy work anniversary even though I've been a
#freelancer
since 2012 and have no idea what date or gig they're referring to...Then I have to decide whether to explain that to well-wishers or just say "thanks." đ
4 months ago
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Just learned that the federal form for every potential gun purchaser asks âHave you ever been adjudicated as a mental defective...?" Evidently "a mental defective" is a legal term, dating back to 1993. Wow.
www.washingtonpost.com/national-sec...
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DOJ discusses a potential ban on transgender people owning firearms
People familiar with the discussions say they are in the early stages and any ban is far from being implemented.
https://www.washingtonpost.com/national-security/2025/09/04/guns-transgender-justice-trump-bondi-shootings/
4 months ago
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reposted by
Miriam E. Tucker
Dr. Lucky Tran
4 months ago
The âproblemâ with vaccines? They so effective at preventing deaths that they create generations of people that question whether disease was a problem in the first place because they have never experienced the horrors of a world without vaccines.
581
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reposted by
Miriam E. Tucker
Megan Ranney MD MPH
4 months ago
Please help me welcome to Bluesky
@drdebhoury.bsky.social
- brave, brilliant, and principled.
abcnews.go.com/Politics/vid...
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Video Chief CDC scientist resigns amid the firing of director over vaccine policy
Dr. Debra Houry stepped down as chief medical officer and deputy director for programs after Trump fired CDC Director Susan Monarez.
https://abcnews.go.com/Politics/video/chief-cdc-scientist-resigns-amid-firing-director-vaccine-125105603
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Can a product that combines a continuous glucose monitor +
#AI
help in weight management? It's now on the market:
www.medscape.com/viewarticle/...
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New FDA-Cleared Product: CGM + AI for Weight Management
The Signos platform combines a continuous glucose monitor with an artificial intelligence-based app to guide users regarding food and movement.
https://www.medscape.com/viewarticle/new-fda-cleared-product-cgm-ai-weight-management-2025a1000mva
4 months ago
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reposted by
Miriam E. Tucker
Jake Scott, MD
4 months ago
Kennedy demands doctors get more nutrition training while 18.8 million Americans live in food deserts and insurance generally doesnât cover dietitian visits. Classic misdirection: blame physicians for systemic failures they canât solve.
www.nbcnews.com/health/healt...
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Doctors say Kennedyâs push for nutrition education in medicine is a good idea â in theory
Some doctors say counseling patients about nutrition may not always be practical and doesnât address systemic barriers to healthy eating.
https://www.nbcnews.com/health/health-news/doctors-say-kennedys-push-nutrition-education-medicine-good-idea-theor-rcna227539
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Just made an appointment for the updated covid
#vaccine
. Soonest available: Sept. 4th.
#covidvaccines
4 months ago
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reposted by
Miriam E. Tucker
Dr. Tom Frieden
4 months ago
Public health is under assault. The purge of CDC leadership, people with decades of experience guiding the nationâs response to health threats, dismantles the very programs and direction that keep Americans safe from infectious diseases, chronic illness, injuries, and violence.
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reposted by
Miriam E. Tucker
Richard M. Carpiano, PhD, MPH
4 months ago
"Weâre all in favor of a gold standard for science. But itâs misleading, & even a little insulting, to say that somehow NIH didnât already support that. Everything that NIH stands for is rigor in sci...Thereâs some implication here that NIH has been systematically sloppy. I reject that conclusion."đ
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Former NIH chief calls research cuts âcarelessâ and âheartlessâ
Francis Collins, MD, PhD, lauds lifesaving research supported by the National Institutes of Health, explains why he left, and warns of scientific brain drain.
https://www.aamc.org/news/former-nih-chief-calls-research-cuts-careless-and-heartless
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reposted by
Miriam E. Tucker
Lionhart2x
4 months ago
Brilliant article on these ever expanding and prolific conditions.
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âWhat had once felt like a rare or niche diagnosis now seemed to be everywhere, impossible to ignore.â - Brittany Adler, MD, of Johns Hopkins, re post-infectious chronic illness that goes by many names but has no dedicated medical specialty.
