Dr RR Baliga's "Got Knowledge Doc" Podkast

🥖 Not all carbs are created equal — or digested the same! A new study shows glycemic responses vary wildly by individual 🍚🥔🍞🍇 Your microbiome, metabolism, and ethnicity all matter! Precision nutrition is the future 🔬🧬📊 #GlycemicResponse #CGM #NutritionScience #T2D 🍽️

🧬 A new epigenetic clock predicts your functional age — not just birthdays! 🕰️ Built from 91 CpGs, the IC Clock outperforms GrimAge & others at predicting mortality 💪 Linked to T-cell health, 🫁 lung function & 🐟 omega-3 intake 📖 Nature Aging: https://doi.org/10.1038/s43587-025-00883-5 #Aging #Epigenetics #Longevity #Immunosenescence Doximity

🥜 Daily almonds = big wins for metabolic health! ✅ ↓ LDL & total cholesterol ✅ ↑ Vitamin E (α-tocopherol) ✅ ↓ Gut inflammation (calprotectin, MPO) ❌ No change in systemic inflammation or weight Crunch wisely, live heart-smart! ❤️🧠 #Nutrition #MetabolicSyndrome #RCT #Almonds #GutHealth

🧪 Can we turn back the clock? A new RCT shows TPE + IVIG reversed biological age by 2.6 years in older adults! 🔄🧬 ✅ Boosted naïve T cells ⚠️ Small sample, no clinical endpoints 🔍 Personalized markers predict response #Aging #LongevityScience #Epigenetics 🧓📉✨

🥗 New study in Nature Food: Greater diversity of flavonoid intake—not just quantity—linked to ↓ risk of death, diabetes, heart disease & more 🌈🍇🍵 Eat the rainbow daily: apples, tea, berries, citrus, greens = longevity boost 💪🧬 #Nutrition #Longevity #Flavonoids

Marcus Aurelius (121–180 CE), a Roman emperor and prominent Stoic philosopher, ruled from 161 to 180 CE. As the last of the Five Good Emperors, his reign marked the end of the Pax Romana, a period of relative peace in the Roman Empire. Known for his military campaigns against Parthians and Germanic tribes, he also endured the devastating Antonine Plague. His philosophical reflections, compiled in Meditations, offer insight into Stoic ethics and personal leadership. Marcus was succeeded by his son Commodus, whose rule marked a decline in Rome's stability. His legacy endures in both historical and philosophical contexts.

🩸 New JCI study reveals how RBC-derived EVs 🧬 in #Type2Diabetes sneak into endothelial cells 🧫, delivering arginase-1 & sparking oxidative stress 🔥—a hidden cause of vascular dysfunction. Blocking EV uptake = 💡 new therapy? 📖 https://doi.org/10.1172/JCI180900 #CardioTwitter #Diabetes #VascularBiology

Big shift in Alzheimer's care! We can now predict it years in advance using 🩸 biomarkers like p-tau217, 🧬 genetic risk, & 🤖 AI-analyzed retina scans. Prevention = lifestyle 🥦🏃‍♂️💤, vaccines 💉, & maybe GLP-1s 💊. Why wait to treat when you can PREVENT? 🔍 #Alzheimers #PrecisionMedicine #AI

🧬 Did you know your blood cell metabolism could fuel heart disease? 🔁 Disrupted haematometabolism = more inflammation, less cleanup 🧹 Efferocytosis fails → plaques grow 🧠 Aging + CHIP mutations = 🔥 risk 🥗 Fix it with fasting, fitness & future therapies! #CardioTwitter #MedEd #Haematometabolism ❤️

🧬 The microbiome is medicine's next frontier! From Fecal Transplants 💩 to probiotics 🦠, diagnostics 🔍 to designer bugs 🧪—we're decoding disease, predicting treatment, and redefining care. But challenges remain. 🎙️ Dive into the FAQs with Got Knowledge Doc! #Microbiome #GutHealth #MedTwitter 🚀

📢 New from the SOUL trial! 💊 Oral semaglutide cuts heart attack risk in T2DM 🫀 but shows no benefit for stroke 🧠 or kidney disease 🧫. A win for adherence, a push for CKM integration! 🔄💡 #Diabetes #Cardiology #NEJM #CKM #GLP1RA @doximity

🏌️‍♂️⛳ Living near golf courses may increase Parkinson's risk! 📊 Case-control study: Risk highest within 1–3 miles 💧 Contaminated groundwater & pesticides likely culprits 🧠 aOR up to 2.98 for 6 miles! 📉 Risk ↓ 13% per mile after 3 miles 🔗 [JAMA 2025] #Neurology #Parkinsons #EnvironmentalHealth #GolfRisk @doximity

