He was born with a gift of laughter and a sense that the world was mad(c)🎭 #povidkypraktika 🩺 #medtwitter #🇪🇺https://nitter.cf/t.co/0C0rLvRWfK 🐈 owner. Btw, La belle époque is ☠️

EU
Joined February 2022
Dymkó Křepelka retweeted
15 supplements backed by human studies: 1. Creatine 2. Protein powder 3. Psyllium husk 4. Omega-3s 5. Melatonin 6. Magnesium 7. Curcumin 8. Berberine 9. Taurine 10. Collagen 11. Ashwagandha 12. Aged garlic extract 13. NAC 14. Vitamin K2 15. Glycine
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Dymkó Křepelka retweeted
El último Consenso de la ADA y EASD 2026 para el manejo de Diabetes tipo 2. Puntos clave: 🔵 La metformina ya no es siempre el primer paso. Casi siempre se recomienda un iSGLT2 o aGLP-1, independiemente de la Hba1c. 🔵 En ECV, ERC o IC: usa temprano iSGLT2 + GLP-1 🔵 En ERC el iSGLT2 es la base (continua aunque baje la tasa de filtración). Si hay albuminuria: usa Semaglutida y Finerenona. 🔵 Metas: HbA1c de 6.5–7% en la mayoría y ≤6.5% si debutó antes de los 40 años. Si hay monitoreo continuo, meta en rango (70–180 mg/dL): >70% 🔵 En diabetes refractaria, considera buscar hipercortisolismo (hasta 25% de los pacientes).
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Dymkó Křepelka retweeted
Airbnb deletes negative reviews so everything is always 4.7 Google Maps removes negative reviews in many countries as defamation so everything is always a 4.7 Booking sites want you to book so will also happily remove negative reviews for their hotels so everything is always a 4.7 I made a site called Hotelist.com (or HotelList.com whatever you prefer, I have both!) It gets ratings from all booking platforms, normalizes them to show the actual score (eg a booking site where most hotels are always between 4 and 4.7 means you can normalize that to a 0 and 5) It also uses AI vision models to rate hotels based on how they look And it browses the internet for actual experiences (think blogs and Reddit posts) to get the real opinion about them outside reviews And it's starting to work, I just stayed in this beautiful boutique apartment hotel called Woo Suites in Athens for $400/night. Clean, nice minimalist interior, working cold AC, central, excellent staff, great healthy breakfast, and we found it through Hotelist! It's free, I don't make any money on it (actually I lose thousands per month on it to collect data via APIs and web scrapers) and there's no affiliate money bs like other booking sites (they will increase ranking of hotels if they pay sites a higher commission!) Hotelist.com Tell your friends please!!!!!! 🙏
How can a guy like this have 4.7 STARS??? He was trying to hold me hostage for a good review. 💀 I wonder if any guest actually got their money back after the review. 🥀 Im usually really nice and understand a lot. But this goes to far. I think I have to report this.
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Dymkó Křepelka retweeted
De los más relevante en Medicina de las últimas semanas. Dejo los links debajo. 1) TRIUMPH-1 Trial (Retatrutida, agonista triple para obesidad) en NEJM 2026 2) Guías 2026 EASL-EASD-EASO para uso de Resmetirom y Semaglutide en MASH y MASLD (alias “hígado graso”) 3) Consenso Español VI de tratamiento para Helicobacter pylori 4) Meta-análisis de antidepresivos y eventos cardiovasculares y prolongación del QT 5) Guía perioperatoria  AHA/ACC 2026 6) EloraTZP Trial (eloralintida + tirzepatida) en DM2 con obesidad 7) Guía AGA sobre enfermedad hepática metabólica asociada al alcohol (metALD) 8) Eje aldosterona–receptor mineralocorticoide en el síndrome cardiovascular-renal-metabólico - Nature (2026) 9) Guía ADA y EASD 2026 para manejo de diabetes tipo 2 - Diabetología 2026
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Dymkó Křepelka retweeted
Společnost: Co bychom tak mohli udělat, aby ženy víc rodily? Ženy: No mně by třeba pomohlo hlídání, abych mohla pracovat nebo si občas odpočinout Společnost: Tak to ne, ne z mých daní, to je komunismus! Hlídat má snad babička ne?! Tak zrušte i školky, to je taky z vašich daní
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Один препарат,який покращує моторику кішківника, викликає покращення лактації Отак
Оце в людей буде шок, коли вони дізнаються про практику "off label" лікування, коли ліки застосовуються не за прямим призначенням, а заради певного конкретного (побічного) бажаного ефекту.
