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Jonathan Afilalo Profile
Jonathan Afilalo

@FrailtyMD

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Clinician scientist. Voracious learner. Director of McGill Geriatric Cardiology Program. Creator of https://t.co/PVflDwZCSD & https://t.co/4IJWOncQte.

Joined January 2018
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@scottisaacsmd
Scott Isaacs
27 days
Obesity in older adults is rising, and semaglutide & tirzepatide can bring significant weight loss and better heart, liver, and kidney health. Risks for older adults are muscle loss and functional decline. Policy must prioritize coverage + clinical trials for seniors to ensure
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@healthnutritipz
Health & Nutrition Tips
1 month
Highest Protein Foods in the World
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@FrailtyMD
Jonathan Afilalo
2 months
🔑 point from AACE obesity statement Assessment of body fat % useful to Dx sarcopenic obesity in older individuals with potentially normal BMI Men >25% Women >32%
@cristinatejerap
Cristina Tejera
2 months
🆕 American Association of Clinical Endocrinology Consensus Statement: Algorithm for the Evaluation and Treatment of Adults with Obesity/Adiposity-Based Chronic Disease – 2025 Update @TheAACE https://t.co/MZRPysPx8d
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@EricTopol
Eric Topol
2 months
What's the difference between biological aging (body and organ clocks) vs chronological age? How can the former be useful clinically? My perspective @sciam, Q&A w/ @LaurenYoung https://t.co/CT5Sjn19wH
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@FrailtyMD
Jonathan Afilalo
2 months
Writing = formalized thinking 🎯
@theendeavorpath
theendeavorpath
2 months
Writing transforms thoughts into power
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@NatureMedicine
Nature Medicine
3 months
RESEARCH Two phase 2 trials show that immunosenescence as a mechanism of resistance to immunotherapy can be overcome with the #senolytics dasatinib & quercetin in patients with head & neck squamous cell carcinoma. #cancerresearch https://t.co/z38W5VZv9d
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nature.com
Nature Medicine - Two phase 2 trials, along with translational analysis of prospective cohorts and experimental analysis, indicate that immunosenescence as a mechanism of resistance to...
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@NaturePortfolio
Nature Portfolio
3 months
Lithium has an essential role in the brain and is deficient early in Alzheimer’s disease, which can be recapitulated in mice and treated with a novel lithium salt that restores the physiological level, according to a paper in @Nature. https://t.co/CA4o9J3fBd
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@nicknorwitz
Nick Norwitz MD PhD
3 months
2/4) The research was conducted by the world-renowned Snyder Lab at Stanford, pioneers in “longitudinal multiomics.” This approach combines various “omes”—like the genome, proteome, transcriptome, and microbiome—to form a detailed picture of how an organism functions at the
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@FrailtyMD
Jonathan Afilalo
4 months
On behalf of myself + 1st author and recently graduated geriatric cardiology fellow Dr. Marc Arcens, we would like to dedicate this to the memory of our wise and generous co-author Dr. James N. Kirkpatrick 🕯️
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@FrailtyMD
Jonathan Afilalo
4 months
💥 Decision-making for older adults with advanced heart disease: a framework for balancing benefit versus futility 📄 https://t.co/sqNKvG9oGa
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@FrailtyMD
Jonathan Afilalo
4 months
#10 bonus material: my framework on why we age unsuccessfully
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@FrailtyMD
Jonathan Afilalo
4 months
#9 take away: @bryan_johnson's personal journey turned "cult" jolts status quo inertia and mainstream interest in a field directly affecting 8B people, now it's on us (the scientists) to not only raise flags but also raise the bar!
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@FrailtyMD
Jonathan Afilalo
4 months
#8 would wealth be better spent funding these types of trials instead of n-of-1 case reports, I think so
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@FrailtyMD
Jonathan Afilalo
4 months
#6 this is precisely why we need controlled trials with sufficiently large sample sizes to vet novel therapies
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@FrailtyMD
Jonathan Afilalo
4 months
#5 + interacting effects of multiple concomitant therapies, muddying the waters and compounding risks
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@FrailtyMD
Jonathan Afilalo
4 months
#4 rapamycin ➡️ immunosuppression ➡️ sepsis gene therapy ➡️ off target edits ➡️ cancer
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@FrailtyMD
Jonathan Afilalo
4 months
#3 why not try it out? aside from the 💵 spent, the bigger risk is unexpected life threatening side effects:
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@FrailtyMD
Jonathan Afilalo
4 months
#2 but... most of this research currently comes from 🐁 and 🧫 which historically often fails to translate to 🧑‍🤝‍🧑
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@FrailtyMD
Jonathan Afilalo
4 months
#1 @bryan_johnson is smart. his research on longevity science is deep and valid (yes, I said it)
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