Family Medicine physician w/interest in Preventive Cardiology, Cardiometabolic Health, EBM and education. Views are my own.
Charlotte, NC
Joined April 2011
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Brian Ingold, DO retweeted
Brandon Miller becomes the second-fastest player in NBA history to get to 500 three-pointers, only behind Duncan Robinson. Fastest in Hornets history, but it will be interesting to see how quickly Kon can get there. Miller also got the steal and dunk on the next possession.
Brian Ingold, DO retweeted
In his 170th career appearance, @hornets guard Brandon Miller has now reached 500 career 3PM in the second-fewest games in NBA history (D. Robinson, 152 games).
Brian Ingold, DO retweeted
Miller trying to put together a Kemba-level crossover mixtape in this game.
Whew, PhD level stuff here 😂
Stopping tirzepatide usually brings much of the weight back. In the trial that tested this, people who had lost about 21% of their body weight and then switched to placebo gained 14% back over the next year, while those who stayed on the drug kept losing.
The drug works well while a person takes it, but the appetite it controls returns when it stops. I think the time to build the habits that hold the weight, like eating fewer carbs and lifting to protect muscle, is while the drug is still working.
Anyone starting a GLP-1 should have a long-term plan with their doctor from the beginning.
Frosted tips Pep Biel is the best Pep Biel!!!! @Topbin90 @WilliePStyle @CarrollRogers @itscalebadams @MintCityPod @160_Swiftly @BAMaurerMedia @Jorge_Gonz20 @QCSPod @thequeenspitch
Brian Ingold, DO retweeted
KETO-CTA author group on a historic gaslighting run.
Impressive amount of spin and obfuscation.
Data is good, it's bad, it's not us, them, the only reason, new data, independent, unblinded, correlation, misdirection. 😵💫
To follow up on the Aloko discussion on @Topbin90 podcast, do y’all see him finding his way into a top 5 league within the next 2 years? Feel like his game would translate well to Bundesliga or Ligue 1 next year @Jorge_Gonz20 @BAMaurerMedia @itscalebadams
Brian Ingold, DO retweeted
I can't believe it but @CharlesSchwab is following @Fidelity down the morally bankrupt path of charging retail investors insane fees to trade ETFs.
Instead of $100 it's going to be $50.
So maybe they're 1/2 as evil?
"Yes we're screwing over our own customers but at least we're not as bad as @Fidelity!"
Would be embarrassed to work at either shop.
Gross.
🤣
You jog 4 miles every morning and your waistline hasn't improved at all. You've destroyed your knees for nothing.
Of all the ways to exercise, the light jog is one of the worst. Your ancestors walked most of the day and ran all out when they had to go after prey, or run away from a threat, or toward a child in danger. They didn't jog.
Walk. Sprint. Skip the middle.
Good eyes, already driving downhill as Mckee’s hands separate…my goodness this kid puts in some good reps @1PantherPlace @DuncOnDemand h/t @djdotmp4
Brian Ingold, DO retweeted
Should we offer continuous glucose monitors (CGM) to patients with type 2 diabetes who aren't on insulin? A recent NEJM published. tldr; YES.
CONNECT (Oser et al., NEJM 2026) randomized 283 adults with HbA1c of 7.5% (58 mmol/mol) or higher at 22 US primary care practices. Both groups had six visits in 26 weeks, and a trial clinician reviewed glucose data and adjusted treatment at each one.
📊 HbA1c difference -0.9 points (95% CI -1.1 to -0.6), or -10 mmol/mol
📈 HbA1c below 7% (53 mmol/mol) in 46% with CGM vs 24% with usual care
📊 Glucose-lowering drugs were added in 31% vs 17%, mostly GLP-1 agonists
❌ Weight change did not differ (-2.5 vs -1.8 kg)
📊 Exploratory subgroups showed -2.1 points at HbA1c 10% (86 mmol/mol) or higher and -0.3 at 7.0 to 7.9%, with an interval crossing zero
🟢 No severe hypoglycemia, and 3 minor sensor-related bleeds
The case is strongest for patients well above target who also get planned follow-up.
🏁 doi.org/10.1056/NEJMoa260857…
Brian Ingold, DO retweeted
For me, Kahlina is @CharlotteFC 1st true club legend. He's been here since the inaugural season.
2024: MLS GK of the Year (T-3rd in saves).
2025: MLS saves leader- 2nd in Clean Sheets
2026: Current MLS saves leader
BEST GK in @MLS past 3 years-fight me
CLUB LEGEND #forthecrown
Brian Ingold, DO retweeted
You cannot afford to NOT have a Direct Primary Care physician.
I hear it all the time.. "I pay for insurance and can't afford to pay for a DPC too".
Newsflash - you can't afford not to. True story.
Last month I was in Las Vegas at a meeting. About 11:00 a.m., I started feeling bad. By 5:00 - MISERY! Urgent care kind of misery. The normal person would:
1. Find an urgent care center (or ER)
2. Drive in a ton of traffic to get there.
3. Wait half hour to three hours to be seen.
4. Pay $150 for the visit (cash pay).
5. Pay $100 for the chest x-ray (cash pay) - it was respiratory so they absolutely would have done a chest x-ray.
6. Get a prescription.
7. Get prescription filled.
It was 5:00 in Las Vegas - 8:30 p.m. on the east coast. I texted my DPC - "feeling really bad, cough, congestion, slight fever and a few chills". At 8:35 p.m. east coast time, text message back "send me the address of the closest pharmacy to you". Done.
By 6:00 Las Vegas time, I had prescription in hand and was on my way to feeling better. Total charge - $0 other than my monthly membership fee. Total time saved - 3 to 4 hours. Total money saved - at least $250.
Next day text from DPC: How are you feeling? Need anything else? Have a safe trip home.
4 days later text from DPC: Did you make it back from LV? Feeling better? Need anything?
Try getting that from urgent care.
Added plus: I didn't have to wonder if a stupid insurance company was going to deny my claim and likely cost me more money because of the fake "discounts".
Brian Ingold, DO retweeted
Just had another request for a "letter of medical necessity" land on my desk. That's where the insurance company, which already has every medical record it needs, creates up to an hour of work for me. I get to explain my reasoning for treatment using the same paperwork I already sent them.
In the letter, I explain that their cherry-picked rationales are population-based and don't apply to every patient. I explain that they, the insurance company, don't have a license to practice medicine, and their sellout doctors don't have a license to practice in my state. Their protocols were meant to get us to a peer-to-peer, not to dictate medical care. They were asked to hold their subscribers' money in case they needed it, and that money is, in fact, not theirs. And I note that I understand the only reason for this unpaid, unfunded waste of time is to discourage me from writing the letter at all.
If a lawyer wrote the masterpiece I produce, it would be billed out at thousands of dollars. Mine isn't paid at all. It costs me time with patients, who are already backed up because the new CMS rules make me see them twice for the same problem. And it costs me time with my family. whew.....