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Replying to @vtomlenanyrka
Моє улюблене - психіатр + УЗД та психіатр + трихолог🫠
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Dymkó Křepelka retweeted
зараз наштовхнулась на акаунт дівчини, яка на половину саудитка, приїхала на навчання в Україну (мама українка), залишилась тут, подалась на біженство, порвала відносини зі своїм батьком хардкор ісламістом, освідчилась своїй дівчині і працює та живе в Україні
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Dymkó Křepelka retweeted
Polymarket
@Polymarket
Oct 2
JUST IN: Israeli right-wing opposition party accuses Netanyahu of being “pro-Palestine” in new election ad.
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Dymkó Křepelka retweeted
GLP-1 drugs have been about as close to magic as metabolic medicine gets, and the kidney is now firmly on the list. FLOW showed the hard outcomes, and this study shows how.
Direct benefits of semaglutide/GLP-1 on the kidney in patients with Type 2 diabetes and chronic kidney disease, a placebo-randomized mechanistic trial. Reduction of inflammation and prevention of fibrosis. nature.com/articles/s41591-0…
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Dymkó Křepelka retweeted
novonordisk.com/news-and-med… Semaglutide reduced liver fat to normal levels in 9 out of 10 adults with obesity and excess liver fat #EASD2026
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Dymkó Křepelka retweeted
"Semaglutide treatment associated with a significantly reduced renal artery resistive ...indicating prevention of fibrosis progression"
Direct benefits of semaglutide/GLP-1 on the kidney in patients with Type 2 diabetes and chronic kidney disease, a placebo-randomized mechanistic trial. Reduction of inflammation and prevention of fibrosis. nature.com/articles/s41591-0…
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Dymkó Křepelka retweeted
You train to protect your mitochondria from aging. And it works. Exercise preserves mitochondrial energy production into your 90s. But a 2025 study by @GGouspillou and colleagues reveals there's a second mitochondrial function that declines with age no matter how much you exercise. Gouspillou and his colleagues at Université du Québec à Montréal divided 139 men aged 20 to 93 into active and inactive groups. They measured physical performance, muscle composition, and three critical mitochondrial functions: energy production, free radical generation, and calcium handling capacity. The conventional wisdom says mitochondria wear out with age, becoming a leaky metabolic engine that produces more oxidative stress and becomes less capable of taking nutrients and converting them into ATP. Direct measurement across 73 years of aging shows that's not necessarily correct. Mitochondrial energy production stayed completely stable in active participants from their 20s through their 90s. A 90-year-old who stayed active had mitochondria that produced energy like a 20-year-old. Inactive individuals showed declining energy production, but it tracked with how little they moved, not how many years they'd lived. When normalized to mitochondrial content, the differences disappeared entirely. The study suggests that aging doesn't break energy production. Physical inactivity reduces how many mitochondria you maintain. Each individual mitochondrion works just as well at 90 as at 20. Free radical production, blamed for decades as an aging driver, showed no increase with age. Active participants actually produced more free radicals than inactive individuals while displaying superior strength and performance. The free radical theory of muscle aging didn't hold. The study had some interesting headlines: • Physical activity protects performance across the lifespan but doesn't completely prevent age-related decline • Mitochondrial energy production depends on activity level, not chronological age • Free radical production remains stable with aging and reflects mitochondrial health, not damage • Mitochondrial calcium handling capacity drops sharply after age 60 in both active and inactive individuals • Reduced calcium handling correlates with lower muscle mass, strength, and performance • Deterioration accelerates dramatically after 60 rather than declining gradually The calcium handling finding represents the first mitochondrial function that deteriorates with aging regardless of exercise. Mitochondria normally act as calcium buffers, absorbing excess calcium to keep cells functioning properly. When this buffering capacity fails, a protective channel called the permeability transition pore opens too easily. Think of it like a circuit breaker that's supposed to trip only during emergencies but starts tripping at lower and lower thresholds. When the pore opens prematurely, stored calcium floods back into the cell, triggering a cascade of damage. This calcium release activates pathways that break down muscle protein faster than the body builds it back up. It generates bursts of oxidative stress that damage cellular