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Daniel J Drucker Profile
Daniel J Drucker

@DanielJDrucker

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A clinician scientist at LTRI @sinaihealth studying GLP-1, diabetes, obesity and the gut endocrine system Proud 🇨🇦Not going anywhere Am 🇮🇱Chai

Toronto
Joined May 2011
Don't wanna be here? Send us removal request.
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@DanielJDrucker
Daniel J Drucker
1 month
The efficacy and safety of the new GLP-1 medicines continues to garner interest and will be discussed #ADA2024 Here is an updated safety-focused summary of the field and where it might be headed @DiabetesCareADA #T2D #obesity
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@DanielJDrucker
Daniel J Drucker
6 years
2018 accomplishments 1)Most of our knockouts had no meaningful phenotypes 2) When we increased (n) statistical significance usually disappeared 3) Many of my hypotheses flat out wrong 4)Trainees rescued me almost every time 5)Valued truth over hyperbole
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@DanielJDrucker
Daniel J Drucker
3 years
Postdoc position pls R/T-help us figure out gut hormone action-you don't have to be highly motivated, or brilliant-we aren't any of those things either. Curiosity, high ethical standards, thoughtfulness, a flair for generating reproducible (negative) results, that's how we roll
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@DanielJDrucker
Daniel J Drucker
24 days
As GLP-1 medicines evolve to target more receptors beyond the GLP-1R, ideally exhibiting enhanced efficacy, new questions arise about long term safety. Mechanistic and outcome studies will help define the value proposition for each NCE in the clinic
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@DanielJDrucker
Daniel J Drucker
1 year
Retatrutide, the triple G, Glucagon-GIP-GLP-1 based triagonist produces substantial resolution of liver fat #NAFLD in PPL with #obesity #ADA2023 @ADA_DiabetesPro @AmDiabetesAssn #NASH trial coming
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@DanielJDrucker
Daniel J Drucker
3 years
The most effective medical therapy developed to date for #obesity the GLP-1R Agonist Semaglutide 2.4mg once weekly (Wegovy) now approved in the USA @US_FDA @novonordisk
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@DanielJDrucker
Daniel J Drucker
4 years
Last week we lost a giant in the world of #diabetes , Roger Unger, a radioimmunoassay pioneer, father of modern glucagon biology, an innovator who shaped our concepts of islet biology #glucagon #T1D #T2D @hypoglycemia @JDRF @UTSWNews @theNASciences @AmDiabetesAssn
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@DanielJDrucker
Daniel J Drucker
9 months
Another huge win for GLP-1, semaglutide and PPL with #T2D at risk of developing #kidney disease. FLOW stopped early for efficacy @novonordisk
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@DanielJDrucker
Daniel J Drucker
1 year
There are now hundreds of authoritative experts that opine daily on the risk of GLP-1 therapies, often scaring people about the risk #pancreatitis Yet after 18 years in the clinic for #T2D there is no signal for pancreatitis in RCTs or real world data
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@DanielJDrucker
Daniel J Drucker
3 years
With GLP-1 as your peptide backbone the world of metabolism beckons. @LillyDiabetes @LillyPad presents new data for 1) Once weekly oxyntomodulin & 2) The triple GLP1R-GCGR-GIPR agonist in people with #T2D Bariatric surgery-like weight loss with GLP-1 medicines is coming #obesity
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@DanielJDrucker
Daniel J Drucker
10 months
The gut brain #microbiota axis via the vagus nerve defined via commensal bacterial translocation to the mouse brain and microglial activation in models of diverse neurological diseases
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@DanielJDrucker
Daniel J Drucker
4 years
I am priveleged to know and learn from dozens of outstanding female colleagues in cardiology and diabetes, all world experts. Here we have a wonderful meeting, 39 men on the Scientific Committee 0 Women #Manels Lets do better, its 2020 @picardonhealth
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@DanielJDrucker