#POTS
#MECFS
www.medscape.com/viewarticle/...
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Where Is the Medical Home for Postinfectious Illness?
A rheumatologist calls for greater awareness among her colleagues but also emphasizes that these patients require multidisciplinary care.
https://www.medscape.com/viewarticle/where-medical-home-postinfectious-illness-2025a1000m05
4 months ago
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Great material for rebuttal when someone says that
#vaccines
cause
#autism
. Bookmarked.
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4 months ago
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Still in the airport, 7 hours later! đ¤Ż
add a skeleton here at some point
4 months ago
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reposted by
Miriam E. Tucker
Dave Morris
4 months ago
"Diabetes device distress" is both alliterative and incessant in all the ways named in this article!
#T1D
#type1diabetes
add a skeleton here at some point
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My flight would have arrived with plenty of time before my insulin delivery device was due to shut off. But now itâs delayed so long I had to replace the device in the airport restroom. Fun times with
#type1diabetes
âď¸ đ
4 months ago
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#Diabetes
technology improves and even saves lives, especially for people with
#type1diabetes
. At the same time, it can also cause a lot of stress:
www.medscape.com/viewarticle/...
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Diabetes Technology: Lifesaving and Stressful
Clinicians should ask patients if theyâre experiencing âdiabetes device distressâ and help guide them through it.
https://www.medscape.com/viewarticle/diabetes-technology-lifesaving-and-stressful-2025a1000ljj
4 months ago
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How are Americans with
#type1diabetes
doing? Results are mixed.
www.medscape.com/viewarticle/...
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Diabetes Tech Use On the Rise But A1c Reductions Still Lag
A population-based US study finds greater technology use and improved glycemic control but a low prevalence of an A1c level < 7% and widening disparities.
https://www.medscape.com/viewarticle/diabetes-tech-use-rise-a1c-reductions-still-lag-2025a1000lc9
4 months ago
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âActual cases of [factitious disorder imposed on another] are incredibly rare, yet medics and social workers seem to latch on to this theory when they lack the scientific knowledge to explain an illness or the humility and compassion to admit that sometimes they simply donât have all the answers."
add a skeleton here at some point
5 months ago
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On
#SevereMEDay
reposting my 2022 article about caring for patients with myalgic encephalomyelitis / chronic fatigue syndrome who are too sick to see a doctor. Some can't eat, and may be misdiagnosed with anorexia.
#MECFS
is not psychiatric.
www.medscape.com/viewarticle/...
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Clinicians Can Help People With Severe ME/CFS, Even Unseen
About a quarter of people with myalgic encephalomyelitis/chronic fatigue syndrome are homebound or bedbound, making medical office visits difficult, if not impossible. Some require tube feeding.
https://www.medscape.com/viewarticle/978830
5 months ago
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âYou have to sort of scratch your head to wonder why the secretary is directing these sort of actions against probably one of the most powerful platforms in medicine that has come along in the last 20 years.â -
@jmcoller.bsky.social
www.washingtonpost.com/health/2025/...
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How RFK Jr.âs mRNA crackdown affects vaccinemaking and future pandemics
The Trump administration is terminating biodefense research funding for mRNA projects, raising concerns about the nationâs ability to fight future pandemics.
https://www.washingtonpost.com/health/2025/08/06/rfk-jr-mrna-vaccine-criticism/
5 months ago
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reposted by
Miriam E. Tucker
Dave Morris
5 months ago
Further cautious hope for islet cell transplantation.
#T1D
#diabetes
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I don't normally say this, but this new report signals some real progress towards curing
#type1diabetes
:
www.medscape.com/viewarticle/...
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Transplanted Islet Cells Survive Without Immune Suppression
In a first for type 1 diabetes, researchers have gene-edited donor pancreatic islets in a way that evades the immune system to enable insulin secretion for at least 6 months.
https://www.medscape.com/viewarticle/transplanted-islet-cells-survive-without-immune-suppression-2025a1000kqt
5 months ago
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