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livermd.bsky.social
Hepatologist at University Hospitals of Cleveland and Professor at Case Western Reserve University SOM. Interested in liver cancer and all things #liversky Husband, dad, wannabe world traveler and procrastinator.
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The Northeast Ohio Liver Alliance is shocked and saddened by the passing of Dr. Josh Levitsky. May his loved one be granted patience and comfort and may his memory be a blessing to all of us. #medsky #liversky

GHOLAM’S TOP 10 WORST MAJOR AMERICAN AIRPORTS: 10. BOS for an airport literally located 2 miles away from city center, you would think it would be incredibly convenient. IT ISN’T! Remarkably sparse for an airport its size and usually smells bad. (1/10)

Great advance in the field for #NET patients

One of the biggest grievances of the American far right is that “the elites and academics” have a biased and extreme agenda which dominates scientific and teaching thought. They are absolutely right but there has to be a reason for this.

Thanks to gastroenterology and hepatology colleague sen. Bill Cassidy for stating what needs to be said. We may differ on many issues but standing up for science and public health these days is an act of political courage #medsky #gisky #liversky

It’s interesting how we in the US are even politicizing this issue. The source of course is now suspect in the eyes of some and the former surgeon general is just that… #medtwitter #livertwitter

The Gila monster which gave the world GLP-1 agonists is sick with cryptosporidium. Scientists are in a race to save it! #medsky #liversky

I told the transplant clinic staff that DOGE canceled clinic (and some of them believed me) #liversky

The first RCT that I am aware of that seems to indicate that #semaglutide may be an effective rx for alcohol use disorder. Larger studies to confirm needed. #medsky #liversky

Someone brought me a sandwich today. Here it is for scale compared to my large first.

I don’t pretend to be a hip hop fan and I know enough about Kendrick Lamar to be dangerous but this is powerful and much needed statement

The chiefs tonight. A classic tale of FAFO

If you attended the AASLD liver meeting at the turn of the millennium, this building will look very familiar. You may still be in need of therapy 25 years later! #liversky

Needless to say the future of western civilization will depend on the results of the #retatrutide data (I’m being facetious) #medsky #gisky #liversky

As a steroid nihilist, I’m happy to read this. My interpretation of the AHFIRM data is that #larsucosterol works for severe alcohol associated hepatitis. I don’t love the primary endpoint but hey…I will take 30-50% 90 day mortality ⬇️ any day. This is literally all i see on service. #liversky

I guess incretins reduce your craving for things other than alcohol? This is obviously an N=1 I am not aware of any work on incretins and libido.

HFpEF is likely the next @fda.gov approved indication for #tirzepatide and other incretins. I guestimate 50% of Americans will have an FDA approved indication for one by 2028 #medsky #liversky

On a clear day, you can see forever…@inthecircle @cwruim.bsky.social

EPIC rant #43789 Attending on an acute care service at a hospital means the buck stops with you but… Unlimited access through epic chat is counterproductive, promotes burnout and does not improve care. #medsky #gisky #liversky

Thank you to Dr. Raffi Karagozian & the @tuftsmedicalcenter.bsky.social for the invitation to give medicine grand rounds. Visiting professorships are great opportunities to interact with young & bright minds that shape our future! #liversky #gisky

Course Director Spotlight: Join Amit Singal, MD, MS at the HCC-LIVE Conference - Space is Limited - Register Now!

A pleasure to visit @tuftsmedicalcenter.bsky.social for GI grand rounds & other activities with faculty/fellows. Thanks to Dr. Raffi Karagozian and Sonia Friedman for the kind invitation and look forward to giving medicine grand rounds tomorrow on incretins in liver disease (and beyond) #liversky

Semaglutide @fda.gov approved for ⬇️ in risk of worsening kidney disease & CV death in adults with T2DM & CKD An incretin is also indicated for: 🫁 OSA 🫀CV Risk reduction in ppl at risk 🧠Stroke risk reduction in ppl at risk Next: osteoarthritis, 🍷 use disorder and neurodegenerative dz #liversky

#hepatology pet peeves heard in clinic this week 👀 I’m a vegan/vegetarian No. You’re vegan. Vegan covers vegetarian 😬 referred for cirrhosis of the liver Not to be confused with cirrhosis of the rectum… 😪 urgent referral for transaminitis where a blood tests gets inflamed #liversky

Interesting work looking at risk factors for variceal bleeding in #HCC Patients on #atezolizumab #bevacizumab Confirms that main PVT is a major risk factor with was shown in IM-BRAVE 150. The other risk factors identified are self evident #liversky

Surprising this is not getting more exposure. 99% seroprotection with 3 doses of this #HBV vaccine in people living with #HIV A definite unmet need in this population as well as diabetics and the hemodialyzed #liversky

How does suspending healthcare benefits to the most vulnerable among us: our safety net facilities, FQHCs & County hospitals help Americans thrive and stay healthy? What happens to those who work hard to take care of the poor and the infirm and their families? Sheer cruelty and absurdity…

Great news for persons w/ #MASH cirrhosis in this ph2b study of #efruxifermin Thoughts: 🤞it is a fair statement that longer rx may yield better results but that remains to be proven the authors are to be 👏 for presenting ITT data. MASH studies needs to move away from “completer” analyses #liversky

Today marks the 80th anniversary of the liberation of #Auschwitz The site where 1.1 million innocents were slaughtered in cold blood. From #Armenia to Cambodia to #Sarajevo to our own Capitol, lest we forget the consequences of “othering”, dehumanizing and excluding.

Interesting in that #amycretin is a dual amylin/GLP-1 analog unlike #cagrisema which contains 2 separate analogs. Results in ph2 comparable to #retatrutide for TBW Loss and planned for both sc and PO #liversky #medsky