Sandeep Palakodeti, MD MPH retweeted
Healthcare is human. Intelligence can afford to be artificial, but the relationship between provider and patient cannot. The current healthcare system fails by not making time for humanity. The emerging telemed space fails by making humanity second to AI. At Velocity, humanity comes first.
Humanity is becoming a commodity. Right now as you read this, odds are you’re no more than two scrolls away from reading an AI-generated post, a post talking about AI, or a company promoting some AI-related service. Within the health space, there’s an increasing number of AI doctors, AI health coaches, obscure algorithm based scores, and even people using LLMs as their primary care doctor. This trend is only going to continue, and for as much advancement will be made, the rift between humans and humanity will only increase. And as tech gets cheaper, it will only integrate itself further into society. LLMs can’t express emotion, AI can’t understand feelings, and no tech can fathom the chaos or serendipity of life. That’s why you see the desire for combustion-engine cars with emotional appeal. And that’s why Velocity exists. The bottom line in medicine is humanity, and the connection that only two humans can form. Pain, fear, and failure. Dreams, goals, and victory. Emotion that can only be expressed and received by two humans. That’s why at no point in your journey at Velocity do you speak to an LLM. At no point does emotion become outsourced. And at no point is humanity placed in the backseat. We are not blind to the advantages of AI. We use the Cleerly CCTA to get a better look at your heart. We use Springbok MRI for closer looks at your body composition and musculature. But you are not numbers on a screen. You are not a data set in a spreadsheet. And you are not a set of billing codes. You are a human. And you deserve humanity.
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Do it
The new unicorn is hitting $1B in revenue.
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Hospital systems are scared to breach their contracts with insurance companies who explicitly state that they will pull entire contracts if health systems don’t MAKE patients use their insurance. At the higher contracted rates It’s all a scam
Replying to @DrDeepMD
Yep, I cannot fathom how it’s not illegal that the same test or procedure is billed at 100%++ the rate that it is billed as cash pay, yet hospitals and networks won’t allow you to do cash pay “if you have active insurance on file” which they won’t delete.
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You guys remember the kids in college who got in trouble for selling pot? It was always because they had the ziplock baggies and a scale next to their stash... its kind of like that
Who’s starting a new BAC water company ? People are going to get it from somewhere, may as well be a good source…
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We have some great, free, downloadable guides that are chalk full of information! Not your typical nothing 2-pager. These are thick and well researched documents that can provide a lot of value. Sleep, dementia/brain health, hormone optimization, etc. Check out link below!
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Who’s starting a new BAC water company ? People are going to get it from somewhere, may as well be a good source…
Read all five FDA warning letters sent to RUO peptide sellers on August 24. Peak Performance, Royal, NuScience, Peptide Partners, Tex Peptides. They're public on fda.gov, and they're allegations rather than findings. The bacteriostatic water line appears in every one. Selling it alongside your peptides is what gives someone "the means to prepare an injectable drug for human administration." NuScience's is the one worth reading closely. FDA followed a PubChem link off their product page, semaglutide, CID 56843331, and used what's written on that page as evidence of intended use. A page NuScience doesn't own or control. Every one of these sites had a research use only notice up.
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There are genuinely no consequences for not paying your medical bills in certain states We need a mass “no-pay” movement. It’s illegal for them to report to credit score houses or come after you in any way Fight fire with fire. Play their own shitty game against them Stand up
This is wild but also true for California. There’s generally little to no downside to simply not paying your medical bill. If everyone knew this, how many people would pay their bills in full? Incentives matter. There’s also so many other frustrating parts of the system. For example, the false notion that “covered by insurance” actually means it’s cheaper for you. e.g. Natera (publicly traded on NASDAQ $NTRA, $59B mkt cap) bills my insurance thousands of dollars for a single test. My insurance turns around and bills me $500-$1000+. For that exact same test, Natera will charge me $250 if I pay in cash up front. (This is for an NIPT test that most pregnant people take.) Thousands of dollars vs $250 for the exact same test and service. Make this make sense. We’re at the point where using insurance is more expensive than just paying out of pocket. Unless you just don’t pay at all. Because there won’t be any repercussions anyway. 🤷‍♀️
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Dialing in circadian rhythms while on night shift is HARD, if not impossible. we’re just not built that way Looking at leptin levels in night shift folks is 😭 But, like everything, there are many strategies to mitigate. Here are a few: - Get bright light in the first half of the night shift, which is the strongest signal you have for staying awake and slowly pushes your clock back later. Get an indoor sunlamp if needed, 10k lux+ - Wear dark sunglasses on the drive home. Morning sun will yank your clock back toward daytime and wreck the sleep you are about to take • Sleep in a pitch-black, cool, quiet room as soon as you can after the shift. Blackout curtains, eye mask, white noise, cold room, maybe a diffuser with some essential oils. Take the wind down seriously, don’t just crash - Keep the sleep window as consistent as your life allows, including days off. Random sleep times keep cortisol and insulin out of balance - Eat your biggest meal right before the shift or right at the start. Do not drop a large plate at 2 a.m. Insulin works worse at night. Don’t binge in the morning when you’re off - time caffeine well, only in the first part of the shift. Cut it 4–6 hours before you plan to sleep or you will just lie there wired - Low-dose melatonin 30–60 minutes before daytime sleep can help some people fall asleep and nudge the clock. I like epitalon more here - After you wake from day sleep, get a little outdoor light or a short walk, which helps the next cortisol wave and insulin sensitivity. - Prep and eat real food. Protein, vegetables, stuff you can actually eat at 11 p.m. no vending machine trash. Night shift hunger plus junk/fast food is how a lot of people gain the weight - Check and replenish vitamin D since almost nobody on permanent nights has good levels from sunlight and many are critically deficient Probably many more out there. Better experts like @zaidkdahhaj and @AbudBakri to weigh in on tips. Abud has that one residency caffeine classic thread someone could find and link
Replying to @zaidkdahhaj
What if you work night shift? But literally have to. Any tips?
