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Should coffee drinkers with atrial fibrillation (AF) decrease coffee intake? ☕ A randomized clinical trial published in JAMA found that patients with AF who consumed caffeinated coffee had a lower risk of recurrent AF or atrial flutter compared with those who abstained. #AHA25 #AFib AHA Science 🔗

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JAMA

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15,602 просмотров • 6 месяцев назад •via X (Twitter)

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One cup of coffee before 4 pm? - total blunder. I do not know why so many people follow this guy on Instagram. Half his content is lame jokes featuring two imaginary people named Saravana Kumar and Arockiasamy and the rest of it is poorly researched, vaguely discussed medical content that misleads & misinforms and in many videos he just randomly throws jargons like "gut health" and "fasting." See this video for instance. Dr. Pal says coffee is not good for the liver because there is no "good evidence" for it. And talks about polysaccharides in coffee that gets converted to short chain fatty acids that improve gut health. He then finally suggests that one cup of coffee before 4PM is good enough and prevents "further adverse effects of coffee." This man is dangerously peddling misinformation on a well studied and documented dietary intervention that spans decades - and in the form of large scale epidemiological studies and metanalysis of such studies, featuring more than 600,000 patients across the world. First, coffee related polysaccharides DOES NOT improve "gut health" - this has been shown in multiple studies from 2007 to 2018. The change of polysaccharides in coffee to short chain fatty acids is negligible and the effect of that on gut bacteria is also not signficant. "The growth of bifidobacteria and lactobacilli (good bacteria) was not stimulated by coffee - "However, caffeine and chlorogenic acid partially improved the disrupted short-chain fatty acid profile in mice, although coffee had no effects." - It is not polysaccharides, but the polyenols in coffee that is beneficial for the liver. This is independent of caffeine content and hence decaff is also healthy option for the liver. See here: In 2016 and 2017 the Institute for Scientific Information on Coffee in association with the British Liver Trust published a report that concluded that: - Regularly drinking moderate amounts of coffee may prevent liver cancer – which was reviewed by WHO and confirmed this reduced risk after reviewing more than 1,000 studies in humans - Coffee also lowers the risk of other liver conditions including fibrosis (scar tissue that builds up within the liver) and cirrhosis - Drinking coffee can slow the progression of liver disease in some patients - Beneficial effects have been found however the coffee is prepared – filtered, instant and espresso See here: In 2021, A large epidemiological study based on data from the UK Biobank in 384,818 people showed that all coffee types decrease the risk of adverse clinical outcomes in chronic liver disease. See here: In 2022, a nationally representative study from the USA showed in 4510 subjects, 20 years and older showed that coffee intake was associated with lower liver stiffness (scarring). See here: In 2023, the Canadian Liver Foundation noted in their release that one cup of black coffee a day could lower the risk of chronic liver disease by 15 per cent. About three to four cups a day can reduce the risk to 71 per cent - so the recommendation is at least 3 cups of black coffee without sugar & milk daily. The experts said that: “The great thing is it doesn’t really matter what way the coffee’s prepared. It can be decaf; it can be caffeinated. It can also be drip, French press, espresso, filtered, (and) instant. All the ways (show) that black coffee is effective for liver health.” See here: The American Liver Foundation advises including coffee in your diet to improve clinical outcomes in patients with fatty liver disease. See here: To avoid reductions in total sleep time, the last cup of coffee (the third cup, ideally 150ml in Indian standard) should be consumed at least 8 hours prior to bedtime. See here: These are just scratching the surface of evidence on benefits of coffee on the liver. And there is lack of evidence? What the mind does not know, the eyes cannot see. One cup of coffee before 4 PM? So lame. What is worse than pseudoscientific garbage like Homeopathy? - Legit doctors without a scientific temperament who misinform consistently. A legit bigger pain in the a** than Ayurveda and Homeopathy. Disclosure: I do not own stocks in any coffee company and have no involvement with the coffee industry and do not receive payments or honorarium from coffee industry stakeholders.
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One cup of coffee before 4 pm? - total blunder. I do not know why so many people follow this guy on Instagram. Half his content is lame jokes featuring two imaginary people named Saravana Kumar and Arockiasamy and the rest of it is poorly researched, vaguely discussed medical content that misleads & misinforms and in many videos he just randomly throws jargons like "gut health" and "fasting." See this video for instance. Dr. Pal says coffee is not good for the liver because there is no "good evidence" for it. And talks about polysaccharides in coffee that gets converted to short chain fatty acids that improve gut health. He then finally suggests that one cup of coffee before 4PM is good enough and prevents "further adverse effects of coffee." This man is dangerously peddling misinformation on a well studied and documented dietary intervention that spans decades - and in the form of large scale epidemiological studies and metanalysis of such studies, featuring more than 600,000 patients across the world. First, coffee related polysaccharides DOES NOT improve "gut health" - this has been shown in multiple studies from 2007 to 2018. The change of polysaccharides in coffee to short chain fatty acids is negligible and the effect of that on gut bacteria is also not signficant. "The growth of bifidobacteria and lactobacilli (good bacteria) was not stimulated by coffee - "However, caffeine and chlorogenic acid partially improved the disrupted short-chain fatty acid profile in mice, although coffee had no effects." - It is not polysaccharides, but the polyenols in coffee that is beneficial for the liver. This is independent of caffeine content and hence decaff is also healthy option for the liver. See here: In 2016 and 2017 the Institute for Scientific Information on Coffee in association with the British Liver Trust published a report that concluded that: - Regularly drinking moderate amounts of coffee may prevent liver cancer – which was reviewed by WHO and confirmed this reduced risk after reviewing more than 1,000 studies in humans - Coffee also lowers the risk of other liver conditions including fibrosis (scar tissue that builds up within the liver) and cirrhosis - Drinking coffee can slow the progression of liver disease in some patients - Beneficial effects have been found however the coffee is prepared – filtered, instant and espresso See here: In 2021, A large epidemiological study based on data from the UK Biobank in 384,818 people showed that all coffee types decrease the risk of adverse clinical outcomes in chronic liver disease. See here: In 2022, a nationally representative study from the USA showed in 4510 subjects, 20 years and older showed that coffee intake was associated with lower liver stiffness (scarring). See here: In 2023, the Canadian Liver Foundation noted in their release that one cup of black coffee a day could lower the risk of chronic liver disease by 15 per cent. About three to four cups a day can reduce the risk to 71 per cent - so the recommendation is at least 3 cups of black coffee without sugar & milk daily. The experts said that: “The great thing is it doesn’t really matter what way the coffee’s prepared. It can be decaf; it can be caffeinated. It can also be drip, French press, espresso, filtered, (and) instant. All the ways (show) that black coffee is effective for liver health.” See here: The American Liver Foundation advises including coffee in your diet to improve clinical outcomes in patients with fatty liver disease. See here: To avoid reductions in total sleep time, the last cup of coffee (the third cup, ideally 150ml in Indian standard) should be consumed at least 8 hours prior to bedtime. See here: These are just scratching the surface of evidence on benefits of coffee on the liver. And there is lack of evidence? What the mind does not know, the eyes cannot see. One cup of coffee before 4 PM? So lame. What is worse than pseudoscientific garbage like Homeopathy? - Legit doctors without a scientific temperament who misinform consistently. A legit bigger pain in the a** than Ayurveda and Homeopathy. Disclosure: I do not own stocks in any coffee company and have no involvement with the coffee industry and do not receive payments or honorarium from coffee industry stakeholders.

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