1 in 5 Greek puppies with chronic kidney disease have advanced liver disease and it is the liver disease that is most linked to poor quality of life

New at The Lancet Public Health - Targeting alcohol use in high-risk population groups: a US microsimulation study of beverage-specific pricing policies www.thelancet.com/journals/lan... #alcohol #LiverSky #MedSky

Dear #LiverSky #HepatoSky researchers: PSC Partners grant cycle is now open! The deadline for your LOI is December 1, 2025 Need help crafting your grant? I offer editing services to help strengthen your proposal. Let's work together to make your work stand out! pscpartners.org/research/res...

More #efruxifermin data this time in #MASH F2/F3 fibrosis @ 96 weeks ✅ Efficacy w/ dose dependent response (sort of) and NITs consistent ↔️ not crazy about mITT though it is mentioned no paired bx= non responders ⬇️ dose dependent reduction in bone mineral density #liversky

New hope for #liverhealth: FDA recently approved Wegovy as the 1st #GLP1 therapy for adults with serious #liverdisease. Research presented at TLM ‘24 demonstrated the groundbreaking treatment potential. Learn more: https://bit.ly/45phv4R

When did I start rounding?

🥾A reboot with endless pearls! #452 NAFLD/MASLD! Expand your NAFLD/MASLD knowledge! Expert guest @ebtapper.bsky.social shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications. www.thecurbsiders.com

my take on procal: 1. zero role in ED, shouldn't be used to start ABX 2. CAN be super helpful in first 24 hr after ICU admit to help disprove sepsis in complex cases (eg aspiration pneumonitis or atelectasis masquerading as PNA). helps stop ABX & redirect. 3. not helpful in limiting ABX duration

🚨 High Yield Infographic Alert! Elevated PTT? Think bleeding history. 🟢 Non-bleeders: APS, contact factor deficiencies, heparin. 🔴 Bleeders: Hemophilias, vWD, factor VIII inhibitors. Not all prolonged PTTs mean bleeding risk. #MedEd #Hematology #FOAMed #ElevatedPTT #TheCurbsiders

Another piece of evidence about the role of anticoagulants in cirrhosis. Results of a multicenter effort. The cirroxaban study. @hospitalclinic.bsky.social @idibaps.bsky.social @jhepatology.bsky.social kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...

Jaume Bosch No one, and I mean no one, made more seminal contributions to the measurement, interpretation & clinical applications of HVPG, the prognostic impact of CSPH and its rx. Truly in the pantheon of all time greatest hepatologists and a kind, generous person on top. RIP #liversky

Ask my kids what my goals are - though I am consistent, they will tell you the order is reversed

LIFE GOALS 1. Raise happy children 2. Be old dude at grand rounds who falls asleep

Daughter wearing a Jean jacket for our day trip to Canada

I am very sad. My mentor and friend, Jaume Bosch, just has passed away. Thanks for everything, I will miss you. I would always remember our last day together celebrating a journey we begin together @hospitalclinic.bsky.social @idibaps.bsky.social

doi:10.1001/jamanetworkopen.2025.19426

Wake up new cause of liver enzyme elevation just dropped

They are establishing upper limits of normal for ammonia in pets Thank you for your attention to this matter!

podcasts.apple.com/us/podcast/l... Gideon is the best of us. Truly infectious enthusiasm for hepatology 👇 management of pbc 👇 clinical philosophy 👇 how to build a research career

Recently had @ebtapper.bsky.social on the Critical Care Scenarios podcast talking GI and this topic came up. icuscenarios.com/lightning-ro...

Cardiovascular risk estimates miss the mark in people with MASH Heart disease is the most important risk for patients with MASH but the commonly used risk equations just don’t work New paper in the red journal @amcollegegastro.bsky.social journals.lww.com/ajg/abstract...

Dear FreelyFiltered I am a listener of the podcast. I listen for the humans. And their input. I think the AI podcast on the NephJC was a nice as a way for me to hear about a trial and trial discussion I would have missed but the info didnt stick for this adult learner @kidneyboy.bsky.social

Hepatic encephalopathy is horrible It can present as disorientation and coma. But often causes poor quality of life, falls, and other trauma We want to prevent it. How can we predict it?

