Thrilled to share that I’ve officially accepted a position to join endocrinology faculty at @weillcornell.bsky.social ! Especially excited to join Dr. Kumar and her amazing ICHANGE clinic team in advancing care for metabolic liver disease—truly a dream job come true for this #MASLD nerd!

Very proud of Dr. Kerry Kennedy Meltzer, my former co-resident and public health & policy extraordinaire for being vulnerable and sharing this about her uncle, RFK Jr. PLEASE READ THIS ! www.statnews.com/2025/01/28/k...

Did something uncomfortable and made a YouTube Channel. First video on residency rank list tips ! Please like and subscribe ! 🙂🙏 www.youtube.com/watch?v=5Ll3...

Nope … your email does NOT find me well.

Estimated burden of #MASLD and #MASH over the next 30 years.😮 Future is grim if we don't take active approach from all disciplines and angles, including policy change. jamanetwork.com/journals/jam...

As a physician, woman and human being I am deeply disturbed on what is going on in this country.

I don’t think it’s a coincidence that the show rate at our public hospital clinic was extremely low today, same day he promised to role out mass deportations

“In 2017, immigrants helped offset a $67 billion deficit in healthcare costs for US-born citizens by paying $58 billion more in taxes and premiums than was spent on their healthcare; 89% of this surplus was attributed to contributions made by undocumented immigrants” www.nejm.org/doi/full/10....

Well, this is a disaster

How many PCPs are endocrinologists on here are regularly using FIB-4 for #MASLD screening in their patients with T2DM?

BMI has limitations in categorizing someone with obesity. We need alternative methods to diagnose obesity so we do not overdiagnose or underdiagnose the disease. See the new Definition and Diagnostic Criteria of Clinical Obesity statement, published in Lancet today: https://buff.ly/42ftb9g

This month I made $4,052 from "side hustles" between social media engagements and pre-residency advising... nearly double what I make biweekly as a chief endocrinology fellow. Food for thought: what does it say about trainee physician salaries when side gigs can pay more?

So much talk about #MASLD but let's not forget to screen our patients for alcohol consumption as well. Alcohol + metabolic risk factors synergistically ⬆️steatohepatitis, fibrosis, and hepatocellular carcinoma in #MetALD nature.com/articles/s44...

It’s not too late. Contact your Senators today. This is just too urgent and too important to sit on the sidelines.

Liver lover

NOLA forever 🫶🏼🫶🏼🫶🏼

New Orleans was my home for 4 years and really holds a special place in my heart. It is where I learned medicine and patience, and what it means to have a vibrant life. My heart goes out to all from yesterday's tragic events ❣️

We were thrilled to be on the Oct 2024 cover of @natrevgastrohep.bsky.social with "Food inequity and insecurity and MASLD: burden, challenges, and interventions" www.nature.com/articles/s41... Looking forward to seeing the 2025 covers @heykatray.bsky.social #LiverSky

Life of an academic endocrinologist: trying to read about CAH.

Medicare moving the needle from Jan to March 2025 for telehealth coverage... www.jdsupra.com/legalnews/me...

Lived in Ithaca for 4 yrs but I swear I am colder in NYC now 😢

Food order matters when it comes to that glucose spike. Protein and veggies before carbs ! Awesome work from my Weill Cornell peeps

Do we think this change in telehealth coverage for Medicare will really go into effect in 2025? Genuinely asking as someone interviewing for jobs which depend on telehealth to provide care to underserved pts or at institutions who don’t have physical space for more physicians to see patients

Tirzepatide provides significantly greater weight loss than semaglutide in the first head-to-head randomized clinical trial, SURMOUNT-5 ⬇️ Tirzepatide (Zepbound) 20.2% weight loss ⬇️ Semaglutide (Wegovy) 13.7% weight loss t.co/7xrXaZ5NtZ

Any ideas for an interesting Endocrine Grand Rounds topic?! Not too broad, timely, clinically relevant. Unsurprisingly, I have done all my grand rounds thus far on #MASLD so looking for something different :)

Been doing mock med school interviews lately and all I can say is wow... these kids are impressive. The sheer amount of publications they have alone makes me question whether I would even get into medical school these days.

