2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7mib0PXDsr

Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy lifestyle THROUGHOUT LIFE.” See the full joint @American_Heart @ACCinTouch guidelines here (co-chaired by my mentor & friend @rblument1)

"many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many times We went over it face to face It's incomprehensible that a person with medical training is STILL repeating this basic misconception https://t.co/6ZLLQRp4Qn https://t.co/P18jBP4ORY

Mejor elaborado en estas guías: https://t.co/gzySEB9Jav

Пруфы от американской кардиологической ассоциации: длительные кетодиеты связаны с повышением смертности на 31%. https://t.co/AskCGdJ0Du https://t.co/ZebojkuL9O

Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with @ifixhearts about cholesterol, diabetes, BP, insulin resistance, heart disease, metabolic health and diet https://t.co/UF4DxLqOqu

JM

Jeffry Gerber, MD

@JeffryGerberMD · X

@drjohnm @DrJohn CAC in the ACC/AHA guidelines: https://t.co/JImitEJtDT, but still disagreement as to it's value.

@calleymeans there's literally CVS prevention goal guidelines followed by PCP's https://t.co/OT08lqeNoI

@ValerieAnne1970 Read the AHA guidelines for primary prevention of cardiovascular disease. Might not read like "pharma propaganda" but actually involves personalized risk-stratification with lifestyle intervention https://t.co/ozqgWQY9TB

Sources and reading material: https://t.co/pgsdD7xhHV https://t.co/u1qUSlJ4dW https://t.co/STEa5Dgvgb https://t.co/yl9GiABy65 https://t.co/u8TjgeBhmD

https://t.co/xfBc62z75W

9/ References: [1] Wilhelm et al., Eur J Prev Cardiol. 2022. https://t.co/XjE3HiZeoK [2] Gulati et al., J Clin Lipidol. 2024. https://t.co/fBLzC13rTZ [3] Arnett et al., Circulation. 2019. https://t.co/VdWpmhKBsi

@CaryKelly11 @ifixhearts If you watch this video, it is clear Ovadia's knowledge is limited outside his surgical domain Crazy to risk your life just because some Twitter guy says it's all ok https://t.co/akug3qDbqn

Cholesterol & Metabolic Health | ft. Dr. Philip Ovadia https://t.co/YzQEqpH7Rl via @YouTube

@FalconerClaire1 @ifixhearts I watched this video with him in it. How can I say it - one person knew their stuff, the other not so much https://t.co/oGWGfNkbmg

I think the AHA's marketing team and "sound science" team need to get on the same page. https://t.co/o4Ao2EiNDa https://t.co/oCOLQOzVMQ https://t.co/VQE8rfUsUk

The American Heart Association's love-hate relationship with potatoes. https://t.co/oCOLQOznXi https://t.co/o4Ao2EifNC https://t.co/qOxCN0ariv

@terrysimpson Yes. This video exposes his lack of knowledge outside of the surgical arena https://t.co/tmcnHg0Zry

@RasmussenT56381 @ifixhearts He is a surgeon, not a cardiologist or lipidologist. And as per the video below his knowledge in this space is rather wanting. You'd be wise to listen to those other people https://t.co/tmcnHg1xh6

@CaryKelly11 Perhaps because he is a surgeon who doesn't understand cardiology. Watch the video below and that is quite clearly apparent https://t.co/KsS3tAYPe6

RT @priapsprolab: Пруфы от американской кардиологической ассоциации: длительные кетодиеты связаны с повышением смертности на 31%. https:/…

RT @priapsprolab: Пруфы от американской кардиологической ассоциации: длительные кетодиеты связаны с повышением смертности на 31%. https:/…

RT @priapsprolab: Пруфы от американской кардиологической ассоциации: длительные кетодиеты связаны с повышением смертности на 31%. https:/…

RT @priapsprolab: Пруфы от американской кардиологической ассоциации: длительные кетодиеты связаны с повышением смертности на 31%. https:/…

RT @priapsprolab: Пруфы от американской кардиологической ассоциации: длительные кетодиеты связаны с повышением смертности на 31%. https:/…

