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Michael Boivin

@commpharm

Pharmacist and CHE Developer. Proud Canadian with an interest in learning about every clinical topic. Special focus in Endocrinology, immunology (vaccines), obesity, CVD, rheumatology, and travel medicine.

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12.11.2024
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Latest posts by Michael Boivin @commpharm

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No need to wait until September: We’ve identified the causes of autism and even some of the environmental chemicals interacting with autism genes involved early fetal neurodevelopment during pregnancy

13.04.2025 14:34 πŸ‘ 2810 πŸ” 846 πŸ’¬ 79 πŸ“Œ 41
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New Acute Migraine Management Guidelines:
- Triptans combined with NSAIDs (e.g., sumatriptan + naproxen) offer the highest net benefit
- Triptan + acetaminophen is also beneficial.
- Monotherapies are effective, but less so than combination therapy.
www.acpjournals.org/doi/10.7326/...

15.04.2025 13:11 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Iron Deficiency in Adults This narrative review examines the screening, diagnosis, and treatment of adults with absolute iron deficiency without anemia and iron-deficiency anemia.

Great review from JAMA on Iron deficiency in Adults. Great topic with very little CHE on the topic. jamanetwork.com/journals/jam...

13.04.2025 20:38 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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#CardiacRehab #ESCPrev2025 #CVprev
Smoking Cessation key component but how do we do it correctly?
Study used Motivational Intervention had better cessation rates πŸ†š control group
✨ NNT=4
✨ ⬇️ ASCVD events
Such an important study of what we can do in CR!
@escardio.bsky.social

03.04.2025 09:08 πŸ‘ 12 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0
Evidence based on the literature for various traits and disorders

Evidence based on the literature for various traits and disorders

How do GLP-1 drugs affect cognitive and mental health disorders? A comprehensive review www.nature.com/articles/s44...

13.02.2025 14:19 πŸ‘ 204 πŸ” 43 πŸ’¬ 13 πŸ“Œ 5
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MetALD: Clinical aspects, pathophysiology and treatment Metabolic dysfunction-associated steatotic liver disease (MASLD) and alcohol-related liver disease (ALD) are the most prevalent causes of chronic liver disease worldwide. Both conditions have many pat...

New Liver disease review on MetALD. Nice review if you are interested in metabolic and alcohol-related liver disease

MetALD: Clinical aspects, pathophysiology and treatment - JHEP Reports www.jhep-reports.eu/article/S258...

04.02.2025 14:12 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Assessment and management of frailty in individuals living with dementia: expert recommendations for clinical practice Frailty complicates the care of individuals with dementia, increasing their vulnerability to adverse outcomes. This Personal View presents expert recommendations for managing frailty in individuals wi...

Assessment and management of frailty in individuals living with dementia: expert recommendations for clinical practice - The Lancet Healthy Longevity www.thelancet.com/journals/lan... #frailty #dementia

03.02.2025 13:47 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Enhancing current guidance for psoriatic arthritis and its comorbidities: recommendations from an expert consensus panel AbstractObjectives. The existing guidelines for PsA cover many aspects of management. Some gaps remain relating to routine practice application. An expert

Psoriatic Arthritis and comorbidity management - Quick review of expert care of patients with PsA.

academic.oup.com/rheumatology...

31.01.2025 14:10 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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New Rheumatology guideline on Sjogren Disease - Wicked condition for affected patients, for my specialty colleagues, worth a quick read.

academic.oup.com/rheumatology...

31.01.2025 12:26 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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New advances in novel pharmacotherapeutic candidates for the treatment of metabolic dysfunction-associated steatohepatitis (MASH) between 2022 and 2024 - Acta Pharmacologica Sinica Acta Pharmacologica Sinica - New advances in novel pharmacotherapeutic candidates for the treatment of metabolic dysfunction-associated steatohepatitis (MASH) between 2022 and 2024

MASLD pharmacotherapy review - If you are interested in learning more about the new treatments for MASLD, MASH and fibrosis, there is a great review at:

www.nature.com/articles/s41...

