Dr. Leo Nissola
12,075 followers
StoneColdCountry 
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Per @boulware_dr last week, says @US_FDA declined fluvoxamine EUA request twitter.com/boulware_dr/st…
Retweeted by Dr. Leo Nissola 
In the latest issue! Advancing natural killer therapies against cancer dlvr.it/SPZxy1
Retweeted by Dr. Leo Nissola 
'I am a homosexual. I am a psychiatrist': How Dr. Anonymous changed history nbcnews.com/nbc-out/out-ne…
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When Jaystan Davis learned a genetic condition called Lynch Syndrome caused his colorectal cancer diagnosis, he enrolled in a clinical trial led by our Dr. Michael Overman.
"It feels great knowing I’m contributing to cancer research,” he says: fal.cn/3ofwX #EndCancer
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Good morning, please do not drink blood 🩸twitter.com/salon/status/1…C6
My Mental Health Toolbox 🧰:
> Walk 🚶♂️
> Laugh😂
> Journal 📓
> Sunlight ☀️
> Good sleep 💤
> Lift weights 🏋️♂️
> Time to think 🧠
> Time in nature 🌲
> Thank you notes 📝
> Drink lots of water 🚰
> Eat mostly whole foods 🥩🥚🥦
> Time with family & friends 👨👩👧👦
What's missing?
Retweeted by Dr. Leo Nissola What to know about anal cancer, including risk factors, symptoms, treatment and current research, from our Dr. Cullen Taniguchi: fal.cn/3odDu @TaniguchiMD #AnalCancer #EndCancer
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When you have physician colleagues who are 250k in debt with starting salaries 90-120k at academic centers, it is *comical* that people think physician salaries are the reason US healthcare costs are so high.
Some docs make bank but..admin, pharma, device are laughing so hard rn twitter.com/olsonplanner/s…
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If you have flu like symptoms and your rapid test is negative, you might still have Covid. If the test is repeatedly negative, it might not just be a cold.
Flu has increased and it’s happening, so be aware. This is not just here in Allegheny county.
alleghenycounty.us/uploadedFiles/…
Retweeted by Dr. Leo Nissola 3) Create a #Safety #Monitoring #Committee to investigate the growing number of #PAXLOVID rebound cases.
Using PAXLOVID can lead to immune resistance to HIV-1/AIDS treatment in people with undiagnosed infections.
PAXLOVID is NOT to be mixed with several other commonly prescribed drugs for common conditions like heart disease.
PAXLOVID is an effective form of treatment for people already sick with COVID but with a limited number of people who can take it. It has strong interactions with many essential drugs that are safe on their own but dangerous when taken with #paxlovid.
PAXLOVID failed to prevent household infections in a large clinical trial conducted by Pfizer.
PAXLOVID is a multi drug combination therapy using 1 antiretroviral used to treat HIV/AIDS & 1 antiviral to treat SARS-CoV-2.
PAXLOVID is not FDA approved. It’s available under “Emergency Use.”
I have been asked by friends & followers what is real about #PAXLOVID given so much marketing & fairy tales, here are ACTUAL the facts:
@CharnessMichael @PaulSaxMD I don't know how to report this in any official way, but I also had a rebound case. Positive and symptomatic 4/19, started Paxlovid, improved. Negative 4/25. Symptoms returned night of 4/27, positive again 4/28.
Retweeted by Dr. Leo Nissola The @US_FDA should include a clearer warning on PAXLOVID use for the risk of HIV-1 ttx resistance development in individuals with undiagnosed infection AND REQUEST AN HIV-1 TEST BEFORE ADMINISTERING THIS DRUG
By definition of immune resistance, using PAXLOVID w/out other antiretrovirals could serve as functional monotherapy and potentially lead to the development of resistance to HIV-1 protease inhibitors im ppl w undiagnosed HIV. That’s why
Using RITONAVIR, an effective part of #PAXLOVID for COVID can be harmful if you have an undiagnosed HIV infection. RITONAVIR is an HIV-1 protease inhibitor & a potent CYP3A inhibitor, because of that
The challenge is that using RITONAVIR alone can open the doors of immune resistance against HIV. RITONAVIR is an antiretroviral protease inhibitor that is widely used in combination with other protease inhibitors in the therapy and prevention of HIV infection and AIDS. Using it..