@Scarlet_Sash Мадам меня заблокировала, но если кому будет интересно, вот пруфы от американской кардиологической ассоциации. Длительная кетодиета повышает смертность на 31% по сравнению с контрольной группой. https://t.co/AskCGdJyt2 https://t.co/etcsTAUtZO

Пруфы от американской кардиологической ассоциации: длительные кетодиеты связаны с повышением смертности на 31%. https://t.co/AskCGdJ0Du https://t.co/ZebojkuL9O

@WA4OSH

@bigfatsurprise It's worth watching this between Gil Carvalho & Philip Ovadia. One of them was clearly much more up on the research (spoiler alert - not PO). Good reasons were given for "he is on my operating table with normal LDL" but PO ignores these regardless https://t.co/LxUFXFXnJB

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

@NutritionMadeS3 The discussion between these two is worth a watch. One of them was clearly much more on top of research than the other (spoiler alert - it wasn't PO) https://t.co/z5xkPNq7tu

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

RT @ifixhearts: When doctors disagree in public, and you get to listen in to their arguments, everybody wins. Check out this conversation…

When doctors disagree in public, and you get to listen in to their arguments, everybody wins. Check out this conversation with @NutritionMadeS3 https://t.co/EOZ2MYgId3 There is no "The Science." There are many well-intentioned, experienced professionals who disagree.

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

RT @NutritionMadeS3: "many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many t…

"many in surgery have normal cholesterol" so cholesterol can't be the issue Philip, this has been explained SO many times We went over it face to face It's incomprehensible that a person with medical training is STILL repeating this basic misconception https://t.co/6ZLLQRp4Qn https://t.co/P18jBP4ORY

2019 ACC/AHA 心血管疾病一級預防指引：美國心臟學會/美國心臟協會臨床實務指引工作小組的報告 https://t.co/Z2gNgmVu5T

@ifixhearts All of these were well covered in the discussion below https://t.co/T6EL6mhQ4V

@drawandstrike 3. Plaque accrual can actually start when C is just 60-80 mg/dL which is lower than levels currently considered normal 4. LDL-C is not the best indicator. Sometimes it can be low yet ApoB (best indicator) is high https://t.co/T6EL6mhQ4V

@richcollins @BudoffMd Try this and the studies that he links in the notes. https://t.co/nLYISuQzfB

@PissedOff_PT @EarthlingAus He makes a clown of himself here too, truly

@CaloriesProper @SentientBlobBob @MohammedAlo @NutritionMadeS3 Watch him squirm through the ApoB / smoking analogy. https://t.co/DQ12KC72Vp

@TennesseeTracy @ifixhearts he got his ass handed to him on a debate over the subject. https://t.co/4XviIAAL5e

@Mosoils @sadgyyal @RMOlivaGuevara @vvlejvndrvv https://t.co/mh4iINcNcy Para que te eduques papá. Sección 4 dale una leidita

@sadgyyal @Mosoils @RMOlivaGuevara @vvlejvndrvv En 2005 estaba en el kinder

RT @aalbeirutty: ٣- مرض ارتفاع الكوليسترول النسخة الكاملة https://t.co/PDxumoMN8o. النسخة المختصرة https://t.co/EV0JXAJFPM

٣- مرض ارتفاع الكوليسترول النسخة الكاملة https://t.co/PDxumoMN8o. النسخة المختصرة https://t.co/EV0JXAJFPM

RT @cardiomet_CE: 8) Sobering stats and predictive tools led experts to develop primary prevention guidelines in 2019:

8) Sobering stats and predictive tools led experts to develop primary prevention guidelines in 2019:

@josiahgarber @RFRedberg https://t.co/viwZp4l44t

RT @TheNutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

Just to give an example, here are the AHA/ACC guidelines for the primary prevention of CVD. Emphasis on lifestyle is literally the first guideline!!! https://t.co/XsJL9I74TS https://t.co/G38CkR9LLr