🚨 BREAKING: Sotatercept cuts risk by 76% in advanced #PAH! 💉 Targets activin signaling 🫁 Fewer deaths, transplants & hospitalizations 📉 HR 0.24 | Trial stopped early for efficacy ⚠️ Epistaxis, ↑Hgb, telangiectasia noted 🔬 A new era in pulmonary hypertension care! #ZENITHTrial #CardioTwitter 🫀📊 @doximity

🚨New COPD diagnosis alert!🫁 A multidimensional schema using CT 🖼️ + symptoms 😮‍💨 + spirometry 📉 identified high-risk patients missed by GOLD! 📈↑Mortality (HR 1.98) 📉FEV1 decline (–7.7 mL/y) 📊 Reclassified 15% w/o obstruction as COPD! 👉CT matters. #PulmTwitter #COPD #MedTwitter @doximity

🚨 New data! In the KARDIA-2 trial, 🧬 zilebesiran—an RNAi therapeutic—cut SBP by up to 12 mmHg when added to common antihypertensives 💊. One shot, 6 months of BP control! 📉 Promising for poor adherence. Mild AEs. #Hypertension #Cardiology #RNAi 🌍【JAMA 2025】

🧬 Big win for longevity! A Nature Aging study shows that combining 💊 trametinib + rapamycin extends lifespan, reduces tumors, and tames inflammation in mice 🐭🔥 Dual geroprotectors = additive benefits without added toxicity 🛡️🕰️ Future of anti-aging? Watch this space 👀 #Aging #Longevity #Geroprotectors #Science 🧪 @doximity

🧠💉 New Lancet study (OPTIMISTmain) shows low-intensity monitoring after thrombolysis in mild strokes may be just as safe as standard care! 💤 Less sleep disruption, 🧑‍⚕️ lighter nursing load, ⚖️ similar outcomes. Could this change global stroke care? 🌍🏥 #Stroke #Thrombolysis #OPTIMISTmain #Neurology

🚨New A2B Trial in JAMA! Can 🧪dexmedetomidine or clonidine beat 💉propofol in sedating ICU patients on ventilators? ❌ No faster extubation ⚠️ More bradycardia & agitation ⚖️ Similar mortality Verdict: No clear winner—tailor sedation to patient needs 🛌👨‍⚕️ #CriticalCare #ICU #SedationTrial

🚨🧠 BREAKING: Tenecteplase before thrombectomy boosts chances of stroke recovery! 💉 Faster reperfusion 📈 Higher functional independence (mRS 0–2 at 90d: 52.9% vs 44.1%) ⚠️ Slight ↑ in sICH, but no major safety red flags 🧪 #BRIDGE_TNK trial rewrites the stroke playbook! #Stroke #Tenecteplase #NeuroTwitter

Nāgārjuna (c. 150 – c. 250 CE) was an Indian Buddhist monk and philosopher, regarded as the founder of the Madhyamaka (Middle Way) school of Mahāyāna Buddhism. His most famous work, Mūlamadhyamakakārikā (Root Verses on the Middle Way), presents the concept of śūnyatā (emptiness) and the two truths doctrine, emphasizing dependent origination and rejecting inherent existence. Nāgārjuna's philosophy has profoundly influenced Mahāyāna thought and continues to shape Buddhist studies and practice today.

📢 New RCT in Nature Medicine 🎯 Can zapping low-voltage areas (LVAs) reduce AF recurrence after PVI? 🔬 SUPPRESS-AF Trial 👥 342 pts with persistent AF 📉 1-yr AF/AT-free: 61% (PVI+LVA) vs 50% (PVI) ❌ Not statistically significant 🧠 Subgroup benefit in high-risk pts #EPeeps #AFib #CardioTwitter 🫀

🧠💪 Can blood biomarkers of Alzheimer's predict who'll lose muscle strength with age? In a 12-year study, higher p-tau, NfL & GFAP levels forecasted faster decline in grip & leg power — even before dementia onset. 🧬🪑✊ #Aging #Alzheimers #Sarcopenia #Biomarkers #Longevity

📉 New JAMA study tracks U.S. #SedentaryBehavior from 2013–2023: 🪑 Sitting time fell from 7.1 to 5.9 hrs/day pre-COVID 🦠 But plateaued post-pandemic at 6.0 hrs/day 🚶‍♀️ Progress stalled—time to get moving again! #PublicHealth #NHANES #PhysicalActivity 🏃‍♂️📊🛋️

