Insane! Reading this article is like reading alt-ID and alt-pandemic on a mild hallucinogen while watching Fox News.

A discussion around Petter Attia recently was framed as “grifter vs visionary,” but the more important issue is what happens when medical authority operates outside the traditional guardrails of clinical practice and enters the realm of social influence. jamesstein18.substack.com/p/physician-...

My latest on Substack: The Most Important Thing People Get Wrong About Heart Disease. Heart Disease Isn’t Just a Plumbing Problem. One of my biggest challenges is that many people, including clinicians, still imagine coronary artery disease as a simple clogged pipe ... (read on )

My Hot Take on PISCES: The New Fish Oil in Hemodialysis Study. A new NEJM trial just reported a remarkable 43% reduction in cardiovascular disease events in people on dialysis taking fish oil. It sounds too good to be true - and maybe it is. See: jamesstein18.substack.com/p/my-hot-tak...

The a new category of physician - the medical influencer: “They retain the prestige of the medical doctor while stepping outside the ethical, educational, and fiduciary obligations that define the profession. Their power is amplified by algorithms, branding, and ... the podcast format.”

My commentary in JAMA Cardiology - “The Physician–Patient–Podcaster Triangle" - examines how podcasts and social media are transforming the language of medicine and changing how patients understand health, aging, and their relationships with their clinicians. jamanetwork.com/journals/jam...

When you stop using X then open it back up after a while, you realize how obviously it’s designed to elevate vicious jerks who share Musk and Trump’s cruelest, dumbest beliefs. Harder to see when you’re addicted to it; blazingly apparent from the outside looking in. Journalists: It’s bad for you!

Lipoprotein(a) - The Overlooked Lipoprotein That Drives Heart Disease. This inherited particle may explain why some people develop heart disease despite excellent cholesterol levels. For my latest on Substack, go to jamesstein18.substack.com/p/part-2-lpa...

I am going to be that annoying friend. Get your #COVID & #flu shots. There is little downside to getting immunized and it will spare you from being out sick, having to go to the doctor's office, hospitalization and yes, death. Too many people aren't stepping up to get the shots. Do it this weekend.

We are very good at demanding strong Jewish institutions, but equally good at tearing down the people who try to run them. That habit is doing more damage than we realize. Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...

My latest on Substack: When Lipoprotein Tests Can Be Helpful, Part I: Apolipoprotein B-100 jamesstein18.substack.com/p/when-lipop...

My new post on @timesofisrael.com: blogs.timesofisrael.com/settler-colo...

My comments on what President Tr*mp's AI video tells us about autocrat psychology: youtu.be/JNt8YoqQzWE

Outstanding review of cardiovascular benefits (none) and risks (atrial fibrillation) of fish oil by my @uwmadison.bsky.social colleague, Dr. Jim Stein @jamesstein18.bsky.social. His excellent advice: Instead of taking supplements, eat real food. #medsky jamesstein18.substack.com/p/fish-oils-...

My latest on Substack: "Fish Oils: When the Facts Spoil a Good Story." The health benefits of fish oil supplements have been touted since the early years of my medical training in the 1990s. But, like most nutritional therapies ... jamesstein18.substack.com/p/fish-oils-...

My latest on Substack: "When It Really Is All in Your Head: Placebo and Nocebo Effects on Health." How we experience the world is shaped by our expectations. This is especially true in health, where people can feel better simply because of what they anticipate ...

My new blog on Substack - "Staying Health on Vacation" - is live! jamesstein18.substack.com/p/staying-he...

My latest on Substack. open.substack.com/pub/jamesste...

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My latest on Substack - Forget 10,000 Steps: Three Ways to Make Exercise More Impactful jamesstein18.substack.com/p/forget-100...

Worn Out by Wearables: Health Isn’t a Number. My latest on Substack: bit.ly/4lGbUfd

The week beginning Aug 4 was the most dangerous, tragic week of RFK Jr’s tenure yet. A Lancet Editorial outlines why—unpacking a movement that seeks to discredit mainstream medicine and portray institutions and experts as enemies, not partners. tinyurl.com/4zppw6ay

May this portion of the dissent by Ketanji Brown Jackson haunt John Roberts forever and be the final word on his tenure as Chief Justice.

