Integrated CBTE improves outcomes for anorexia nervosa - YouTube Thinking about this presentation we did with ⁦@sensinglorna⁩. It’s hard for people to share their experiences publicly, but it’s important to give hope to others who may feel hopeless piped.video/watch?v=fHsmGNiB…

@ScienceMagazine has a great short piece on something sailors have known for centuries, now filmed in treetops. During thunderstorms, strong electric fields can ionize the air around pointed objects, creating glowing plasma. On ships’ masts, we call it St. Elmo’s fire, named after the patron saint of sailors. The same phenomenon occurs at the tips of leaves and needles. What other invisible signals around us are we....and our “sophisticated” tools....just beginning to notice? And maybe is that why it feels so good to be in nature, especially after a storm? So much of our environment is sending out invisible biophysical signals that interact with our bodies. Read more here: science.org/content/article/…

Just recorded a conversation with my daughter & granddaughter about navigating a world full of sugar & UPF as a family, if your family struggles with this join us & many other speakers at IFACC 26 online 14 Nov just £17:50 includes recordings @lowcarbGP tinyurl.com/IFACC-2026-Ticke…

🥲🥲🤯 “I cannot think of anything else while this is hanging over my head…” —MIT MeToo hoax target David Sabatini pleaded with his supervisor Ruth Lehmann to give him a fair investigation, and it’s clear he was suffering. Little did he know that the fix against him was already in. Lehmann assured him there was no “pre-judgment,” but we know from texts and court depositions that Lehmann had already conspired with Knouse and others to bring him down. Their plan was to use the DEI survey as a “cover-up” to sink him. See documents below.

The deadline for submissions to the RCP on the Leng 'protocols' was 10 mins ago. Here is what I wrote in response: / @parthaskar @djnicholl @medicalmodelbri @DrAsifQasim

We learned nothing from the disastrous #OxyContin tragedy. Big Pharma/Venture Capital/Biotech startups are pouring billions prematurely hyping ketamine/psilocybin/MDMA. Long term efficacy unclear & safe only in highly controlled/very expensive settings. Result will surely be massive increase in very dangerous street use.

I’d like to petition a modern art museum to put this up as a social commentary Caption: “Calorie-Controlled”

One of the reasons I focus so much on dietary carbohydrates is that no nutrient in the blood is as volatile as glucose. It can climb sharply within minutes of a meal and fall just as quickly. And as much as the blood sugar spike after a meal gets most of the attention, when it comes to hunger, the drop that follows may matter more. In a study of more than a thousand people wearing continuous glucose monitors, researchers looked at what happened to blood sugar in the hours after eating and how hungry people felt afterward. The size of the spike wasn't the best predictor of hunger. The dip was. Some people's glucose rose after a meal and then settled back to where it started. Others rose and then fell below their starting level about two to three hours later. That second group, the "big dippers," got hungrier sooner, ate their next meal earlier, and took in more calories over the rest of the day. This helps explain a common experience. Someone eats a breakfast of cereal, toast, or a pastry, feels fine for a while, and then by mid-morning is hungry again and looking for a snack. It isn't a lack of willpower. Their blood sugar went up quickly and then came down below where it began, and the body responds to that drop by pushing them to eat. It also shows why the same meal can affect people so differently. One person's glucose barely dips after a bowl of oatmeal, while another's crashes. This is one more reason a glucose monitor is so useful. It shows not only how high a meal sends your glucose, but how far it falls afterward. Meals built around protein and fat, with fewer refined carbohydrates, tend to produce a smaller rise and a gentler return, which means less of a dip and steadier hunger. If someone keeps feeling hungry a couple of hours after eating, it's worth looking at whether that meal is sending their blood sugar up and then down below where it started.

Absolutely right. Bill Kirkup is a colleague of the highest integrity, bravery and insight. He never flinches from objective analysis and unfailing compassion.