Daniel J Drucker
8 months
The most effective GLP-1-based medicine to date, Tirzepatide, approved by @US_FDA for treatment of people living with #obesity and weight management, marketed as Zepbound, by @EliLillyandCo 2.5-15mg doses, 20% less expensive than 2.4 semaglutide ow
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@DanielJDrucker
Daniel J Drucker
1 year
In 2023 @DiabetologiaJnl @EASDnews will publish a special issue dedicated to the ~40 years of GLP-1 biology. A "how it started, how its going" look at the science with Jens Holst @Metabolcenter #diabetes #obesity #heartdisease #NASH #Alzheimers
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@DanielJDrucker
Daniel J Drucker
4 years
Muscles, myokines, and metabolic health. Use it or lose it? igHh intensity or regular #exercise A featured topic #EndocrineReviews #diabetes #obesity #aging #insulin resistance
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@DanielJDrucker
Daniel J Drucker
1 year
First oral semaglutide made a strong impression in OASIS-1 #obesity with 15% #weightloss now orforglipron leads the impressive pack of new small molecule oral GLP-1RA with robust #Weightloss and good tolerability ADA2023
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@DanielJDrucker
Daniel J Drucker
1 year
Finally, we know how #metformin works, in the gut to increase basolateral intestinal glucose uptake (BIGU) and via gut liver cross talk to reduce hepatic glucose production @PNASNews #diabetes
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@DanielJDrucker
Daniel J Drucker
10 months
GLP-1 based medicines and the treatment of #obesity How low can one go? @NatureMedicine #weightloss
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@DanielJDrucker
Daniel J Drucker
2 years
Just some of the fascinating insights that rocked the GLP-1 incretin world this week-a glimpse of top line data for AMG-133 the GIPR Antagonist-GLP1R Agonist antibody. One dose every 4 weeks for 12 weeks, total of 3 doses, 14.5% #weightloss We never know what we don't know @Amgen
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@DanielJDrucker
Daniel J Drucker
9 months
Lots of interest in muscle loss, quality and strength after #weightloss with GLP-1-based therapies. Here Tirzepatide reduces the fat content of muscle, with modest changes in muscle volume #EASD2023 @EASDnews
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@DanielJDrucker
Daniel J Drucker
4 months
Here comes once weekly insulin #diabetes
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@DanielJDrucker
Daniel J Drucker
1 year
Another GLP-1 win #obesity with more options coming. Oral semaglutide posts >17% #weightloss 15.1% placebo subtracted in OASIS-1
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@DanielJDrucker
Daniel J Drucker
3 years
As we recognize collective scientific achievements we must continually re-invest in our students, trainees and new scientists as they establish their own careers. Supporting their success will provide unanticipated novel solutions ensuring the health and prosperity of all nations
@JustinTrudeau
Justin Trudeau
3 years
Congratulations to Canada’s own Dr. @DanielJDrucker and Dr. @EAEisenhauer on this well-deserved recognition. Through your research and your leadership, you represent the very best of our country and make our world a better and healthier place - thank you. #GairdnerAwards
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@DanielJDrucker
Daniel J Drucker
15 days
Clinical strategies for mitigating adverse events with GLP-1 medicines @BevTchangMD #ADA2024
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@DanielJDrucker
Daniel J Drucker
11 months
The incretin (r)evolution. From discovery to mechanism, clinical utility to access of GLP-1 medicines. The Editors @DiabetologiaJnl summarize the special issue @EASDnews @DiabetologiaJnl @AnnaKrook_KI @hinmul #diabetes #obesity #heartdisease
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@DanielJDrucker
Daniel J Drucker
20 days
GLP-1 medicines started with injectable GLP-1RAs, then moved to oral peptides, and now co-agonists. The future will usher in multiple new ways of delivering GLP-1 medicines, and activating GLP-1R signaling pathways, promising improved efficacy/convenience.