Israelis and Palestinians are real human beings who exist beyond your social media feed.

You can question Israeli policies and still stand against antisemitism. You can debate politics and still call out violence. Jews are being attacked on a global scale, not because of politics, but just because they're Jews.

My latest post on Substack: substack.com/@jamesstein1...

The 3rd and final part of my blog about Coronary Artery Calcium Scans is now on Substack. It's called "The False Allure of the “Power of Zero”". All 3 are available now. As always, I appreciate your thoughtful, civil feedback.

Coronary Artery Calcium Scans: A Long Run for a Short Slide (That Misses Home Plate) - Part II. A Deeper Dive The Myth of Reclassification

My latest blog on Substack: Coronary Artery Calcium Scans: A Long Run for a Short Slide (That Misses Home Plate)

My follow up blog: blogs.timesofisrael.com/how-we-speak...

Somewhere between the doctor’s impulse to test and the patient’s desire to know, predicting risk of heart disease and stroke has become an obsession in the doctor’s office, the medical literature, and even at the dinner table.

I hadn’t planned to write again so soon about Israel and antisemitism - I’d turned to essays on health-related topics. But a friend’s good-faith claim that Israel makes Jews less safe deserved a response. I disagree—and explain why: bit.ly/4lco1AD

I wrote about antisemitism in progressive Jewish spaces knowing it would invite backlash. Anti-Zionist rhetoric—especially from fellow Jews—often collapses under its own ethical logic. I hope to spark moral clarity, and remind peers that integrity must outweigh social comfort: bit.ly/40A0F0i

If you think things are bad now, just wait for Tucker Carlson's sit-down interview with Grok.

In related news of the obvious, inhaling poorly regulated chemicals manufactured by unregulated companies with no interest in safety on a regular basis may be harmful to your health.

A new study found high levels of heavy metals in popular nicotine vapes. Other studies have suggested that vaping can affect the heart, lungs and brain.

When people ask me "how will the public notice capacity failures?" I will point to the fact that Trump is seeking to significantly degrade the ability to prepare for and respond to national disasters at a time when national disasters are getting worse. See also: FEMA. www.pbs.org/newshour/nat...

Those of us who warned—before the election—that a Trump regime would eventually come for everyone were called “cynics”, “alarmists”, “idiots”, or worse. Fast forward to not even 6 months in to his second term and he is now calling for expelling American citizens as he opens concentration camps.

The political strategy of 1) don't resist Trump 2) wait for thermostatic public opinion to just happen 3) don't talk about unconstitutional ICE actions and violations of the 1st Amendment 4) wait for the Supreme Court to solve it really doesn't seem to be working.

My (not-so) hot take on @zohrankmamdani.bsky.social winning the NYC Democratic mayoral primary: Outside NYC, no one really cares. It’s trending because: ✔️New Yorkers think the world is parochial ✔️Media loves a spectacle ✔️Some use it as a wedge within the Dems Not sure which is most to blame.

If you’re an anti-Zionist and don’t believe Jews should have a sanctuary state to escape to, you need to work twice as hard to ensure that the Jewish diaspora is safe. Yet how come anti-Zionists do everything in their power to dismiss, excuse, and apologize for antisemitism?

So many people don’t recognize how prevalent hatred of Jews is today. Because it’s not aimed at you. Jews see it because we experience it. Believe us. You should not have to see a body count to realize antisemitism is real. And it kills.

Russia was kicked out of the G8 in March 2014 exactly BECAUSE it launched its war in Ukraine by invading and forcibly annexing Crimea.

A little more on RFK's new vaccine committee: Malone - claimed vaccines cause AIDS Kulldorff - promoted mass COVID infection Meissner - opposed vaccines and masks for kids Pebsworth - worked at antivax nonprofit Levi - FL Surgeon General cited his paper when recommending not to get COVID vax

Calling Greta Thunberg a hostage is spitting in the face of Sharon Cunio and her 3-year-old twin daughters — who have been waiting 615 days for David Cunio to come home. You want to talk about hostages? Talk about him.

Fake emergencies to justify crackdowns-not very original

Remember when the world said only the UN could deliver aid? Turns out, not only is an alternative possible, but it’s surprisingly easy to do better. For the first time, Hamas couldn’t steal, and Gazans are getting FREE aid. The way it should be.