🐒 New study finds no disorganized attachment in wild chimpanzees! 🧠 Only secure & avoidant types observed—just like humans, but without the trauma. 🌿 Evolution favors calm, connected bonds. 📍Taï National Park, Côte d'Ivoire 🔗 Nature knows best. #PrimateScience #AttachmentTheory #Chimpanzees

💡World's tiniest pacemaker—smaller than a grain of rice! 🫀Leadless, wireless & bioresorbable 🔦 Powered by NIR light 🧬 Perfect for post-op pacing & TAVR 🌱 No wires, no scars, no removal! #MedTech #Cardiology #Bioengineering #Innovation @Nature

Cutting cysteine = 🔥 30% weight loss in 7 days! 🧬 Triggers stress pathways (ISR/OSR) ❌ CoA & glutathione drop 🔥 Browning fat, futile cycling, energy drain 💡 Reversible & promising for obesity research! #Metabolism #Obesity #AminoAcids #Science 🧪⚖️🧠

🚨 TAVI Trials Update! 🆚 COMPARE-TAVI 1: 🇮🇳Myval = 💪SAPIEN 3 in safety & efficacy 🆚 ACURATE IDE: ACURATE neo2 ❌not non-inferior to 💥SAPIEN/EVOLUT 📊 Valve wars intensify! #TAVI #HeartValve #Cardiology 🫀

🌶️ Not all chili heat is created equal! Scientists found hidden compounds—like capsianoside I & roseoside—that cool the burn without changing flavor 🔬❄️ Your next spicy dish might be hot… but not hurt. #FlavorScience #Capsaicin #TRPV1 #FoodTech 🍽️🧠🔥

📊 New study shows Topological Flow Data Analysis (TFDA) 🌀 detects early cardiac dysfunction in childhood cancer survivors—before LVEF or strain drop! 🔍 A game-changer in cardio-onc surveillance. #CardioOncology #TFDA #EchoRevolution

📉 Mucus plugs matter! In COPD, persistent or new plugs accelerate FEV₁ decline 🫁💨 🖥️ CT imaging tracks their impact 🚬 Smoking worsens the hit 👉 Clear the plugs, preserve the lungs! #COPD #LungHealth #NEJM #FEV1 #Pulmonology

🩺 New hope for #ResistantHypertension! A 12-week RCT 🇰🇷 shows 💊 amiloride is noninferior to spironolactone in lowering SBP 📉 Fewer side effects, similar BP drop! But spironolactone may still reign 👑 for organ protection 🫀🧠 🧪 #Hypertension #Cardiology #JAMA2025

🧬✨ A baby with deadly CPS1 deficiency (which results in elevated ammonia levels) gets a custom-made gene edit—delivered by lipid nanoparticles—in just 6 months! 🚀 Ammonia levels down, no hospitalizations, and hope up. N-of-1? More like Future-of-Many. 💡👶🔬 #GeneTherapy #PrecisionMedicine #RareDisease

🚨 New framework alert! Systemic Metabolic Disorder (SMD) gets a clinical staging makeover 🧬 From reversible risks 🌱 to systemic damage 🔥—this EAS consensus guides timely, targeted care 🎯 #MetabolicHealth #Cardiology #PrecisionMedicine #SMD 🩺📊

Pyrrho of Elis (c. 360–270 BCE) was an ancient Greek philosopher and founder of Pyrrhonism, a school of philosophical skepticism. He advocated for epoché (suspension of judgment) as a path to ataraxia (peace of mind). Influenced by his travels to India with Alexander the Great, Pyrrho believed that nothing could be definitively known and that by refraining from beliefs, one could achieve tranquility. His teachings laid the foundation for later skeptical thought in philosophy and medicine.

🧬 New hope for lipid warriors! Solbinsiran (siRNA) slashed apoB 🩸, TGs 🍟, LDL-C 💔 & liver fat 🫀 in just 205 pts with mixed dyslipidaemia. Safe ✅ Durable ✅ Quarterly dosing? Maybe ✅ Let's talk outcomes! 🎯 #PROLONGANG3 #RNAtherapy #CardioTwitter #LipidLowering

🧔‍♂️ Prostate cancer is the most common cancer in US men. 🧪 PSA testing? 🔍 It's all about shared decision-making. 🧬 From Gleason scores to PSMA-PET, precision reigns. 💉 ARPIs & ADT = survival gains in advanced disease. ⚖️ Screen smart. Treat right. Save lives. #ProstateCancer #MensHealth #Oncology 🧠💪

