in medicine, it's much more acceptable to do what is recommended than to do what is true 
Dan Ostermayer
ostermayer@primal.net
npub1gc64...uyek
physician
metabolic health maximalist
📚
co-sleeping
https://a.co/d/0itAvPV
the simple world
https://a.co/d/5u4BdMU
📚
abs are made in the kitchen.
discipline is made in the gym
just as AI is going to canibalize primary care where everyone has the insights to equal their "general doc", the AI powered self driving vehicle revolution is going to slowly eliminate motor vehicle accidents that provide the majority of volume at every trauma center
knowledge is the ability to do compression and then decompression on information in the world
knowledge is the ability to do compression and then decompression on information in the world
meat is nature's ozempic
https://onlinelibrary.wiley.com/doi/pdf/10.1002/oby.20154
A good summary of acetaminophen use during pregnancy. The evidence is definitely concerning
Not a slam dunk but the higher quality the study, the more likely it is to show an association.
Seems like there is probably a genetic component since sibling studies don't find an obvious association.
If you can avoid acetaminophen use especially when young or pregnant it seems like an obvious no brainer.

PubMed
Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology - PubMed
Our analyses using the Navigation Guide thus support evidence consistent with an association between acetaminophen exposure during pregnancy and in...
the nice thing about "longevity" influencers is that their theories will be tested in an absolute way with time.
just got around to watching the liver king documentary. he was right about a lot. its such a shame that his message is now attached to his personality and lies.
just got around to watching the liver king documentary. he was right about a lot. its such a shame that his message is now attached to his personality and lies.
we are almost at the point where very few people need a primary care doc to do anything other than order them labs.
The motivated patient who wants insights into their health just needs one large comprehensive baseline lab panel and access to an open source Ai model (i recommend kimi k2 or qwen2) to help interpret any of their results and guide them to correct any deviations from optimal health. Then yearly checks on subset of their labs to help check how their diet has impacted any issues.
Using an open source model without you account (right now via @Maple AI or @PayPerQ)
Ordering Docs right now serve as gatekeepers who will have to adapt to be experts in interpretation and guidance since their "knowledge" of human physiology is being widely and rightly distributed into the hands of the general public. One doc with the power of LLM tools can now help thousands of people manage their own health.
If you pair that doc with a telemedicine practice they can help a community far outside of their local geography.
this is my #politics


there certainly seems to be an exercise and fitness culture here on #nostr
if i could only do one exercise it would be the "L pull up" on rings


there certainly seems to be an exercise and fitness culture here on #nostr
if i could only do one exercise it would be the "L pull up" on rings
squatting is a key metric of healthy aging. it isn't about huge amounts of weight as it is full extension and flexion ability with body weight or a medium weight kettle bell.
should always be able to go to standing to full knee flexion with butt almost to the floor


Flex AI
Squat Performance as a Health Metric Across Age Groups | Flex AI
Learn how squat performance changes with age and what it says about your strength, mobility, and long-term health.
folic acid "fortified" bread, pasta, and cereal is detrimental to your health.
folic acid is not a form of folate that can be used by your cells.
Chronic high intake floods your system with unmetabolized folic acid, which:
-Masks vitamin B12
deficiency symptoms while allowing neurological damage to progress undetected
-Accelerates cognitive decline
-Increases colon cancer risk in people with pre-existing lesions
https://www.mdpi.com/2072-6643/15/21/4699


make your own tallow/lard lotion.
1. 2 tablespoons spoons leaf lard
2. 2 tablespoons tallow
3. heat in pot until liquid
3. few drops of you favorite essential oil.
4. pour into a small glass container and refrigerate until solid
make your own tallow/lard lotion.
1. 2 tablespoons spoons leaf lard
2. 2 tablespoons tallow
3. few drops of you favorite essential oil.
4. pour into a small glass container and refrigerate until solid


Many gut microbes break down carbohydrates (fibers, sugars) into short-chain fatty acids (SCFAs) and reduced electron carriers (like NADH).
To maintain redox balance, they dispose of excess electrons by producing hydrogen gas using enzymes called hydrogenases.
Key hydrogen producers in the gut:
-Bacteroides
-Clostridium (certain species)
-Enterobacteriaceae
Hydrogen does not just accumulate endlessly:
-Methanogens (archaea, e.g., Methanobrevibacter smithii) consume H₂ + CO₂ → CH₄ (methane).
-Sulfate-reducing bacteria (e.g., Desulfovibrio) consume H₂ + SO₄²⁻ → H₂S (hydrogen sulfide).
-Acetogens (e.g., Acetobacterium) consume H₂ + CO₂ → acetate.
This whole "hydrogen economy" of the gut allows us to maintain balance in an ever oxidizing world
unfortunately taking "antioxidants" has never shown to create any meaningful clinical outcomes.
this is probably because the antioxidant must be oxidized in order to donate a hydrogen ion to an existing molecule in the body that has been radicalized.
the antioxidant swaps with the radical and unless there is excess hydrogen, then the antioxidant remains oxidized until excretion.
https://www.dcscience.net/The%20antioxidant%20myth.pdf