No need to wait until September: We’ve identified the causes of autism and even some of the environmental chemicals interacting with autism genes involved early fetal neurodevelopment during pregnancy
Posts by Michael Boivin
New Acute Migraine Management Guidelines:
- Triptans combined with NSAIDs (e.g., sumatriptan + naproxen) offer the highest net benefit
- Triptan + acetaminophen is also beneficial.
- Monotherapies are effective, but less so than combination therapy.
www.acpjournals.org/doi/10.7326/...
Great review from JAMA on Iron deficiency in Adults. Great topic with very little CHE on the topic. jamanetwork.com/journals/jam...
#CardiacRehab #ESCPrev2025 #CVprev
Smoking Cessation key component but how do we do it correctly?
Study used Motivational Intervention had better cessation rates 🆚 control group
✨ NNT=4
✨ ⬇️ ASCVD events
Such an important study of what we can do in CR!
@escardio.bsky.social
Evidence based on the literature for various traits and disorders
How do GLP-1 drugs affect cognitive and mental health disorders? A comprehensive review www.nature.com/articles/s44...
New Liver disease review on MetALD. Nice review if you are interested in metabolic and alcohol-related liver disease
MetALD: Clinical aspects, pathophysiology and treatment - JHEP Reports www.jhep-reports.eu/article/S258...
Assessment and management of frailty in individuals living with dementia: expert recommendations for clinical practice - The Lancet Healthy Longevity www.thelancet.com/journals/lan... #frailty #dementia
Psoriatic Arthritis and comorbidity management - Quick review of expert care of patients with PsA.
academic.oup.com/rheumatology...
New Rheumatology guideline on Sjogren Disease - Wicked condition for affected patients, for my specialty colleagues, worth a quick read.
academic.oup.com/rheumatology...
MASLD pharmacotherapy review - If you are interested in learning more about the new treatments for MASLD, MASH and fibrosis, there is a great review at:
www.nature.com/articles/s41...
#MASLD, #NAFLD, #MASH
Redefining obesity. It is time.
📏BMI is NOT a direct measure of fat
📏BMI does NOT establish the distribution of fat
📏BMI cannot determine with excess fat is a health problem
@thelancet.bsky.social
Lancet Commission
📎 www.thelancet.com/commissions/...
New diabetes in pregnancy study of oral antihyperglycemic agents vs. insulin. Insulin is still king when looking at large for gestational age measurement.
jamanetwork.com/journals/jam...
Physical activity and weight loss - Common question at this time of year. Moderate weight loss for aerobic exercise. Key findings:
- Each 30-minute increase in weekly aerobic exercise leads to measurable reductions in weight, waist circumference, and body fat.
jamanetwork.com/journals/jam...
COPD Non-Pharm Recommendations - Nice review of infection prevention, nutrition, physical activity and smoking cessation. Commonly missed with these patients. hashtag#COPD
journals.lww.com/ijom/fulltex...
New Alzheimer's Disease Guideline - 19 recommendations for clinicians. Includes recommendations for primary care clinicians as well. #Alzheimer's #guideline
alz-journals.onlinelibrary.wiley.com/doi/10.1002/...
Figure. Antibody Responses Among Immunocompromised Adults Following Respiratory Syncytial Virus (RSV) Vaccination
While immunocompromised individuals had a heterogeneous antibody response to RSV vaccines, those who received the adjuvanted RSVPreF3-AS01 vaccine showed better neutralization.
ja.ma/4iVzJzy
E-cigarettes are likely safer than combustible tobacco, but not safe. Increasing evidence of harm. This article reviews the CVD risk with e-cigarettes. #smokingCessation #tobacco
www.wjgnet.com/1949-8462/fu...
E-cigarettes and oral health - Although safer than combustible tobacco, there are risks with e-cigarette use. Increased periodontal disease, dental caries, oral mucosal lesions and teeth staining. #e-cigarettes
doi.org/10.3390/dj12...
Managing GLP-1 RA GI-related adverse effects - Common question, new review. Some new tips for your patients. #diabetes, #obesity, #GLP-1RA
www.dovepress.com/dietary-reco...
Pediatric influenza vaccine effectiveness Study - We know that 6 months to 5 years is a high-risk group of influenza-related complications. The vaccine reduced the risk of ED visits, noncritical and critical influenza by about 50%. Really supports use in this group.
jamanetwork.com/journals/jam...
New Long COVID Data - MMWR published today that 1 in 5 Adults experiencing long COVID had major limitations on their ability to perform daily functions. In this survey 6.4% of US adults were reporting they had long COVID when surveyed.
www.cdc.gov/mmwr/volumes...
Dysplipidemia manage - "Lower is better for longer and the earlier the better"
rdcu.be/d33UT
The Role of Primary Care in Achieving Life’s Essential 8: A Scientific Statement From the American Heart Association
www.ahajournals.org/doi/10.1161/...
Just a reminder that iron deficiency is incredibly common
jamanetwork.com/journals/jam...
And reference intervals are garbage.
Join us at 2pm today #ASH24 in SDCC room 11 #ChoosingFairly to learn how you can work to change that!
Genital herpes is a common sexually transmitted infection caused by herpes simplex virus (HSV).
This JAMA Patient Page describes genital herpes and its symptoms, diagnosis, treatment, and prevention measures.
ja.ma/498JfLi
Mpox is a self-limited viral infection primarily spread through skin contact, but poses significant risks for the immunocompromised.
by Titanji BK, Hazra A and Zucker J in JAMA #MedSky
📖 read the article:
Smoking decreases vaccine immune response - As if we need another reason to quit, smokers have a 48% higher risk of diminished immune response to vaccines (especially COVID-19 and Hep B)
www.mdpi.com/2076-393X/12...
New review of Iron Status during pregnancy: They recommend screening during pregnancy www.sciencedirect.com/science/arti...