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@DanielJDrucker
Daniel J Drucker
3 years
New review @MolMetab @jfcryan A comprehensive assessment of the evidence for and against roles for #microbiota and the control of body weight #weightloss #obesity
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@DanielJDrucker
Daniel J Drucker
4 years
Random #COVID ー19 musing. Ok, you are smart. However your PhD in nutrition, biochemistry, cancer biology, neuroscience, or your medical expertise in a medical specialty does not make you qualified to opine on a new virus you know nothing about. Bottle the narcissism. Stay silent
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@DanielJDrucker
Daniel J Drucker
11 months
The scientific community is thrilled to acknowledge the appointment of Professor Anne-Claude Gingras, a global expert in proteomics and systems biology, as the new Director of the Lunenfeld-Tanenbaum Research Institute @SinaiHealth @uoftmedicine @UofT @gingraslab1 @uoftmedgen
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@DanielJDrucker
Daniel J Drucker
1 month
GLP-1 medicines produce adverse events, predominantly gastrointestinal, transient in most. Yet controversy continues surrounding what AEs are rare but real vs. alleged but not rigorously proven in RCTs or real world data. Free to read @DiabetesCareADA
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@DanielJDrucker
Daniel J Drucker
3 years
This week, we celebrated my moms 93 birthday. On April 8, Yom Hashoah, we commemorate millions of innocent people slaughtered during World War 2, including my grandmother and aunt, shown here, and dozens of family members who perished. Evil is enabled when you look the other way
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@DanielJDrucker
Daniel J Drucker
4 years
Cold shower for the #microbiome crowd. "95% of published studies on HMA rodents reported transfer of pathological phenotypes to recipient animals. We posit that this exceedingly high rate of inter-species transferable pathologies is implausible" Indeed
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@DanielJDrucker
Daniel J Drucker
9 months
Neural circuits underpinning control of food intake, energy expenditure, and systemic metabolism-therapeutic implications @ScienceMagazine #obesity #diabetes #weightloss
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@DanielJDrucker
Daniel J Drucker
6 years
Metformin discovered in 1922, was introduced as a drug for #diabetes in 1957. Within the last 18 months we have many "definitive" mechanistic studies in mice, rats and humans, acute & chronic dosing, showing how metformin lowers glucose. Yet most of them are largely contradictory
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@DanielJDrucker
Daniel J Drucker
1 year
Astonishing, did we all not realize that people with hypertension, high cholesterol, inflammatory bowel diseases, all kinds of chronic inflammatory arthritis, CLL, CML, hypothyroidism (I could go on) relapse with discontinuation of medicines? We need to recalibrate our mindsets
@NeilFlochMD
Neil Floch MD
1 year
People taking obesity drugs Ozempic and Wegovy gain weight once they stop medication
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@DanielJDrucker
Daniel J Drucker
2 years
Scientists are under pressure to repeatedly produce highly novel data that fundamentally shifts understanding of current concepts. Is this realistic? Does it prompt us to stretch the truth in our relentless search for innovation/novelty? How often are stories too good to be true?
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@DanielJDrucker
Daniel J Drucker
1 year
An overview of the new data #obesity #T2D for GLP-1-based medicines, from oral small molecule GLP-1RA, to higher dose oral #Semaglutide to Cagri-Sema and Triple G retatrutide via @NatureNV @saimamaysidik The future is bright
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@DanielJDrucker
Daniel J Drucker
1 year
The future of gut hormone GLP-1 based pharmacology #T2D #obesity #NASH #heartfailure from the GLP-1 special issue @DiabetologiaJnl @EASDnews @MatthiasTschop
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@DanielJDrucker
Daniel J Drucker
6 months
A concise overview of several key publications in the @jclinicalinvest that helped build the story of GLP-1 science @the_asci #Diabetes #T2D #obesity #heartdisease #kidney #Parkinsonsdisease #weightloss #islets
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@DanielJDrucker
Daniel J Drucker
11 months
The authors present 74 key genes for #obesity , which are highly interconnected and enriched in several biological processes that contribute to obesity, including energy expenditure and homeostasis. #Genetics
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@DanielJDrucker
Daniel J Drucker
1 year
As the magnitude of #weightloss achieved w GLP-1-based medicines continues to increase, more attention has shifted to "quality" of weight loss, preservation of lean mass and muscle strength, with consideration of sarcopenic #obesity Yet to date, physical activity improves in most
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@DanielJDrucker
Daniel J Drucker
2 years
Free to read this week #EndocrineReviews @EndoSocJournals download the PDF and Figures/slides GLP-1 #MAFLD #NASH
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@DanielJDrucker
Daniel J Drucker
2 years
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@DanielJDrucker
Daniel J Drucker
3 years
“We suggest that although #insulin plays an important role in body fat regulation, the CIM fails because it focuses on the direct action of insulin on adipose tissue after the consumption of a meal containing carbohydrates” @KevinH_PhD @JohnSpeakman4
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@DanielJDrucker
Daniel J Drucker
2 years
From #stemcells to #islet biology, mouse physiology to human #genetics the Outstanding Scientist Achievement Awardee @AmDiabetesAssn covers all the bases #ada2022 Congratulations to Professor @annagloyn @Stanford @UniofOxford
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@DanielJDrucker
Daniel J Drucker
6 years
Old fashioned physiology, small data, non-automated, often tedious, & rarely sexy, has fallen out of favour, with shiny modern massive OMICs enjoying the limelight. One minor problem. For drug discovery, physiology is essential for target validation, therapeutic efficacy & safety
@Maratosflier
Terry Maratos-Flier
6 years
@DShaywitz @nntaleb Big data does not necessarily provide insight into physiology. Need that for targeting pathways. Think GLP1, SGLT2i. Big data help?