Cholesterol & Metabolic Health | ft. @ifixhearts and @NutritionMadeS3 - https://t.co/Gq6F7QqAuE

@drmatthewnagra @mhd25112 @SentientBlobBob @ifixhearts This was brutal https://t.co/Ywf5aHJm7O

Highly encourage everyone to read the guidelines for primary prevention one more time. Some very important steps to take control of your health. https://t.co/BSN5RrUQwu

Important to review: 1. ASCVD risk assessment/ using in OPDs. 2. Dx of HTN (new classify). 3. Routine aspirin use. 4. Statins. #MedTwitter 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease - American College of Cardiology https://t.co/mRsLaI8aQG

1/ I fed 1 page from "2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease" and asked for a summary and treatment advice. https://t.co/sZ79mthqS2 https://t.co/RA7k8wEkhL

@rebeccarightnow @BadMedicalTakes This dude is a complete quack. He got completely destroyed in this discussion with an actual expert (well an expert in nutrition). https://t.co/cG8ejxyrK1

RT @han_francis: 8. Taking someone off statins after a coronary stent - in 1 sentence, the heart attack is caused by a longstanding imbalan…

RT @han_francis: 8. Taking someone off statins after a coronary stent - in 1 sentence, the heart attack is caused by a longstanding imbalan…

RT @han_francis: 8. Taking someone off statins after a coronary stent - in 1 sentence, the heart attack is caused by a longstanding imbalan…

RT @han_francis: 8. Taking someone off statins after a coronary stent - in 1 sentence, the heart attack is caused by a longstanding imbalan…

8. Taking someone off statins after a coronary stent - in 1 sentence, the heart attack is caused by a longstanding imbalance in coronary inflammation and its interplay with cholesterol w/ ruptured plaque. Removing statin goes against shelves of research https://t.co/DuBpE17Aak

#CardiovascularPrimaryPreventionGuidelines https://t.co/FblHHBhd6h https://t.co/OuFie2ROmU

#CardiovascularPrimaryPreventionGuidelines https://t.co/tMw5xU71LR https://t.co/APbaCf8yrf

ヴィーガンが話題だが、環境問題etcと、ベジタリアンやプラントベースは地中海食やDASH食と並ぶエビデンスのある健康食という医学的事実は完全に分けて欲しい。 AHA/ACCの心血管病一次予防ガイドラインではplant based dietと地中海食の２つが推奨されている。 続 https://t.co/rSHfBqT5bg

@ifixhearts Why not chat with @NutritionMadeS3 again so he can disabuse you of your misconceptions on seed oils? He helped you with cholesterol, which hopefully was enlightening for your audience https://t.co/WniQyO0ceB

@ikaur_Mann Not bad that she has a cause, but is it fake? Btw, studies show Mediterranean diets are better: https://t.co/hUqafMCY0W.

@ifixhearts I def won’t take anything you say as truth, especially after this discussion highlighted many of the misconceptions that you spread. No offense - other influencer doctors are much worse, esp. in the keto/low-carb crowd. https://t.co/vRRXgdPOn1

@kcisney @HieronymousT @REV_Insulin_Res @dthogan Here, he states that Apo-B lipoproteins “raise the risk of heart disease” whereas it is merely an association, and a trivial one at that. https://t.co/GBDKTEWZOv

RT @henri_mourant: @Appoota @TheNutrivore I was referring to this. Maybe it was more of a discussion then a debate but he still got crushed…

@Appoota @TheNutrivore I was referring to this. Maybe it was more of a discussion then a debate but he still got crushed: https://t.co/vd8irmD4fl

@Tom_Babington1 @TheNutrivore @BravoKiloDelta https://t.co/vd8irmD4fl

@NonsenseKiller7 @Gearoidmuar @MeganLeePhD @NutritionMadeS3 @FeliceJacka Clutching pearls again huh? If you mean by "no evidence" the 41 studies referenced here by Dr. Carvalho, then sure no evidence exists. https://t.co/XK6akETHgX

