There should be no charities and philanthropy, only taxes.
I mean, how much of a real concern is this really? Anesthesia is pretty powerful. I’m certainly glad I didn’t come off retatrutide for my shoulder surgery since I was able to do pull-ups again within a month
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It’s an interesting world view by the author. At first I thought it’s dark humor, but after a couple of paragraphs it became clear that it’s not meant to be funny; it’s meant to feel revelatory. New Age conspiracy fiction, written as if it’s philosophical speculation. Nice style, well written but expresses only the author’s fantasy worldview. Do “they” really eat babies? Ha-ha what a nonsense.
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I do not know Buffet but I know he is giving most of his billions to charities. He has already given ~$50 billion to the Gates Foundation, which in turn has saved 10 of millions of lives with its vaccination programs. Is it the middle-class working person you think he has little empathy for? I’m not that familiar with him as a person, except via his contributions to world health and other quality of life issues, primarily in underclass areas and developing nations.
Yes, everything after he says “Hypothesis” is crazy. If Epstein had black magic and could see the future why did he end up in the cell? Why is he dead?
Remote viewing interested me for a while. Maybe it works, but I’d say not very well. It seems like we would notice a superpower like that being used.
I don’t see the value of the babies at all, aside from the possible use of a blood boy but that’s not being alleged. If they have black magic, what use to they have of Attia? He doesn’t know anything about black magic.
There is significant talk in China about babies disappearing. I listen to Leis real talk to hear the gossip from there:
At least she’s a real person.
I’m thinking it’s all just hype. Widespread crazy hype. I thought maybe @CronosTempi would do us a paragraph on the philosophical underpinnings, but don’t get up dude. We got this. It’s a nothingburger.
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I’m an anesthesiologist. There is a slightly increased risk of aspiration of gastric contents (and subsequent aspiration pneumonitis) due to the delay in gastric emptying time when taking GLP1s. This risk is readily minimized especially when the anesthesiologist is aware that the patient is usings these drugs. H2 blockers (famotidine), gastric motility enhancers (I.e. metoclopramide) and oral antacids can be given prophylactically. I would not be overly worried about this issue. The anesthesioligist will take measures to reduce this mild risk.
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It’s getting more and more bizarre.
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Thanks for shutting down the fear mongering
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To be fair, since when does one doctor’s opinion “shut down” anything. Even 1 study doesn’t but here is one I hadn’t seen.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2830835
Retrospective but large study showing no increased incidence of aspiration after anesthesia on GLP1s - March 2025.
But it isn’t all buttoned up and a complete answer.
Additionally, a higher proportion of patients using GLP-1 RAs developed acute respiratory failure compared with patients not using GLP-1 RAs (799 [13.5%] vs 40 060 [11.1%]; P < .001).
I throw this is as unadjusted and it goes away with adjusting for increased morbidities in GLP1 users. But you also have to figure the GLP1 users have lost some weight and have their diabetes under better control. It is known that even a small preop weight loss reduces anesthesia and surgery related complications. Which is what the Ortho literature is basically saying.
They admit they don’t know who may have held GLP1s prior to surgery only that it was before the ASA guidelines were published in 2023. And it is at least somewhat important that this was a majority non-weight-loss indication using drugs such as Trulicity. These are often given at lower doses than for weight loss. Now, people using GLP-1s at low doses and are felt to be different than people during dose escalation (in ASA guidelines) This study is mostly applicable to chronic low dose users.
So people here are likely fine. I’d still hold for a week just to be as safe as possible. But certainly not worry about the hypothetical emergency surgery.
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