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@DanielJDrucker
Daniel J Drucker
11 months
A very SELECT result. Moving the needle for the medical care #obesity #heartdisease #CVD #Semaglutide Awaiting the details on contributions of 3 MACE components
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@DanielJDrucker
Daniel J Drucker
1 year
More evidence for GLP-1 (semaglutide) reducing binge-like and dependence-induced alcohol drinking in mice and rats @JCI_insight
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@DanielJDrucker
Daniel J Drucker
2 years
SGLT2 identified as a regulator of cell surface PD-L1 degradation, revealing a potential therapeutic target using SGLt2i to overcome immune evasion by tumor cells @jclinicalinvest
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@DanielJDrucker
Daniel J Drucker
10 months
Metabolically Healthy #Obesity Is it a real thing, or a transient stop on the way to more serious disorders? The 2023 Burrow Lecture, Professor Sam Klein, Friday September 29, 8 am live and virtual @uoftmedicine @BBDC_UofT @physiologyuoft
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@DanielJDrucker
Daniel J Drucker
2 years
Does the future of medical #weightloss therapies include preferential sparing of lean mass coupled with increased energy expenditure? #obesity
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@DanielJDrucker
Daniel J Drucker
9 months
After the most traumatic and deadly day for Jews in a generation, the leaders of most Canadian and international academic institutions, home to tens of thousands of Jewish students and faculty, had absolutely nothing to say. The silence in the face of moral depravity is deafening
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@DanielJDrucker
Daniel J Drucker
7 months
The 2023 Breakthrough of the Year. GLP-1 science changes the field of #Obesity meets its match | Science
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@DanielJDrucker
Daniel J Drucker
9 months
Symposium 18 #EASD2023 @EASDnews SGLT2 inhibitors and GLP-1 receptor agonist: mechanisms of beneficial action beyond glycaemic control For the figures
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@DanielJDrucker
Daniel J Drucker
1 year
Semaglutide first (20 wks) then addition of aerobic exercise (12 wks) in people with #T2D = substantial weight loss (8.9kg) maintenance of lean mass, increased #insulin AUC and C-peptide, improved insulin sensitivity
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@DanielJDrucker
Daniel J Drucker
6 years
No one chooses their parents or country of birth. My parents endured horrors beyond belief, survived, and traveled across continents in search of a new life in a democratic tolerant country 🇨🇦 welcomed them 65 years ago. Not a day that I am not thankful. Happy Birthday Canada
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@DanielJDrucker
Daniel J Drucker
7 months
Newsflash. 99% of all chronic disorders relapse after stopping medical therapy
@CNBC
CNBC
7 months
Patients regain weight after stopping Eli Lilly's Zepbound, study says
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@DanielJDrucker
Daniel J Drucker
5 months
#Obesity therapeutics. The GLP-1 based medicines under development. What is coming next? @profmjdavies @IntJObesity @eka_melson @ri_tis
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@DanielJDrucker
Daniel J Drucker
16 days
As some of you congregate #ADA2024 that occasional reminder that health and life are precious and should never be taken for granted. Hug your colleagues, kiss your kids, call your parents. Take that vacation. George Bakris and David Wasserman, gone far too soon 💔
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@DanielJDrucker
Daniel J Drucker
1 year
The anti- #cancer effects of calorie restriction but not #intermittent fasting are mediated by the gut #microbiota B. bifidum, acetate production & accumulation of interferon-γ+CD8+ T cells in the tumour microenvironment in female mice @NatMetabolism
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@DanielJDrucker
Daniel J Drucker
7 months
The neuroendocrine physiology of appetite and weight regulation with a focus on hypothalamic circuits and #obesity @ucl
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@DanielJDrucker
Daniel J Drucker
16 days
The SELECT symposium #ADA2024 cardioprotection with semaglutide does not depend on A1c #obesity @DiabetesCareADA
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@DanielJDrucker
Daniel J Drucker
2 years
GLP-1….. who knew? Never touted as very fancy, papers usually eschewed by top Journals for lack of definitive mechanism, yet science published in subspecialty Journals was highly reproducible, from mice to humans, 🇨🇦 to 🇩🇰. Don’t underestimate careful basic and clinical science