Arnett served as co-chair of the writing committee for the American Heart Association’s 2019 Guideline on the Primary Prevention of Cardiovascular Disease (https://t.co/Bhat5HbDLZ), however, she was not involved in the study. “We have also seen that getting more than 300…

@DWeinberger27 @Blagosklonny @guilherme_paiao @MacroView02 @retiredzorro @RapaNews Agree data for secondary prevention is robust, far less for primary. The Q is overall risk/benefit incl. morbidity. A better summary to date, incorporating all the data = 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/rFuhTJyeTh YMMV

RT @medical_xpress: New study finds lowest risk of death was among adults who exercised 150-600 minutes/week @HeartNews @CircAHA https://t.…

RT @medical_xpress: New study finds lowest risk of death was among adults who exercised 150-600 minutes/week @HeartNews @CircAHA https://t.…

New study finds lowest risk of death was among adults who exercised 150-600 minutes/week @HeartNews @CircAHA https://t.co/V4yFrcE71g https://t.co/jDfD8mRl8U

https://t.co/fLVgf09asB

Thanks to @ifixhearts He did a very brave attempt in this dialog but once plant a based sat fat phobic ldl fan it seems to be hard to move on :-D https://t.co/buIrw1tqAk

@StevenMBelknap @DTA482 @Grahanimal @EllisDon https://t.co/zzGnW8BP4J

@keto_mandy @realDaveFeldman @NutritionMadeS3 https://t.co/VsTDPtgMgG Idk who you think is commonly treating “cholesterol” as the only factor. But you’ve clearly never looked at any guidelines.

@NutritionMadeS3 enjoyed this chat > https://t.co/VqsLFTxS9T Interesting thoughts from both sides You quoted the Cochrane review on SFA and the CVD events finding ... what's your interpretation of the findings when displayed in absolute terms? https://t.co/HxJH8yyad7

@dr_cois Maybe he’s right. Either way I think you will find this enjoyable. https://t.co/z9CRO6OgqQ. Stay well.

@kevinstock12 You might like to listen to the below convo with @NutritionMadeS3. He talks about this exact claim. https://t.co/G0jUe3CQeg

@holmanm Marion, curious to see if you have listened to this debate? If you have would welcome your thoughts. https://t.co/jm6wLBtIQr

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @The_Nutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

RT @realDaveFeldman: 1/ I had the debate between @NutritionMadeS3 & @ifixhearts on in the background while working. Really enjoyed it Firs…

RT @realDaveFeldman: 1/ I had the debate between @NutritionMadeS3 & @ifixhearts on in the background while working. Really enjoyed it Firs…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

This is a great listen. @NutritionMadeS3 I dob't understand why people think we actually adopted a low saturated fat diet. It didn't happen. https://t.co/FGQ22un24x

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @realDaveFeldman: 1/ I had the debate between @NutritionMadeS3 & @ifixhearts on in the background while working. Really enjoyed it Firs…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @The_Nutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

RT @The_Nutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

Cholesterol & Metabolic Health | ft. Dr. Philip Ovadia https://t.co/3odmWwY06q via @YouTube

RT @realDaveFeldman: 1/ I had the debate between @NutritionMadeS3 & @ifixhearts on in the background while working. Really enjoyed it Firs…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

1/ I had the debate between @NutritionMadeS3 & @ifixhearts on in the background while working. Really enjoyed it First and foremost, both gentlemen were very cordial and professional. No ridicule, name-calling, or any other emotive personal attacks, etc.. https://t.co/cWlSlAUNge

RT @The_Nutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

RT @The_Nutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

RT @The_Nutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

RT @The_Nutrivore: 1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

1/10 Here's my response to the debate between @NutritionMadeS3 and @ifixhearts.

