My latest on @medscape.com covers some thoughts on the new American Dietary Guidelines and why they actually matter a great deal even if it's true that virtually no one consciously follows or cares about them www.medscape.com/viewarticle/...

My latest on @Medscape - can you successfully sue your employer for GLP1 coverage? Though plaintiffs have already tried and failed, two new developments have made a new potential case much, much stronger www.medscape.com/viewarticle/...

I double checked this and it's true. You teach clinicians that naming identity matters and that erasure is harm, yet when Jews are targeted you suddenly forget that lesson, which is not neutrality but a failure of your own stated ethics. 🛟 #medtwitter

My latest in @medscape.com covers two recently published studies. The first claimed black coffee would prevent cancer. The second, and hold onto your hats, that whole body vibration treatments don't help with weight loss

My latest on @medscape.com on how declining obesity rates are now almost certainly attributable to GLP-1 medications, but how new guidelines meant to be wiser than BMI in its diagnosis are apparently diagnosing 70% of the population with obesity www.medscape.com/viewarticle/...

Yesterday, @standwithus.bsky.social Canada posted the podcast that Montreal's Dr. Lior Bibas and I recorded about antisemitism and antizionism in medicine in Canada. Among the topics, what legal liability has the CPSO exposed themselves to by not acting? www.youtube.com/watch?v=StMK...

My review of @juliabelluz.bsky.social and @kevinh-phd.bsky.social's new book Food Intelligence finally published on @medscape.com. tl;dr? If you're looking for a detailing of our current understanding of the science of food, eating, and metabolism, this one's for you www.medscape.com/viewarticle/...

My latest in @medscape.com on GLP1 meds and suicide: Did you hear GLP1 meds might increase the risk of suicide? I'd bet you did. It was all over the news consequent to just 3 case reports submitted by Iceland to the European Medicine Association who announced an investigation /1

@yonifreedhoff.com Here are violin plots showing distribution of the ww signal in Ottawa by year and by VOC. "wwlast30d" represents signal sampled over past 30 days. A 5-year, continuous public health dataset unaffected by policy changes--unlike clinical indicators--is a beautiful thing.

You might remember my blog on how Lilly effectively levied a fat tax on obesity whereby they were charging more for tirzepatide prescribed for obesity than for diabetes in 🇨🇦. Well they've cancelled that and launched a financial assistance program for Zepbound open.substack.com/pub/yonifree...

Do front-of-package food warnings change behaviour? Do they increase stigma vs. obesity? How about if the warnings don't reference obesity at all but simply, as they should, reference nutrients? My latest for @medscape.com explores new research that found /1

Good news for Canadians looking to start Zepbound (tirzepatide) for obesity. Lilly will be introducing a program to help defray costs. Medication should be on shelves mid summer. I'll blog about this in more detail but wanted to briefly mention

Just read a rare piece that rather than demonize weight loss drugs, instead highlighted the use of Wegovy in teens by emphasizing the teens' joy for the benefits the drug provided them with /1

My latest for @Medscape asking why, despite robust evidence demonstrating sustained weight loss significantly decreases both cancer incidence and recurrence that both patient and doctor facing literature on same nearly never mention it? /1

I had a small role to play in this @dougmanuel.bsky.social led publication which hopefully will help to pave the way for the development of a multinational, multidisciplinary evaluation framework for public health environmental surveillance (including wastewater) journals.plos.org/plosone/arti...

Don't hold breath

My latest in @medscape.com - remember that recent ginormous The Lancet paper that among other things was highly critical of the use of BMI to diagnose obesity that instead recommended either the use of BMI along with a secondary marker of excess adiposity /1

Her name is Leah, and I am her father (as promised - father/daughter tattoos for getting into her University of choice)

It seems it's now official. Lilly has effectively levied a fat tax on Canadian prescriptions of its diabetes and obesity medication tirzepatide (aka Mounjaro/Zepbound) whereby if prescribed for obesity, you'll pay nearly double what you'd pay if prescribed for diabetes. More in my Substack

My latest on Medscape covers a recently published study that both traditional media and social media reported as being proof that Splenda increases hunger (and of course as a consequence, increases weight). Sounds scary. Unless you actually read the paper 🧵

My latest in Medscape discusses 3 recent examples of how studies regarding obesity that ignore obesity medications, despite their being our current standard of care in obesity's treatment, do a disservice to readers, reporters, and the public. www.medscape.com/viewarticle/...

