Sam Miller

Protein Supplement Tied to Better Outcomes for Patients on Dialysis

Protein Supplement Tied to Better Outcomes for Patients on Dialysis

Intradialytic oral protein supplementation was linked with improvements in several nutritional markers and real-world outcomes for patients on hemodialysis, according to a quality improvement study. After 12 months, patients who received a liquid protein supplement at the end of each dialysis session had significant improvements in real-world outcomes. The frequency of hospitalizations dropped from 4.02…

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The Guardian view on the WHO pandemic treaty: the west’s fantasy negotiations have put the world at risk | Editorial

The Guardian view on the WHO pandemic treaty: the west’s fantasy negotiations have put the world at risk | Editorial

The Covid-19 pandemic did deep and lasting damage to the international political system. Countries in the global south are keenly aware that the established order let them down. They received vaccines later, in smaller numbers and often at a higher price than rich countries, resulting in avoidable death and suffering, and extended economic malaise. Last…

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Harm Reduction Works. 'Wellness Farms' Won’t.

Harm Reduction Works. ‘Wellness Farms’ Won’t.

As an emergency physician, I have treated patients after an overdose when minutes to a lifesaving medication determines survival. I have also worked in substance use clinics, where recovery is rarely immediate and requires meeting patients where they are. In medicine, we are trained to act on evidence, not ideology. When a patient is in…

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