#MASLD, #NAFLD, #MASH

28.01.2025 14:16 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Redefining obesity. It is time.
πŸ“BMI is NOT a direct measure of fat
πŸ“BMI does NOT establish the distribution of fat
πŸ“BMI cannot determine with excess fat is a health problem
@thelancet.bsky.social
Lancet Commission

πŸ“Ž www.thelancet.com/commissions/...

15.01.2025 05:47 πŸ‘ 31 πŸ” 14 πŸ’¬ 1 πŸ“Œ 1
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Oral Glucose-Lowering Agents vs Insulin for Gestational Diabetes This randomized clinical trial assesses whether treatment with oral metformin with added glyburide, if needed, is noninferior to insulin for prevention of large-for-gestational-age infants among pregn...

New diabetes in pregnancy study of oral antihyperglycemic agents vs. insulin. Insulin is still king when looking at large for gestational age measurement.

jamanetwork.com/journals/jam...

07.01.2025 14:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Physical activity and weight loss - Common question at this time of year. Moderate weight loss for aerobic exercise. Key findings:

- Each 30-minute increase in weekly aerobic exercise leads to measurable reductions in weight, waist circumference, and body fat.

jamanetwork.com/journals/jam...

06.01.2025 16:50 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Chronic Obstructive Pulmonary Disease: Lifestyle Impact : International Journal of Preventive Medicine ronic obstructive pulmonary disease (COPD) combines chronic bronchitis (airway inflammation) and emphysema (air sac destruction) caused by prolonged exposure to irritants, and poor lifestyle choices l...


COPD Non-Pharm Recommendations - Nice review of infection prevention, nutrition, physical activity and smoking cessation. Commonly missed with these patients. hashtag#COPD

journals.lww.com/ijom/fulltex...

02.01.2025 15:18 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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The Alzheimer's Association clinical practice guideline for the Diagnostic Evaluation, Testing, Counseling, and Disclosure of Suspected Alzheimer's Disease and Related Disorders (DETeCD‐ADRD): Executi... US clinical practice guidelines for the diagnostic evaluation of cognitive impairment due to Alzheimer's disease (AD) or a related dementia (ADRD) are two decades old. This evidence-based guideline .....

New Alzheimer's Disease Guideline - 19 recommendations for clinicians. Includes recommendations for primary care clinicians as well. #Alzheimer's #guideline

alz-journals.onlinelibrary.wiley.com/doi/10.1002/...

30.12.2024 21:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Figure.  Antibody Responses Among Immunocompromised Adults Following Respiratory Syncytial Virus (RSV) Vaccination

Figure. Antibody Responses Among Immunocompromised Adults Following Respiratory Syncytial Virus (RSV) Vaccination

While immunocompromised individuals had a heterogeneous antibody response to RSV vaccines, those who received the adjuvanted RSVPreF3-AS01 vaccine showed better neutralization.

ja.ma/4iVzJzy

30.12.2024 18:25 πŸ‘ 23 πŸ” 9 πŸ’¬ 0 πŸ“Œ 0
E-cigarettes and arterial health: A review of the link between vaping and atherosclerosis progression E-cigarettes and arterial health: A review of the link between vaping and atherosclerosis progression

E-cigarettes are likely safer than combustible tobacco, but not safe. Increasing evidence of harm. This article reviews the CVD risk with e-cigarettes. #smokingCessation #tobacco

www.wjgnet.com/1949-8462/fu...

30.12.2024 14:23 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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The Impact of E-Cigarettes on Oral Healthβ€”A Narrative Review Background/Objectives: Electronic cigarettes (e-cigarettes) are commonly used by former smokers as an alternative product to conventional cigarettes and also by young adults and adolescents to deliver...

E-cigarettes and oral health - Although safer than combustible tobacco, there are risks with e-cigarette use. Increased periodontal disease, dental caries, oral mucosal lesions and teeth staining. #e-cigarettes

doi.org/10.3390/dj12...

28.12.2024 16:47 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Managing GLP-1 RA GI-related adverse effects - Common question, new review. Some new tips for your patients. #diabetes, #obesity, #GLP-1RA

www.dovepress.com/dietary-reco...

28.12.2024 16:12 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Pediatric influenza vaccine effectiveness Study - We know that 6 months to 5 years is a high-risk group of influenza-related complications. The vaccine reduced the risk of ED visits, noncritical and critical influenza by about 50%. Really supports use in this group.
jamanetwork.com/journals/jam...