🚨 New frontier in lipid-lowering! 🧬 Blocking ANGPTL4 with MAR001 slashed triglycerides & remnant cholesterol by >50% 🛡️ Safe, well-tolerated, no lymph node issues 💡 Promising for residual ASCVD risk Next step? Big trials, big answers! 📊🫀 #LipidScience #CardioTwitter #PrecisionMedicine

Why do some people sleep just 4 hours and feel great? 😴💪 A new study links the 🧬 SIK3-N783Y mutation to natural short sleep! Less sleep, more delta power 🧠⚡ 🚀🛌 #SleepScience #Genetics #SIK3 #ShortSleepers

🫀 Post-op AFib? Blame IL-6! New @JClinInvest study shows IL-6 ➡️ STAT3 ➡️ CaMKII ➡️ RyR2 leak triggers post-op AFib. 🧬 Macrophage IL-6Rα is the match. 🧯 TTI-101 & KN-93 douse the flame. ⚡ Targeting IL-6 signaling = future Rx? #CardioTwitter #AFib #Inflammation #JCI

🥦🍎 Want to age like fine wine? Choose high-quality carbs! In a 32-year study of 47K women, fiber-rich carbs (from 🌾, 🥗, 🌱) boosted odds of healthy aging 🧠💪🧘‍♀️ Refined carbs? Not so kind. #HealthyAging #NutritionMatters #WomensHealth 🧬📊💚

🧠🫀🧫 New study in Nature Medicine shows that multiorgan MRI predicts both 💔 cardiovascular and 🩸 liver events. Cardiac (LVEF ≤50%) + Liver (cT1 ≥800ms) = 🚨 higher risk & earlier events. Integrated imaging = smarter prevention! 🔍📊 #Cardiology #Hepatology #MRI #MASLD #CVD

🚀 New Breakthrough in Liver Cancer! 🌟 The CheckMate 9DW trial shows that Nivolumab + Ipilimumab significantly improves survival in unresectable #HCC compared to lenvatinib/sorafenib! 🧬💪 #Immunotherapy #CancerResearch #LiverCancer #Oncology 💉

🧠💔 Atrial Fibrillation (AF) disrupts brain glymphatic function, leading to cognitive decline! 😓 Catheter ablation may help restore rhythm and brain clearance. More research needed! 📊 #Cardiology #BrainHealth #AF #Cognition 💡

🧠💡 New Insights! The brain isn't as "immune privileged" as once thought! 🌊🔄 Glymphatics & meningeal lymphatics reveal how the CNS clears waste & connects to immunity. 🦠 Aging & neurodegeneration challenge this balance. #Neuroscience #Immunology #BrainHealth 🧬🚀

🚦 Tricuspid Regurgitation (TR) Troubles! 💔 Despite promising interventions, recent trials show no survival benefit. Patient selection & procedural success are key! 📝 Focus on quality of life, not just longevity. #Cardiology #HeartHealth #TRManagement 💙

🌱💊 Unlocking the Power of Food! #NutritionDarkMatter holds 139,000+ molecules with therapeutic potential. 🍎 AI-driven research is paving the way for #PrecisionNutrition & innovative healthcare solutions! 🌟 #FoodAsMedicine #HealthRevolution 🚀

🚨 FAME 3 at 5 years: FFR-guided PCI 🛠️ vs CABG 🫀 in 3-vessel CAD — no difference in death/stroke, but more MI & revascularization with PCI ⚠️. Heart team matters 🤝. #CardioTwitter #FAME3 #Revascularization 🩺📊

Zeno of Citium (c. 334 – c. 262 BC) was a Hellenistic philosopher from Cyprus and the founder of Stoicism. His philosophy emphasized living in harmony with nature and practicing virtue to attain peace of mind (ataraxia). Zeno's teachings influenced ethics, logic, and natural philosophy, laying the foundation for Stoicism's prominence during the Roman era and beyond. Despite losing his original writings, Zeno's ideas survived through the works of later Stoics like Cleanthes and Chrysippus.

🚨 New from #FLAVOURII: Angio-FFR vs IVUS to guide PCI 🫀 🎯 Similar outcomes 📉 Fewer stents 🧠 Smarter decisions Is flow-based guidance the future? 🌍 #CardioTwitter #FFR #IVUS #Intervention 📰 Lancet 2025 | 📊 RCT | 🇨🇳 1839 patients

🚀 Tirzepatide Triumphs! 💪 In a head-to-head trial, #Tirzepatide led to greater weight loss (-20.2%) compared to #Semaglutide (-13.7%) over 72 weeks! 📉🌟 Superior waist reduction too! #ObesityManagement #WeightLoss #GLP1 #GIP 🩺💊 #CardiometabolicHealth #ClinicalResearch