Ottawa WAVE (Wastewater Analytics for Viral Epidemiology) as of Mar 16. LEFT IMAGE: 7d trendline of SARS-CoV-2 signal since spring 2020 (A); Past year (B), and 2 months (C), inferred case incidence (D), and Reff (E) determined with ern (PMID: 38905266). RIGHT IMAGE: other viral traces

My latest, published ahead of print in the Canadian Journal of Cardiology looks at the historic failure of public health to move the needle on chronic non-communicable diseases like obesity, and its historic opportunity now to find some success /🧵

Recorded a podcast about antisemitism in medicine in Canada and other relatedly depressing topics open.substack.com/pub/awakefro...

My latest on @medscape.com explores the futility of weight loss diet studies. Brief thread to cover the basic arguments with link to story at the end /1

Short thread on my latest for @medscape.com explores why, despite their incredible benefit, so many people stop their anti-obesity medications? /1

My first Bluesky non-preemptive moron block!

Next up from me on @medscape.com, covers how despite their great efficacy, obesity medications are unlikely to have led to decreasing American rates of obesity. Short thread explaining why 🧵

Enjoy your Chinese food tonight my fellow Jews!

Such a pretty girl

COVID-Aware Community: We relentlessly harassed an at-risk, marginalized woman living in an authoritarian country for literally no reason we can show; but it's actually her fault for trying to protect herself and her family from the people she was helping. "LOL" Sociopaths and silent enablers

Make America Hemiplegic Again #MAHA

My latest: Lilly To Levy A Fat Tax For Its Weight Loss Drug in Canada - people with obesity should expect to pay double what people with diabetes pay for no discernable reason open.substack.com/pub/yonifree...

Something I really need to write before the end of the year and so consequently my woodshop is the cleanest it's been in 2024. Even culled the scrap wood pile.

My latest on Medscape makes the case that no, diet and and exercise are not better than medications for obesity. As in literally not better. Idealistically maybe there's room for argument (though I don't think so tbh), but the data on drugs' superiority is unequivocal 🧵

Have to assume this is consequent to the abuse the inventor took from the COVID aware community. There is a truly vile segment therein.

Done!

Many people reflecting on COVID public health response. Simply put, other than in the very early days when medical systems were being overwhelmed and brute force was 100% required, every public health measure and everything safety advocates campaigned for occurred because of our failure

Been blogging since 2005. Guessing near 4,000 posts. Literal millions of words. Have general sense of how they'll hit. Just submitted one for Medscape about obesity meds that's going to piss off a lot of people. Will share as soon as it's live (sometimes days other times weeks - am not in charge)

There's no denying obesity, especially at its extremes, carries risk. But how should it be diagnosed? Lots of discussion therein. BMI definitely has its shortcomings. So too do pretty much all measurements. My latest in Medscape explores same /1 www.medscape.com/viewarticle/...

GLP1 meds work. A year and a half later I'm down over 100lbs, improved almost every health marker. Special thanks to @yonifreedhoff.com and Spencer nadolski for giving me the push to talk to my doctor.

Barn door hutch ready for paint. Will build top and install hardware next weekend #Woodworking

@nukit.bsky.social Can't reply on X but did try to stand up for that girl who's getting dragged over there. Thanks for highlighting x.com/YoniFreedhof...

Just made chicken stock. Except instead of chicken bones etc. I apparently grabbed my bag of trimmed brisket fat meant for tallow. 1/10. Do not recommend.

In case you never saw it, this is far and away the best episode of the Dr. Oz show that ever aired www.youtube.com/watch?v=kgAp...

I am now, “Siri remind me to do something in 15 minutes” years old.

Dr. Oz and RFK Jr. managing America's health! A dream team! (Nightmares are dreams too)

Whoever discovered lactase leading to subsequent invention of lactaid, may god bless them. Signed, Jews.

The recent (and first in recorded history) decline in American rates of obesity more easily explicable by way of disproportionate numbers of COVID deaths among those with obesity (especially at its extremes), than it is by way of the impact of new medications for obesity.