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Michael Boivin

@commpharm.bsky.social
100 followers 178 following 26 posts

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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Reposted by Michael Boivin
Prof Peter Hotez MD PhD DSc(hon) @peterhotezmdphd.bsky.social · 13/04/2025
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
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Michael Boivin @commpharm.bsky.social · 15/04/2025
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/...
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Michael Boivin @commpharm.bsky.social · 13/04/2025
Great review from JAMA on Iron deficiency in Adults. Great topic with very little CHE on the topic. jamanetwork.com/journals/jam...
jamanetwork.com
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.
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Dr Martha Gulati @drmarthagulati.bsky.social · 03/04/2025
#CardiacRehab #ESCPrev2025 #CVprev Smoking Cessation key component but how do we do it correctly? Study used Motivational Intervention had better cessation rates 🆚 control group ✨ NNT=4 ✨ ⬇️ ASCVD events Such an important study of what we can do in CR! @escardio.bsky.social
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Eric Topol @erictopol.bsky.social · 13/02/2025
How do GLP-1 drugs affect cognitive and mental health disorders? A comprehensive review www.nature.com/articles/s44...
Evidence based on the literature for various traits and disorders
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Michael Boivin @commpharm.bsky.social · 04/02/2025
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...
jhep-reports.eu
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...
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Michael Boivin @commpharm.bsky.social · 03/02/2025
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
thelancet.com
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...
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Michael Boivin @commpharm.bsky.social · 31/01/2025
Psoriatic Arthritis and comorbidity management - Quick review of expert care of patients with PsA. academic.oup.com/rheumatology...
academic.oup.com
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
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Michael Boivin @commpharm.bsky.social · 31/01/2025
New Rheumatology guideline on Sjogren Disease - Wicked condition for affected patients, for my specialty colleagues, worth a quick read. academic.oup.com/rheumatology...
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Michael Boivin @commpharm.bsky.social · 28/01/2025
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
nature.com
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
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Reposted by Michael Boivin
Dr Martha Gulati @drmarthagulati.bsky.social · 15/01/2025
Redefining obesity. It is time. 📏BMI is NOT a direct measure of fat 📏BMI does NOT establish the distribution of fat 📏BMI cannot determine with excess fat is a health problem @thelancet.bsky.social Lancet Commission 📎 www.thelancet.com/commissions/...
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Michael Boivin @commpharm.bsky.social · 07/01/2025
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...
jamanetwork.com
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...
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Michael Boivin @commpharm.bsky.social · 06/01/2025
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...
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Michael Boivin @commpharm.bsky.social · 02/01/2025
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...
journals.lww.com
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...
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Michael Boivin @commpharm.bsky.social · 30/12/2024
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/...
alz-journals.onlinelibrary.wiley.com
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 .....
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Reposted by Michael Boivin
JAMA @jama.com · 30/12/2024
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
Figure.  Antibody Responses Among Immunocompromised Adults Following Respiratory Syncytial Virus (RSV) Vaccination
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Michael Boivin @commpharm.bsky.social · 30/12/2024
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...
wjgnet.com
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
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Michael Boivin @commpharm.bsky.social · 28/12/2024
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...
doi.org
The Impact of E-Cigarettes on Oral Health—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...
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Michael Boivin @commpharm.bsky.social · 28/12/2024
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...
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Michael Boivin @commpharm.bsky.social · 28/12/2024
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...
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Michael Boivin @commpharm.bsky.social · 19/12/2024
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...
cdc.gov
Notes from the Field: Long COVID and Significant Long...
This report describes adults with Long COVID and reported limitations performing daily activities.
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Michael Boivin @commpharm.bsky.social · 18/12/2024
Dysplipidemia manage - "Lower is better for longer and the earlier the better" rdcu.be/d33UT
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Michael Boivin @commpharm.bsky.social · 18/12/2024
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/...
ahajournals.org
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...
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Reposted by Michael Boivin
Shematologist, MD @shematologist.medsky.social · 07/12/2024
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!
jamanetwork.com
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.
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Reposted by Michael Boivin
JAMA @jama.com · 29/11/2024
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
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STITCHES Medicine - the Best of Medical Research @medicine.stitches.today · 28/11/2024
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 📖 read the article:
jamanetwork.com
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.
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Michael Boivin @commpharm.bsky.social · 27/11/2024
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...
mdpi.com
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 ...
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Michael Boivin @commpharm.bsky.social · 27/11/2024
New review of Iron Status during pregnancy: They recommend screening during pregnancy www.sciencedirect.com/science/arti...
sciencedirect.com
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…
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Michael Boivin @commpharm.bsky.social · 26/11/2024
Alcohol use when using antiobesity medications - almost 50% of participants reduced alcohol. jamanetwork.com/journals/jam...
jamanetwork.com
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.
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Michael Boivin @commpharm.bsky.social · 26/11/2024
New International Scabies Guidelines - Topic that is rarely discussed. Detailed review. onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
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....