components. It releases mitochondrial DNA that the immune system mistakes for bacterial invasion, triggering inflammation. Each pathway drives muscle loss without requiring energy failure. The mitochondria still produce ATP normally. They've just lost the ability to prevent calcium from activating destructive programs that eat away at muscle tissue. The study measured calcium handling by exposing muscle mitochondria to calcium loads and tracking retention. Both active and inactive participants showed declining capacity, but the pattern matters. Calcium handling remained relatively stable from ages 20 to 60, then dropped sharply after 70. Calcium retention capacity correlated with thigh muscle mass, knee strength, walking distance, and mobility performance. It also correlated with GDF15, a stress molecule that rises with aging and predicts worse health outcomes. This suggests calcium handling directly influences muscle health and systemic aging markers. Physical activity protected functional performance. Active participants outperformed inactive individuals on strength and mobility tests across all age groups. But both groups showed age-related declines. Exercise delays deterioration but doesn't eliminate it. Muscle fiber composition revealed how activity and aging affect muscle differently. Active young adults had more type I endurance fibers that stayed stable across decades. Inactive individuals showed fiber type changes suggesting nerve disconnection from muscle that active individuals avoided. Intermuscular fat, the marbling that accumulates in muscle tissue, increased with aging in both groups. But physical activity provided protection in later decades. Older active individuals had less fat infiltration than older inactive individuals, though the protective effect only emerged after years of consistent activity. The implications challenge decades of research direction. Drug development targeting mitochondrial energy production in aging muscle produced zero effective treatments. This study suggests those efforts addressed the wrong problem. Energy production itself doesn't decline with healthy aging. Calcium handling deterioration appears to be the actual mechanism driving muscle loss. Restoring calcium buffering capacity or preventing the permeability transition pore from opening prematurely may represent more effective intervention points than trying to boost energy production or mitochondrial numbers. There are some limitations that stand out when you read the paper: First, only men participated. So findings may not apply equally to women. Participants were relatively healthy community-dwelling adults, not people with severe muscle wasting. The design prevents establishing whether calcium handling failure causes muscle loss or just accompanies it. With that being said, the data fundamentally reframe what aging does to muscle. Energy failure on per mitochondria level isn't the driver in healthy aging. Inactivity reduces mitochondrial numbers while aging leaves energy production intact. The exception, calcium handling deterioration occurring regardless of activity, appears to be where aging actually operates.
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А ще, коли перший помре, у спадок залишаться колекція платівок класичного металу вартістю в пів-квартири. А коли помре другий - іпотека на бігові кросівки із космічних матеріалів
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Dymkó Křepelka retweeted
💉 Petrelintide, a long-acting amylin analog, now has published phase 2 data in adults with obesity (ZUPREME 1) ⬇️ Mean % weight loss up to 10.7% in 42 weeks (efficacy estimand/on drug), vs 1.7% on placebo 📊 A notable datapoint in the study is the gastrointestinal tolerability profile. 19.6% nausea 7.4% diarrhea (similar to placebo) 3% vomiting (lower than placebo group) 1.5% discontinued due to GI side effects Lancet publication: thelancet.com/journals/landi… Also presented this week at EASD
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Dymkó Křepelka retweeted
1864: Pasteurisation invented 2026: Kids nearly die after being given raw milk We are going backwards as a species
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11. А проблема 🇺🇦🇰🇷 відносин полягає в тому, що сторони не розуміють, що кожна думає про саму себе. 12. Наприклад корейці не сприймають 🇰🇵 як на загрозу. Вони бачать їі переозброєння, дрони і все таке інше, але уявити напад з їхнього боку не можуть. ->
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Dymkó Křepelka retweeted
Španělsko ode dneška zakázalo řízení elektronických koloběžek a dalších podobných prostředků lidem mladším 15 let.
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Dymkó Křepelka retweeted
Ještě k Mounjaru a jemu podobným "lékům na hubnutí". Pacientka, kterou ortoped nechtěl vzít na operaci náhrady kyčelního kloubu, dokud nezhubne. Ona už prakticky na vozíku, nebo o berlich. Tedy pohyb možný nebyl. 10 kg zhubla, je po operaci a začne rehabilitovat. 👍
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