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

Debate video: https://t.co/VugFV6CmF3

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

RT @NutritionMadeS3: Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with…

Common question: is high cholesterol/apoB still a problem if you´re otherwise metabolically healthy? I chatted with @ifixhearts about cholesterol, diabetes, BP, insulin resistance, heart disease, metabolic health and diet https://t.co/UF4DxLqOqu

RT @DrMauricioGon: Mejor elaborado en estas guías: https://t.co/gzySEB9Jav

RT @DrMauricioGon: Mejor elaborado en estas guías: https://t.co/gzySEB9Jav

RT @DrMauricioGon: Mejor elaborado en estas guías: https://t.co/gzySEB9Jav

@EstebanDL @DrMauricioGon Lee el articulo completo, si lo menciona, El @DrMauricioGon hizo una síntesis , https://t.co/9xBowwkrMn https://t.co/IrsFLMAON9

RT @DrMauricioGon: Mejor elaborado en estas guías: https://t.co/gzySEB9Jav

RT @DrMauricioGon: Mejor elaborado en estas guías: https://t.co/gzySEB9Jav

Mejor elaborado en estas guías: https://t.co/gzySEB9Jav

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @Whale_health: https://t.co/sKYpKBPxbm.

https://t.co/sKYpKBPxbm.

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

#MedTwitter #SundayMorning 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines https://t.co/RO9pNl5NEr

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

RT @haithamahmedmd: Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy life…

Finally, remember that the best way to prevent heart disease is not aspirin. The best way is to “promote a healthy lifestyle THROUGHOUT LIFE.” See the full joint @American_Heart @ACCinTouch guidelines here (co-chaired by my mentor & friend @rblument1)

@kanepotter https://t.co/noKn6qlMJL

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease - American College of Cardiology https://t.co/H2aOPY5rfm

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

RT @KoushikReddyMD: Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of pr…

Heart disease continues to be the leading cause of death across the world. Most of it is preventable. At the core of primordial, primary, and secondary prevention should be the practice of healthy lifestyle throughout the course of a lifetime. https://t.co/bBR4hkf3dR

RT @iamritu: By focusing on #CVprev with #TelemedNow - many touch points with patients feasible with #RPM that could improve compliance & a…

RT @iamritu: By focusing on #CVprev with #TelemedNow - many touch points with patients feasible with #RPM that could improve compliance & a…

By focusing on #CVprev with #TelemedNow - many touch points with patients feasible with #RPM that could improve compliance & adherence to life’s simple 7 by the @AHAScience & @ACCinTouch @ErinMichos https://t.co/t2FGEcIHSM

@F16Torque @PeterMcCormack https://t.co/ZxIGVXqH16

@Mammabooh1 @mamahorbs https://t.co/c7MqH0Hyml

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

10. 2xESC & 1xUSA guidelines recommend (IIb) consideration of low-dose aspirin in asymptomatic pts at very high risk Would you consider aspirin in highly selected asymptomatic pts such as Q7 above (++plaque), if bleeding risk not high and ptt is on board? https://t.co/l0e8VL5yXi

@UnCulACali @mosca_matthew @MacroFour @MyNutritionSci @DaveKeto 2019 ACC/AHA guidelines will do. A committee who’s personal diets vary greatly in terms of dietary ‘brand’. You see no problem nudging an online community, based on an untested ‘hypothesis’, to make dietary changes that fly in the face of such guidelines? https://t.co/noKn6qlMJL

@Ilpo_K @NevalainenOlli @StalnackeSanna Riskinarviointiin liittyviin kysymyksiin voi tutustua esim. näistä https://t.co/vTxKjAznMS ja https://t.co/UE5Vp9GRtW

@LSaukkoriipi @NevalainenOlli En varmaan ymmärrä kysymystä. Mutta voisit tutustua vaikka näihin https://t.co/vTxKjAznMS ja https://t.co/UE5Vp9GRtW kenties?