THIS is the question. Let me take it one step further. Your most loved one is due to have surgery. You have a choice as to who 'puts them to sleep for the procedure'- and then 'wakes them up'. 1. It's either a trained Anaesthetist aka a Doctor 2. Or a Physician Assistant in Anaesthesia aka Not a Doctor The answer to me is obvious. Not in bazillion years should it be number 2. If you @NHSEngland @NHSE_WTE actually believe in 'Informed Choice'? Inform them properly- not dupe them with made up titles. What a two tier system we have descended to. I repeat- do NOT do to others what you won't do to your loved ones.

The answer to a shortage of Anaesthetists is ……… Invest in the training of Anaesthetists so that we have more of them Problem solved . Why should we ‘rely’ on undertrained fake anaesthetists ?

The facts are : If patients were told that their ‘ anaesthetist ‘ for the day would be a PAA rather than a qualified Dr anaesthetist….. many patients would refuse and ask for a real anaesthetist. I would .

Dr Kirkup’s detailed submission is an essential read for anyone interested in the truth.

"Cliff-edged fitness functions increase the risk of maladaptive outcomes. In this example, directional selection for higher values of the trait tends to shift the trait distribution toward the fitness optimum. As a result, some individuals may overshoot the optimal trait value and experience a substantial fitness loss." Evolutionary Psychopathology, A Unified Approach. Dr. Macro Del Giudice

If you are on the fence on this issue, please read Dr Kirkup’s full submission to the Health Select Committee. It lays the truth out very clearly - and Baroness Amos and the expert advisors who allowed this to happen without speaking up - should be ashamed. 5/5 committees.parliament.uk/pub…

Yvette Cooper I would like your personal response statement to this case. Account for the NHS action here…. A person tries to highlight failings and the NHS spend £11 million to try destroy him. How many hip replacements or essential operations could we have provided for this money wasted…. Which Trust chief exec are you going to sack for this incompetence? @YvetteCooperMP @DHSCgovuk @KemiBadenoch @andyburnham

University administrators treat admitting even a small oversight as an existential threat. Once they take a position, the bureaucratic incentives and legal advice they receive tell them to defend it indefinitely. They see any small acknowledgment as an opening for more scrutiny, more liability, and questions about their own judgment. Their lawyers reinforce the same instinct to concede nothing. They believe they can wait out public outrage. Their PR teams advise them that attention will move on. Even when civil lawsuits expose unlawful conduct inside a university, administrators have no reason to change if they expect to retain their positions, control their institutions, and maintain their influence across academia. Their networks extend beyond any single university. They protect one another and promote one another. MIT president Sally Kornbluth’s friends at Duke somehow landed highly paid administrative jobs around Boston after she became MIT president. Those relationships and the networks connecting university administrations may form through the tight bonds administrators develop by holding these positions together during scandals, even when they know something was really wrong. They demand scrutiny, but they remain completely off the radar. When the same people oversee scandal after scandal and continue advancing, their experience tells them that defending their decisions and protecting themselves and their friends works. These scandals will not be resolved from within when the people responsible for addressing them have careers and relationships invested in preventing accountability. Outside funding sources need to demand meaningful consequences, including termination and criminal accountability where laws have been broken. Until that happens, they will keep assuming they can get away with it.

Important from Sarah

Most frequent mistakes treating "Borderline Personality Disorder": 1)Diagnosing it in teenagers/people with transient & situational problems/substance users 2)Blaming/disliking the patient 3)Being pessimistic about outcome 4)Overmedicating 5)Inappropriate/insufficient psychotherapy 6)Validating too much or too little 7)Neglecting practical problems & solutions 8)Not including family 9)Boundary violations Others?

That's why I don't think exercise after 50 should be only about building muscle. We also need force, speed, power, weight-bearing work and, when appropriate, some impact. Your bones are just as important for longevity as they are for locomotion. howardluksmd.substack.com/p/…

There were 39 people in Sabatini Lab when it closed in 2021, including 21 postdocs & graduate students Closure affected these researchers, disrupted their careers, some left academia They were also victims of Kristin Knouse's defamatory acts apps.bostonglobe.com/metro/i…