28.12.2024 16:11 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Notes from the Field: Long COVID and Significant Long... This report describes adults with Long COVID and reported limitations performing daily activities.

New Long COVID Data - MMWR published today that 1 in 5 Adults experiencing long COVID had major limitations on their ability to perform daily functions. In this survey 6.4% of US adults were reporting they had long COVID when surveyed.

www.cdc.gov/mmwr/volumes...

19.12.2024 18:21 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Dysplipidemia manage - "Lower is better for longer and the earlier the better"

rdcu.be/d33UT

18.12.2024 18:29 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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The Role of Primary Care in Achieving Life’s Essential 8: A Scientific Statement From the American Heart Association | Circulation: Cardiovascular Quality and Outcomes To reduce morbidity and mortality rates of cardiovascular disease, an urgent need exists to improve cardiovascular health among US adults. In 2022, the American Heart Association issued Life’s Essenti...

The Role of Primary Care in Achieving Life’s Essential 8: A Scientific Statement From the American Heart Association

www.ahajournals.org/doi/10.1161/...

18.12.2024 18:22 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Prevalence of Iron Deficiency and Iron-Deficiency Anemia in US Females Aged 12-21 Years, 2003-2020 This study examines prevalence of iron deficiency among females aged 12 to 21 years to inform future screening strategies for iron deficiency and iron-deficiency anemia.

Just a reminder that iron deficiency is incredibly common

jamanetwork.com/journals/jam...

And reference intervals are garbage.

Join us at 2pm today #ASH24 in SDCC room 11 #ChoosingFairly to learn how you can work to change that!

07.12.2024 17:55 πŸ‘ 119 πŸ” 16 πŸ’¬ 7 πŸ“Œ 3
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Genital herpes is a common sexually transmitted infection caused by herpes simplex virus (HSV).

This JAMA Patient Page describes genital herpes and its symptoms, diagnosis, treatment, and prevention measures.

ja.ma/498JfLi

29.11.2024 21:03 πŸ‘ 10 πŸ” 3 πŸ’¬ 0 πŸ“Œ 1
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Mpox Clinical Presentation, Diagnostic Approaches, and Treatment Strategies This review examines the epidemiology, transmission, clinical presentation, assessment and diagnosis, prognosis, management and treatment, and prevention of mpox.

Mpox is a self-limited viral infection primarily spread through skin contact, but poses significant risks for the immunocompromised.

by Titanji BK, Hazra A and Zucker J in JAMA #MedSky

πŸ“– read the article:

28.11.2024 14:32 πŸ‘ 11 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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Does Tobacco Smoking Affect Vaccine-Induced Immune Response? A Systematic Review and Meta-Analysis Background. Causing approximately 8 million deaths each year, tobacco smoking represents a significant public health concern. Evidence shows that smoking significantly impairs antibody production and ...

Smoking decreases vaccine immune response - As if we need another reason to quit, smokers have a 48% higher risk of diminished immune response to vaccines (especially COVID-19 and Hep B)
www.mdpi.com/2076-393X/12...

27.11.2024 14:46 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Longitudinal evaluation of iron status during pregnancy: a prospective cohort study in a high-resource setting Iron deficiency affects a large proportion of pregnant women worldwide, with potentially serious consequences for perinatal and infant outcomes, but w…

New review of Iron Status during pregnancy: They recommend screening during pregnancy www.sciencedirect.com/science/arti...

27.11.2024 00:54 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Alcohol Use and Antiobesity Medication Treatment This cohort study examines the association of antiobesity medication use and alcohol use among participants enrolled in a weigh loss program.

Alcohol use when using antiobesity medications - almost 50% of participants reduced alcohol.

jamanetwork.com/journals/jam...

26.11.2024 18:42 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Clinical practice guidelines for the diagnosis and treatment of scabies Scabies, caused by the Sarcoptes scabiei var hominis mite burrowing into the skin, is a highly contagious disease characterized by intense nocturnal itching. Its global impact is considerable, affect....

New International Scabies Guidelines - Topic that is rarely discussed. Detailed review.

onlinelibrary.wiley.com/doi/10.1111/...

26.11.2024 13:41 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0