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Reposted by Michael Boivin
Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 26/11/2024
Man I'm tired of people acting as if Ozempic and GLP-1 medications are just for "vanity" or being used because people don't understand nutrition/exercise
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Megan Ranney MD MPH @meganranney.bsky.social · 24/11/2024
Beautiful 🛟🧪🩺
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Eric Topol @erictopol.bsky.social · 23/11/2024
How well do vaccines protect vs #LongCovid, a systematic review during the Omicron era? —about 20% reduced by primary series (vs no vaccination), and —another 20% reduction by boosters vs primary series www.medrxiv.org/content/10.1...
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Michael Boivin @commpharm.bsky.social · 23/11/2024
Quick review of XEC variant. Worth a quick read: jamanetwork.com/journals/jam...
jamanetwork.com
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Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 16/11/2024
Albuminuria, an established biomarker of the progression of CKD, is also recognized as a biomarker for the risk of CVD (ca. 2024) #Nephpearls #NephSky #Cardiorenal 👉🏼 pubmed.ncbi.nlm.nih.gov/38214258/
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Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 17/11/2024
Transition from an estimated glomerular filtration rate (eGFR)-based to a risk-based approach to CKD care from KDIGO #Nephpearls #NephSky 👉 kdigo.org/guidelines/c... 💻 kidneyfailurerisk.com
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Michael Boivin @commpharm.bsky.social · 22/11/2024
New Innovative review of Glucagon-based Therapies for Obesity Management - Current and future therapies for the management of obesity academic.oup.com/jes/article/...
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Michael Boivin @commpharm.bsky.social · 22/11/2024
New Asthma Exacerbation prevention and management review article for Primary Care - International expert review www.nature.com/articles/s41...
nature.com
Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus - npj Primary Care Respiratory Medicine
npj Primary Care Respiratory Medicine - Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus
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Hannah Ritchie @hannahritchie.bsky.social · 21/11/2024
300,000 women die from cervical cancer every year. But this is a cancer we can effectively eliminate with the HPV vaccine. This is something very few people know about. Article from my colleague @scientificdiscovery.dev: ourworldindata.org/hpv-vaccinat...
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Dr Martha Gulati @drmarthagulati.bsky.social · 18/11/2024
#AHA24 NUDGE FLU #fluvaccine 💉flu vax underused in AMI 💉study looked at impact of a letter nudge to improve flu vax rates in Denmark 🇩🇰 💉2.1 Million randomized 💉Nudge resulted in modest improvement of vax rates 💉sentence including CV sentence ⤴️ vax uptake
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JAMA @jama.com · 17/11/2024
FINEARTS-HF trial in JAMA Cardiology: Finerenone was effective in reducing the risk of CV death and heart failure events even in patients with mildly reduced or preserved ejection fraction who experienced elevated potassium levels. #AHA24 ja.ma/4euKMwg
Figures from "Finerenone, Serum Potassium, and Clinical Outcomes in Heart Failure With Mildly Reduced or Preserved Ejection Fraction"
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Michael Boivin @commpharm.bsky.social · 17/11/2024
New Canadian Diabetes Pharmacotherapy Guidelines in Type 2 diabetes. Updated for 2024. www.canadianjournalofdiabetes.com/article/S149...
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Dr Martha Gulati @drmarthagulati.bsky.social · 16/11/2024
Dr. Guang Ning presents on the effect of intensive BP lowering in Diabetes #AHA24 #BPROAD study 🫀intensive 🆚 UC: <120 🆚 <140 SBP🎯 🫀12,821 patients enrolled 🫀45% 💃🏻 mean age 63 💥21% reduction in CV events in intensive tx ! SAE same 📎 www.nejm.org/doi/full/10....
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Dr Martha Gulati @drmarthagulati.bsky.social · 16/11/2024
#LBCT #SUMMIT trial #AHA24 💥 Treatment with tirzepatide led to ⤵️risk of a composite of death from cardiovascular 🫀 causes or worsening heart failure 🆚 placebo and improved health status in patients with HFpEF+obesity 📎 @NEJM www.nejm.org/doi/full/10....
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Dr Martha Gulati @drmarthagulati.bsky.social · 16/11/2024
@TheLancet session at #AHA24 starting now! #obesity 🫀Malnutrition was a problem but now obesity is taking over worldwide with few exceptions 🫀Severe obesity has also ⤴️ 🫀BMI doesn’t reflect obesity as well as waist-to-height ratio 🫀⤴️ diabetes follows obesity
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Eric Topol @erictopol.bsky.social · 16/11/2024
Another GLP-1 drug success. Tirzepatide in heart failure with preserved ejection fraction (HFpEF) with longer term follow-up than 2 previous trials with semaglutide nejm.org/doi/full/10.... in people with BMI >30; no data yet for HFpEF in people without obesity
nejm.org
Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity | NEJM
Obesity increases the risk of heart failure with preserved ejection fraction. Tirzepatide, a long-acting agonist of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor...
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