🚨Interested in Hepatology?🧑‍⚕️ Join us tomorrow at 10:30AM PST/1:30PM EST for a Hepatology VMR with the chief of Hepatology at U Michigan, Dr.Tapper (@ebtapper.bsky.social ) ! ✨🩺 We hope to see you there! ➡️ clinicalproblemsolving.com/learn-live/ #MedSky#ClinicalReasoning #Hepatology #MedEd

DDAVP for bleeding with incisions. Meh pubmed.ncbi.nlm.nih.gov/3513867/

Big meetings should provide real-time translation for at least the conferences centerpieces - named lectures, presidential plenaries.

🚨Check out our new study in @jhepatology.bsky.social ❗️ Using natural language processing to identify >350,000 patients with #steatosis, we demonstrated that cause-specific mortality differs between #MASLD #MetALD and #ALD www.journal-of-hepatology.eu/article/S016...

🚨 Hot off the press! Our study is the first to define meaningful score differences (MSDs) for PROMIS, CLDQ & SF-36 in CLD - key to making PROMs clinically actionable! 🔗 journals.lww.com/hepcomm/Full... #LiverSky #GastroSky @aasldnews.bsky.social

There are two articles in NEJM this year that say naltrexone is 'contraindicated for cirrhosis'. This saddens me. It is not supported by an evidence. Alcohol is 'contraindicated for cirrhosis'. That is supported by evidence

An important message on naltrexone in patients with liver disease: ✅Naltrexone can help reduce alcohol use without harming the liver. 🚫Alcohol DOES harm the liver. We do not need any more barriers to treat patients with AUD➕ALD! @nejm.org @ebtapper.bsky.social www.nejm.org/doi/full/10....

Science and fun @hospitalclinic.bsky.social @idibaps.bsky.social @ebtapper.bsky.social @rbataller.bsky.social

It was an absolute delight to contribute to this high-impact work with @tom-marjot.bsky.social and @mattarmstrong95.bsky.social in which we review all things #MASLD and #Muscle! If you're looking for holiday weekend reading, look no further: journals.lww.com/hepcomm/page... @ebtapper.bsky.social

See you at the liver meeting

There you have it: BEDMED published in @jama.com jamanetwork.com/journals/jam... h/t @drjmluther.bsky.social No difference in bedtime versus morning BP meds - as expected #NephSky #Hypertension 1/

A patient with cirrhosis doubled their bowling score after starting lactulose #CovertHE

We have work to do!!! journals.lww.com/hepcomm/full...

Feel free to follow the new A-TANGO Consortium + #hepatology Starter Pack go.bsky.app/Tc8YSWq #LiverSky #LiverResearch #LiverDisease #hepatitis #cirrhosis #ACLF #HepatologyJournals @rajivjalan.bsky.social @europeliver.bsky.social @easlnews.bsky.social @jhepatology.bsky.social @ebtapper.bsky.social

Important things to teach our patients (and each other!) #foodismedicine #worldliverday

Celebrating #worldliverday with high protein bagel breakfast sandwich @heathernp.bsky.social @ebtapper.bsky.social @orenfix.bsky.social @aasldnews.bsky.social

Fantastic to see the updated BSG/BASL decompensated cirrhosis admission bundle in print at FG - practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter fg.bmj.com/content/earl...

This trend is *very* concerning given that alcohol damages the liver of females at 2x the rate of males. We are seeing so many young females (20s and 30s) who get very sick and often die from🍸🍷🍻-associated liver disease! We need to work on strategies to 📉 alcohol use in this population! #liversky

A pharmacist told a patient they don’t make acamprosate any more and I need to find an alternative Another pharmacy says it is on back order What is the deal? Anyone else seeing this?

A study by Perez-campuzano and @juanc60.bsky.social that randomizes patients with portal hypertension to two terlipressin strategies and octreotide and shows no significant change in portal pressure #liversky

Management of ascites by a bunch of radiologists and my friend @brettefortune.bsky.social doi.org/10.2214/ajr.... #liversky

"Food is Medicine" -But for whom? The accessibility problem in nutrition and liver health: worldliverday.org/food-is-medi... #WorldLiverDay #SLDthinktank #LiverSky @easlnews.bsky.social @ebtapper.bsky.social @aleksanderkrag.bsky.social @debbieshawcross.bsky.social @melinamanolas.bsky.social

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Everything you need to know about terlipressin journals.lww.com/hepcomm/full...