Happy Thanksgiving friends ♥️

I’ve now had 3 patients present for endocrinology care/procedures who on their own accord voice reasoning along the lines of “I don’t know what my life will look like when Trump is in office, or if I’ll even be here. I want to take care of my medical problems now.”

There is a proposal for Medicare to pay for #GLP1 medications for obesity. Why wait until obesity-related diseases like #type2diabetes develop when you can prevent them from occurring in the first place? www.nytimes.com/2024/11/26/u...

🆕 #LiverSky study suggests an alternate pathway that modifies the #bileacid pool in #MASH - Mechanism seems gut microbiota-independent - Liver enzymes may alter secondary bile acids 🐭Implications for mouse MASH studies 🧪Parallel studies in humans are needed www.jhep-reports.eu/article/S258...

Living with a surgery resident = eating dinner alone often 😂

I truly love endocrinology - the tech, the innovation, the physiology- and it’s such an amazing field. That’s all.

The Menopause–Hypothyroidism Puzzle: Does Levothyroxine Affect Women's Cognitive Health? #thyroid ⁦‪@AmThyroidAssn‬⁩ #menopause - my review in clinical thyroidology www.liebertpub.com/doi/10.1089/...

💯! But not just a primary care issue. Needed for all patient-facing fields of medicine. With the explosion of volume from patient portal messages, this is not sustainable to be doing this clinical work late at night on personal time - must need to rework clinic templates to allow time for this work.

Most viewed in the last 7 days from JAMA: Muvalaplin reduced lipoprotein(a) measured using intact lipoprotein(a) and apolipoprotein(a)-based assays and was well tolerated. https://ja.ma/4eHAXLq

How to make friends with an endocrine fellow: 1. Never get a TSH without a FT4 level 2. Know the home diabetes regimen before you place the consult 3. An inpatient cortisol level when the patient is already on steroids isn’t helpful

How to make friends with a hematologist Chapter 1 1. Order a peripheral smear before they ask 2. Never get a CBC without a diff 3. Stop the heparin before you call for a HIT consult 4. NEVER order MTHFR 5. Order a reticulocyte count before you consult for anemia

🤦🏼‍♀️

The liver is the prettiest :)

Livvy the liver !

One of my absolute favorite parts of this weekend at #TLM24 was picking up some educational materials @KnowledgeNash table. Livvy the liver !!! How cute is this coloring to raise awareness on fatty liver disease for kids !

It is critical for endocrinologists, PCPs to know how to "prescribe" exercise for MASLD prevention treatment. Thankfully the awesome @jonathanstinemd.bsky.social will be talking about just this next Tues, 12/5 from 12-1p EST. Link to register: register.gotowebinar.com/register/798...

Liver stiffness measurement (LSM) by VCTE shows highest failure rate in BMI >30, diabetes, age >65yo - precisely the patients we want to be risk stratifying given high risk. www.xiahepublishing.com/2310-8819/JC...

Anyone else have post-conference depression/exhaustion/mild cold? #TLM24 #AASLD It's a trifecta that never seems to disappoint after a long weekend of learning, socializing and traveling.

Interesting perspective on MASLD subtypes which may confer differential risk of HCC and profession to cirrhosis in certain patients 🤔 I think might actually be more helpful in monitoring and screening than in treatment

Done! Added you to go.bsky.app/DvGjDh6

Post-conference reality definitely hitting as I pre chart my grossly overbooked clinic panel for tomorrow morning 😂

Looking for medical professionals to follow? Just added the 5th installment *Medsky Fast Five* #medsky 🩺🧪 Round 1 go.bsky.app/Qg2TA9p Round 2 go.bsky.app/9ziyYqt Round 3 go.bsky.app/9WQtZh6 Round 4 go.bsky.app/HRaNhEt Round 5 go.bsky.app/DvGjDh6 I’ll keep adding to the 5th (until it hits 150)

I lobe it here… get it?

Despite the unknown that lies ahead in this political climate, I still think it is such an exciting time to be in science and medicine, and especially in #MASLD and #MASH. Coming to a conference has reinvigorated some of the hope I had lost the past few weeks.