NIRMATRELVIR, an antiviral agent targeting SARSCoV-2, must be used in COMBINATION with RITONAVIR. According to Pfizer’s studies, NIRMATRELVIR must be co-administered with ritonavir & failure to do so may result in insufficient therapeutic effect. The problem is
Paxlovid is a multi-drug regimen that includes an antiretroviral drug used to treat HIV-1. The good news is that treatment of symptomatic COVID-19 w/ NIRMATRELVIR plus RITONAVIR resulted in a risk of progression to severe COVID-19 that was 89% lower than the risk with placebo but
Paxlovid failed to prevent COVID in a robust clinical trial of >3000 pts. Now we know for sure it DOES NOT prevent infections. While it was effective in treating people already sick, prescribers should perform an HIV test before prescribing it, here is why 1/x twitter.com/erictopol/stat…
Finally, this can be difficult for many to process. You are not alone and help is available. The National Suicide Prevention Lifeline is a hotline for individuals in crisis or for those looking to help someone else. To speak with a certified listener, call 1-800-273-8255. /end
Retweeted by Dr. Leo Nissola tw: suicide | self harm
Very disturbing reports about a recent tragic death of a registered nurse. (mini thread) 1/5
sfchronicle.com/bayarea/articl…
Retweeted by Dr. Leo Nissola TW: suicide.
Trying not to share articles that violate suicide reporting guidelines but this is a conversation we need to have.
Nurses are not OK and pizza and pats on the back aren’t going to fix it.
This affects all of us.
abtc.ng/kaiser-nurse-s…
Retweeted by Dr. Leo Nissola From @NIHCOVIDTxGuide today:
"the Panel recommends against the use of ivermectin for the treatment of COVID-19, except in a clinical trial" twitter.com/NIHCOVIDTxGuid…
Retweeted by Dr. Leo Nissola Unfortunately not over. But more than endemicity - given how quickly this virus mutates - perhaps we should implement flexible yet different policies for “Low COVID Season” and “High COVID Seasons”? @grahamwalker thoughts? twitter.com/RickABright/st…
It was just a phase. twitter.com/erictopol/stat…
Retweeted by Dr. Leo Nissola The CDC just announced that a person in Colorado is infected with the H5 bird flu virus for the first in the U.S
We @MDAndersonNews strongly endorse the @US_FDA’s proposed rules to prohibit menthol cigarettes and flavored cigars. This important decision will play a critical role in protecting the health of some of our most vulnerable populations. #EndCancer
mdanderson.org/newsroom/md-an…
Retweeted by Dr. Leo Nissola To support this amazing organization, you can donate here: give.thetrevorproject.org/give/63307/?_g…
Retweeted by Dr. Leo Nissola .@TrevorProject literally saves LGBTQ teens’ lives - teens at risk of suicide who have nowhere else to turn for support.
This despicable tweet is designed to prevent — & will have the effect of preventing — teens from reaching this life-saving service. Kids will die as a result.
Retweeted by Dr. Leo Nissola In this week's updated COVID-19 community levels, the @CDCgov has now upped a handful of counties -- including those spanning Seattle, Detroit, and Miami -- to "medium"
Overall, around 1 in 10 counties are now at "high" or "medium"
covid.cdc.gov/covid-data-tra…
Retweeted by Dr. Leo Nissola Today #AB2029—my bill requiring health plans cover infertility treatment, incl. in vitro—is in front of the Asm. Health Committee. And I'll be presenting it, not just as its author, but as someone who has benefitted from the life-changing impacts of infertility treatment. Thread—
Retweeted by Dr. Leo Nissola This timeline is unreal. @TrevorProject, one of the oldest and most important crisis hotlines for LGBTQ+ youth in the US is under attack today. I just made another donation and I encourage everyone to do the same.
give.thetrevorproject.org/give/63307/#!/…
Retweeted by Dr. Leo Nissola Despite Dr. Fauci stating the U.S. is out of the pandemic phase of Covid-19, @EbonyJHilton_MD isn’t putting her mask away just yet. Watch:
Retweeted by Dr. Leo Nissola Excellent segment by @EbonyJHilton_MD with @ZerlinaShow @ZerlinaMaxwell @MSNBC @peacockTV
Please continue to wear your masks.
You do NOT want COVID! It is NOT mild. We do NOT know long term consequences. Protect yourself & family. twitter.com/ZerlinaShow/st…
Retweeted by Dr. Leo Nissola New #LongCovid study from @Stanford
“13% of participants continued to shed SARS-CoV-2 RNA in the feces at 4 months after diagnosis & 4% shed at 7 months. Finally, we find that GI symptoms are associated with fecal shedding of RNA.” cell.com/med/fulltext/S…
Retweeted by Dr. Leo Nissola 🚨Do you agree with Fauci that “US is out of 'pandemic phase' of COVID-19”?
Retweeted by Dr. Leo Nissola Invited to a destination wedding earlier in Apr. Awesome place that holds a special place in my ❤️(Vail). Lots of people I miss. All #vaxxed. Many boosted. No masks required. No rapid tests. Declined. One positive couple next AM. Groom & all but 4 guests got #COVID19. #pandemic
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