@EricTopol
Eric Topol
2 years
I wrote about the new anti-obesity drugs—semaglutide (Wegovy) and tirzepatide (Mounjaro)—that represent one of the most important breakthroughs in medicine
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@DanielJDrucker
Daniel J Drucker
2 years
My late father Ernest, of blessed memory, would have been 100 today. He joined the British army Czech brigade, was wounded in Tobruk, and managed to restart a new life in the fledgling state of Israel. Dad would be shocked to see how #antisemitism remains a scourge amongst us
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@DanielJDrucker
Daniel J Drucker
4 years
Based on fascinating animal data “in #T2D the defended level of blood glucose can be restored to normal by therapies that restore the brain’s ability to properly sense the circulating glucose level” @DiabetologiaJnl
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@DanielJDrucker
Daniel J Drucker
1 year
Hyponatremia is rarely a good thing. A new review on SIADH #Vasopressin #Hypothalamus #Kidney #EndocrineReviews
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@DanielJDrucker
Daniel J Drucker
2 years
GLP-1 and GIP are physiologically essential for suppression of #inflammation and pharmacologically suppress inflammation, actions potentially relevant to reduction of complications #T2D How and where do incretins instruct the immune system?
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@DanielJDrucker
Daniel J Drucker
9 months
GLP-1R agonists powerfully suppress gut chylomicron secretion, actions we don’t routinely measure in the clinic with fasting lipids. Does this mechanism contribute to reduction of #atherosclerosis and #MACE #heartdisease @DiabetologiaJnl
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@DanielJDrucker
Daniel J Drucker
5 years
Suggestion. Before you launch your press release, think of all the real people and families battling the disease you targeted in your organoids and mice. Many are truly desperate for real progress now, not in 5 years. Now read your press release again, and look hard in the mirror
@cecilejanssens
Cecile Janssens
5 years
"Exaggerated reporting of science runs the risk of creating a perpetual attitude of distrust in science that is harmful to science, researchers and society." "university press releases read like news articles, describing a discovery in engaging language"
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@DanielJDrucker
Daniel J Drucker
4 months
A @NobelPrize worthy pursuit. The science of G Protein Coupled Receptors @jclinicalinvest
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@DanielJDrucker
Daniel J Drucker
2 years
This week, the debate on time restricted feeding vs. Intermittent fasting vs. Calorie reduction heats up #diets #weightloss #obesity Here is an updated perspective free to read @EndocrineReviews @SatchinPanda
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@DanielJDrucker
Daniel J Drucker
3 years
It took almost 4 decades and thousands of dedicated scientists, but GLP-1R agonists are slowly changing the options and improving outcomes for PPL with #T2D #CVD and now #Obesity @juliaoftoronto @seeleyrj @ObesitySociety @ObesityCan via @voxdotcom
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@DanielJDrucker
Daniel J Drucker
5 years
As discussed most of our GLP-1 findings over the years were rejected by "high impact" Journals. This paper describing GLP-1 inhibition of apoptosis is now featured @jbiolchem after 700+ citations. Don't let glam Journals define you
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@DanielJDrucker
Daniel J Drucker
4 years
Among our more popular articles of 2020, #mitochondria play critical roles in every cell, and are central to the pathophysiology of many metabolic disorders encountered in #endocrinology #metabolism #diabetes #obesity #exercise
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@DanielJDrucker
Daniel J Drucker
2 years
Congratulations to all the scientists who have worked so hard for decades to understand the autoimmunity of type 1 #Diabetes A new era begins to slow beta cell destruction #islets @ProventionBio @JDRF @T1D_TrialNet
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@DanielJDrucker
Daniel J Drucker
7 months
#weightloss in real world databases Tirzepatide vs Semaglutide
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@DanielJDrucker
Daniel J Drucker
2 months
The new powerful GLP-1 medicines at doses used for #obesity are relatively new. Yet the class of GLP-1 medicines is now 19 years old, with Exenatide approved for #T2D April 28 2005. We have millions of treatment years for this class. Happy birthday Exenatide/GLP-1 medicines!
