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REGISTRATION IS NOW OPEN!!!
Heart Attack and Stroke Prevention Conference on Nov 8-9, 2019 in Louisville, KY. Register Now!!! https://go.prevmedheartrisk.com/squee...


Join the PrevMed Community: https://mailchi.mp/1224fb9e00e7/prevm...

For information regarding our services or to become a patient visit: https://prevmedheartrisk.com/

ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance. Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

If you are interested in becoming a patient, please visit our website: https://prevmedheartrisk.com/

ABOUT THIS VIDEO:
https://www.nejm.org/doi/full/10.1056...

https://www.nejm.org/doi/full/10.1056...

The VA Diabetes Trial was criticized in a letter to the editor for being underpowered. Dr Banerer made the appropriate point that, " A negative finding in an underpowered study should not change the way we think about the importance of glucose control in the prevention of diabetes-related complications."
Both the study and the editorial are available at the links below.

They actually did get adequate study power through additional recruitment and follow-up. So, why didn't they describe this in the original study?

REGISTRATION IS NOW OPEN!!!
Heart Attack and Stroke Prevention Conference on Nov 8-9, 2019 in Louisville, KY. Register Now!!! https://go.prevmedheartrisk.com/squee...


Join the PrevMed Community: https://mailchi.mp/1224fb9e00e7/prevm...

For information regarding our services or to become a patient visit: https://prevmedheartrisk.com/

ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance. Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

If you are interested in becoming a patient, please visit our website: https://prevmedheartrisk.com/

ABOUT THIS VIDEO:
https://www.scientificamerican.com/ar...

https://www.sciencedirect.com/science...

Scientific American recently covered the association of Metformin and dementia. The essence of the story was to show that Metformin is protective of dementia. The article then covers the ADA New Orleans presentation by Dr. Qian Shi of Tulane.
In studying over 6,000 US Vets with diabetes. Her research team demonstrated a significantly decreased risk for dementia for those on metformin. In fact, adjustment for age, level of disease, and other diabetes drugs - such as insulin - held true for metformin being protective.
This article covered lab animal research by Jing Wang and Freda Miller of the Toronto Hospital for Sick Children. They demonstrated increased spatial cognition by lab mice. Steven Arnold, a neurologist at Mass General (Harvard) demonstrated improved cognitive performance - and imaging evidence - in the brains of human mild cognitive impairment - when taking metformin.
Why isn't Dr. Arnold doing a larger, more definitive study of this issue? Metformin is very inexpensive. Because there is extremely little Pharma money to be made on Metformin, there is little funding available.
This is reminiscent of the TAME study (TArgetting Aging with Metformin) study. There is significant evidence that Metformin slows the general aging process. Yet funding for a study of this concept has suffered.

https://www.ncbi.nlm.nih.gov/pmc/arti...

REGISTRATION IS NOW OPEN!!!
Heart Attack and Stroke Prevention Conference on Nov 8-9, 2019 in Louisville, KY. Register Now!!! https://go.prevmedheartrisk.com/squee...


Join the PrevMed Community: https://mailchi.mp/1224fb9e00e7/prevm...

For information regarding our services or to become a patient visit: https://prevmedheartrisk.com/

ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance. Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

If you are interested in becoming a patient, please visit our website: https://prevmedheartrisk.com/

ABOUT THIS VIDEO:
Charite is rated as the best of over 1000 hospitals in Germany, just north of Berlin. It was built in the 1750s by Frederick 1. Over half of Germany's Nobel Prize winners in Medicine work(ed) at Charite. My daughter's graduation from Public Health at Tulane raised several issues about us reliving our past in Public Health and Medicine. We continue to focus on a cure. But it's never been the cures that have changed the course of disease in humanity. It's been changes in lifestyle.
We cover the Bubonic plague (black death) as an example of hygiene or lifestyle vs cure. (We also mention Pickwick syndrome as a historical reminder that lifestyle is more important than medicine.)