@fleroy1974 One of many - current ACC/AHA guidelines published in Circulation a peer reviewed journal. Based on a review of the evidence their recommendation is plant based dietary patterns and if choosing meat for it to be lean (preferably fish). https://t.co/5sVjeV7af8

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

RT @AmbrizMau: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7m…

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Circulation 2019;140:e596–e646. https://t.co/7mib0PXDsr

RT @mrinal7: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease - American College of Cardiology https://t.co/xx4NB…

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease - American College of Cardiology https://t.co/xx4NBcZNJW

@MattMadore576 @angryhacademic @FusionProgGuy @drcateshanahan @hl__nutrition @kevinnbass @The_Nutrivore And here it is. One of the AHA's 10 key guidelines for CVD primary prevention. https://t.co/SG6oYYjlri https://t.co/RWdLORuJ39

@missingdoc1 https://t.co/t2RYqTNfB0 You are asking a great question! These are our primary prevention guidelines. & Always feel free to refer to Cardiology for hyperlipidemia too, it’s never too early to see a preventive cardiologist, I promise! ❤️

@fatisourfriend @Plant_proof @kevinnbass @DrDavidKatz Also, I can't find anything in the advisory they link about reducing dietary cholesterol specifically, with only one mention of "cholesterol" in food. Minimizing dietary cholesterol appears necessary for minimizing ApoB but they don't seem to discuss that: https://t.co/vIYQAiGdCx

RT @arebollon: @RaizaRebecca Hay muchas cosas: control de presión, glicemia y colesterol, ejercicio 150 min/semana, ponerse la vacuna de in…

RT @arebollon: @RaizaRebecca Hay muchas cosas: control de presión, glicemia y colesterol, ejercicio 150 min/semana, ponerse la vacuna de in…

RT @arebollon: @RaizaRebecca Hay muchas cosas: control de presión, glicemia y colesterol, ejercicio 150 min/semana, ponerse la vacuna de in…

RT @arebollon: @RaizaRebecca Hay muchas cosas: control de presión, glicemia y colesterol, ejercicio 150 min/semana, ponerse la vacuna de in…

RT @arebollon: @RaizaRebecca Hay muchas cosas: control de presión, glicemia y colesterol, ejercicio 150 min/semana, ponerse la vacuna de in…

RT @arebollon: @RaizaRebecca Hay muchas cosas: control de presión, glicemia y colesterol, ejercicio 150 min/semana, ponerse la vacuna de in…

@RaizaRebecca Hay muchas cosas: control de presión, glicemia y colesterol, ejercicio 150 min/semana, ponerse la vacuna de influenza, menos cigarrillo-alcohol-sal y evitar el uso de aspirina en prevención primaria. Ya está en guías internacionales https://t.co/D9ID3zAyBj

RT @EmiroBuendia: #Residentnudge

On this subject, the @ACCinTouch @JACCJournals overview 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease provides balanced perspective of some of the considerations with respect to primary prevention: https://t.co/zXG15aHlG3 -@agingdoc1

RT @EmiroBuendia: #Residentnudge

RT @EmiroBuendia: #Residentnudge

RT @EmiroBuendia: #Residentnudge

RT @EmiroBuendia: #Residentnudge

#Residentnudge

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease - American College of Cardiology https://t.co/mH1AP2GsxW

@SFZoe014 @nick_krontiris @Drlipid @lipiddoc @ExpertLipid Yes. Oft criticized for being conservative or incomplete, the guidelines remain a great place to start. A small % of population follow all the recommendations. Maintaining a healthy weight/moderating calories/unprocessed diverse diet, staying active, etc: https://t.co/1495edNs1w

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

RT @CircAHA: #Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHA…

#Perspectives: The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/IG0gYvS7ju #AHAJournals

Updated clinical guideline for patients with valvular heart disease recommends less invasive interventions, when possible, and patient involvement in treatment considerations. https://t.co/hFd2eJJgQm

@DelilahVeronese: @American_Heart: @Rose98028391 The 2017 AHA Presidential Advisory concluded strongly that lowering intake of saturated fat and replacing it with unsaturated fats will lower the incidence of CVD. Read more at https://t.co/m4u0nndIW0 and https://t.co/n4EQgYjRIK.

@DelilahVeronese: @American_Heart: @TeresaKMay The 2017 AHA Presidential Advisory concluded strongly that lowering intake of saturated fat and replacing it with unsaturated fats will lower the incidence of CVD. Read more at https://t.co/m4u0nndIW0 and https://t.co/n4EQgYjRIK.