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@DanielJDrucker
Daniel J Drucker
2 years
The CNS control of metabolism is intricate and fascinating-is the brain a therapeutic target for #diabetes
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@DanielJDrucker
Daniel J Drucker
1 year
After decades of gut #microbiota #obesity research➡️A mechanistic linkage between gut commensals and obesity through the overproduction of microbe-derived lipids impairing intestinal epithelial integrity to promote metabolic endotoxemia @Cell_Metabolism
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@DanielJDrucker
Daniel J Drucker
1 year
The cardiovascular era for GLP-1RA started with preclinical data, then was launched by LEADER in 2016 and 7 subsequent CVOTs. How and where does GLP-1 produce a CV benefit? Some thoughts #CVD #T2D #diabetes #Heartdisease #Atherosclerosis @NatRevCardiol
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@DanielJDrucker
Daniel J Drucker
4 years
In 2021 after the cells are all singly sequenced, OMICs fully completed, and circuits fired up and down with opto and chemogenetics, folks will rediscover the forgotten old wizards of systems physiology and ask “So how does this biological system actually work?”
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@DanielJDrucker
Daniel J Drucker
2 years
Congratulations to Professor Dale Abel @IntMedAbel @TheEndoSociety @dgsomucla on election to @theNASciences for seminal contributions to metabolism, #diabetes and molecular cardiology
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@DanielJDrucker
Daniel J Drucker
1 year
Few journalists write articles describing return of disease symptoms after stopping dozens of different medicines for chronic disorders, cause folks would say “Really? What did you expect?” So why the ‘surprise/fuss about #obesity and #weightloss medicines
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@DanielJDrucker
Daniel J Drucker
1 year
18 years ago, I was sitting in a bar in La Jolla with Amylin Pharma colleagues, waiting for the NDA approval for the worlds first GLP-1 receptor agonist, exenatide twice daily, for #T2D Amazingly, the story has expanded in ways few could have imagined. Support #science #research
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@DanielJDrucker
Daniel J Drucker
2 years
Bernie Zinman became Professor Emeritus July 1 after 45 years @uoftmedicine @UHN @SinaiHealth @BBDC_UofT @DiabetesCanada @NIDDKgov From YUL to YYZ, NIH to DCCT, EMPAREG-Outcome to LEADER, Bernie has fascinating stories to tell. Think you know Dr. Zinman?
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@DanielJDrucker
Daniel J Drucker
2 years
There are many heros of the #COVID19 pandemic that go above and beyond, working tirelessly behind the scenes, without a "look at me" strategy to draw attention @ErinBearss @SinaiHealth @UofTFamilyMed @uoftmedicine is one of those leaders, intrumental in organizing #vaccines 🙏
@UofT
University of Toronto
2 years
Reopened vaccine clinic on #UofT St. George campus set to deliver more than 30,000 doses during latest wave 💙
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@DanielJDrucker
Daniel J Drucker
9 months
Notable that so many social justice warriors, including scientists, rushed to insert #BlackLivesMatter or 🇺🇦 flags in your timelines, now have nothing to say publicly as Jews are slaughtered. Please don’t ever again comment about human rights if your morality is so twisted
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@DanielJDrucker
Daniel J Drucker
6 months
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@DanielJDrucker
Daniel J Drucker
4 years
A rabbi, priest, guru and imam meet to resolve the outstanding questions & problems facing the worlds great religions. Remarkably they find good agreement and a unifying path forward. As they are leaving one of them asks "How do you think metformin works?"
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@DanielJDrucker
Daniel J Drucker
3 months
The latest Ground Truths Podcast @EricTopol The GLP-1 story, from #insulin to #weightloss #obesity #heartdisease #kidney disease #Parkinsons #Alzheimers with a dash of GIP, some glucagon, a bit of neuroscience #inflammation and a look to the future
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@DanielJDrucker
Daniel J Drucker
2 years
Can one enhance adipose tissue SREBP1c to remove senescent adipocytes and improve metabolic health? #Aging #obesity @Cell_Metabolism
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