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Sandeep Palakodeti, MD MPH retweeted
The best FREE longevity hack you’ve been missing? It’s something you do every single day, but probably don’t even think about: Breathing. In a new study (PMID: 42173128), researchers looked at the effects of diaphragm exercises on ballet dancers. What they found was, in just 8 weeks of concentrated diaphragm training, the trained dancers showed: -better breathing patterns -better balance -better strength -less pain in their lower back While those improvements translate well to dancing, for an average person that means: -greater lung health -less falls -more muscle mass -less chronic back issues All from 2 sets of 15 breaths a day.
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You think you have a founder’s brain? Well if not, neurofeedback may be able to help! Incredible discussion with Rachel Lambert on brain mapping, neurofeedback, and the exciting direction brain health is going Check it out below!
What do founders, CEOs, professional athletes, and other high performers have in common? They all share similarities in brain waves @DrDeepMD sat down with Neuro feedback specialist Rachel Lambert to discuss how high performing brains work, and how you can get the same results
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Sandeep Palakodeti, MD MPH retweeted
What do founders, CEOs, professional athletes, and other high performers have in common? They all share similarities in brain waves @DrDeepMD sat down with Neuro feedback specialist Rachel Lambert to discuss how high performing brains work, and how you can get the same results
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Friends. Brothers, sisters, people of humanity Circadian rhythms are VERY important, I am a very outspoken proponent here But. For the vast majority of you. If you think you are fat solely because you are not getting enough morning sunlight PLEASE just use myfitnesspal or chronometer for ONE week and be brutally honest with yourself 9/10 times it comes back to diet
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Sandeep Palakodeti, MD MPH retweeted
Are ultramarathons bad for your health? Velocity Chief Clinical Officer @brocktreichert recently completed Leadville 100, and did bloodwork before and immediately after. Some of his key findings: -Inflammatory markers like Hs-CRP were almost 200x higher after than before -Liver enzymes AST & Biliruben were expectedly elevated -ApoB, a cholesterol marker, actually DROPPED by 25%, making his bloodwork look like he was on a statin -Reverse T3 became very elevated. This was the thyroid’s defense mechanism, it attempts to slow metabolism down because it recognizes something abnormal is going on and is preparing for what may come next -Testosterone dropped by 30% from before to after, as would be expected after 26 hours straight of exercise -Estrogen jumped 152%, and there’s a number of proposed mechanisms by which this could be (bone turnover, kidney issues) On paper, while a number of these labs are incredibly abnormal and would be deemed extremely dangerous in most reads, Brock’s bloodwork returned to baseline after just a few days. While ultramarathons may not be the healthiest for your body, if you go into it prepared, healthy, and recover properly, not only can you mitigate the damage, but there can be a lot of mental benefits to come with it.
BPC-157 & Thymosin Alpha-1 in the build-up to a 100 mile race Why those peptides? Because training for a 100 mile race stresses everything in your body. Your joints, connective tissue, even your immune system @brocktreichert unpacks his Leadville 100 preparation, hormones, recovery, and pre/post race bloodwork with @DrDeepMD on this week's Ultimate Asset podcast Full episode below
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If you are a physician in the longevity/medicine 3.0 space This will end up being THE premier clinical conference in the space MVMNT is hosted by @VituityHealth a 100% physician owned org Look forward to furthering these important concepts with an amazing crew
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What will it take for America to reign supreme in the coming age? It will take mastery not only of technology but of BIOLOGY For decades, reindustrialization was about bits, chips, and heavy manufacturing. But every dollar of compute and every unit of physical output passes through one nervous system first: the human body Inside every one of your 37 trillion cells, millions of ribosomes act as a 3-billion-year-old molecular assembly line Body-wide, your biological factory clicks together 20 billion billion peptide bonds every single second WE are the oldest industrial plants in the universe, and at least for the next 10-50 years before the bots kill us all, human beings will still be vitally important. So how do optimize for our new future?
American supremacy
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If we are going to maintain our pole position as the leading force in the world and the universe, we must take a deliberate approach to protecting our most valuable asset: our Human capital This starts by onshoring the most basic of building blocks that we need to function society, and we need to continue to advance at a pace that keeps up with the rest of the world. A future where every other country has its people dialed in, living to 100+, highly productive, physically fit, mentally sharp, living in peak condition, will be devastating to the Pax Americana era. We MUST see this as a geopolitical and strategic imperative. The biological layer of our people needs to match the industrial power we are continuing to build. A bright future ahead, but we have to take control!
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Thanks to The George and @Cernovich for the invite to speak and to @ajac for always challenging us to think bigger. The whole crew at The George is amazing and I'm thankful for @BrianAhuja getting this all set up. And of course thank you to my man @Alexfeinberg for recording!
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Meet your mutuals Do business with your mutuals Connect with real human beings Bring conviction and indefatigable persistence to your efforts Be around others who lift you up and support your cause This is the era to BUILD Every single one of you can do it
My and all my friends companies
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