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/R8xLL7zJP8

RT @gt_hta: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/Amer…

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines https://t.co/xkH0czhQ5G

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease - American College of Cardiology https://t.co/L7wEAxJiHY

RT @HanCardiomd: ☝

RT @HanCardiomd: ☝

RT @AnumSaeedMD:

RT @AnumSaeedMD:

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines | Circulation https://t.co/M2c4XpMl2B

@American_Heart: @Rose98028391 The 2017 AHA Presidential Advisory concluded strongly that lowering intake of saturated fat and replacing it with unsaturated fats will lower the incidence of CVD. Read more at https://t.co/BH2ixGWFDD and https://t.co/XnCJfPRvAj.

@American_Heart: @TeresaKMay The 2017 AHA Presidential Advisory concluded strongly that lowering intake of saturated fat and replacing it with unsaturated fats will lower the incidence of CVD. Read more at https://t.co/BH2ixGWFDD and https://t.co/XnCJfPRvAj.

@Rose98028391 The 2017 AHA Presidential Advisory concluded strongly that lowering intake of saturated fat and replacing it with unsaturated fats will lower the incidence of CVD. Read more at https://t.co/HZIVNCdYiz and https://t.co/iMV1MiI6io.

@TeresaKMay The 2017 AHA Presidential Advisory concluded strongly that lowering intake of saturated fat and replacing it with unsaturated fats will lower the incidence of CVD. Read more at https://t.co/OHeERxG2DZ and https://t.co/4GOGI6EZVt.

A tener en cuenta! 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease https://t.co/8ZNjk4zZwk

@__MAN_ Statement # 8 https://t.co/vRH5Tol9zO

https://t.co/jMg6eHqh14

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

RT @bigfatsurprise: A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protoc…

A reminder that most recent @American_Heart/@ACCinTouch Lifestyle Guidelines have yet to publish their research protocols. Despite multiple requests, by me + others. What good is science without basic protocols (answers only from 6-9th graders, pls.

RT @diago_nutri: Por si a alguien más le es útil: Guía de la AHA sobre el riesgo cardiovascular (2019). Con las recomendaciones de nutrició…

Por si a alguien más le es útil: Guía de la AHA sobre el riesgo cardiovascular (2019). Con las recomendaciones de nutrición resumidas en el cuadro (imagen capítulo 3) https://t.co/4FASXfxexR https://t.co/wsm8EBEsbL

#Prevention of #cardiovascular #disease: A report of the American College of Cardiology/American Heart Association task force on #clinical practice #guidelines. https://t.co/pFi5poV3VV

RT @hahn_rt: Two excellent (and similar) reviews of recent Aspirin for Primary Prevention Trials and Guidelines Changes https://t.co/IrQK1u…

RT @hahn_rt: Two excellent (and similar) reviews of recent Aspirin for Primary Prevention Trials and Guidelines Changes https://t.co/IrQK1u…

RT @hahn_rt: Two excellent (and similar) reviews of recent Aspirin for Primary Prevention Trials and Guidelines Changes https://t.co/IrQK1u…

RT @hahn_rt: Two excellent (and similar) reviews of recent Aspirin for Primary Prevention Trials and Guidelines Changes https://t.co/IrQK1u…

RT @hahn_rt: Two excellent (and similar) reviews of recent Aspirin for Primary Prevention Trials and Guidelines Changes https://t.co/IrQK1u…

RT @hahn_rt: Two excellent (and similar) reviews of recent Aspirin for Primary Prevention Trials and Guidelines Changes https://t.co/IrQK1u…

Aspirin didn't prove its efficacy in the primary #prevention of cardiovascular events. https://t.co/Qmmut1TkeE https://t.co/wFJv6vjVKU @MDedgeCardio @AHAScience @ACCinTouch https://t.co/TSrW6hbPiP

@CardiologyToday Aspirin is ineffective in the primary prevention of cardiovascular events. https://t.co/Qmmut1TkeE https://t.co/wFJv6vjVKU https://t.co/N4xcsDI93V