Peter Dobranowski (@PDobrano) header
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PhD | IBD, Microbiome, Precision Medicine opinions my own

Ottawa, Ontario
Joined April 2012
Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)Photo by Peter Dobranowski (@PDobrano)
Peter Dobranowski retweeted
Writing this made me feel better this week. I hope reading it makes you feel better. theintrinsicperspective.com/…
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Peter Dobranowski retweeted
Very excited to share a comprehensive (150+ page) new resource for caregivers/ families of children living with IBD and/or autoimmune liver disease. This Caregiver Coping resource addresses a broad array of common concerns and questions, from navigating diagnosis, to managing family dynamics, building resilience, coping with stressful situations, and practical strategies for school, travel, and finances / insurance. We address special challenges for VEO families, AILD, multiple diagnoses, and surgery. We link to other resources on specific topics where high quality resources exist. As a living document, this can and should also evolve and improve. My goal was to make this a highly practical resource, to ensure parents’ feelings, learnings, experiences, and expertise are front and center, and, as importantly, to drive what I call “realistic hope”. Too many IBD sites and pamphlets are utterly terrifying to many patients and families. This resource was co-developed by @ImproveCareNow ‘s Parent & Family Advisory Council (PFAC), which I co-Chair, the Autoimmune Liver Disease Network for Kids (A-LiNK), and the Social Workers & Psychologists group (SWAP). All 12 people involved were absolutely amazing, contributing significantly to this true group effort. Special thanks to my co-Chair, Heidi Riechel for being a relentless advocate for mental health, to Jennie David for her leadership, and to Sarah Nocito for the outstanding editing and formatting. Explore it, share it: bit.ly/CCR_2025
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Peter Dobranowski retweeted
👀Watch CAG's very own Laura Sly along with fellow UBC researchers speak to their breakthrough research in the treatment of inflammatory bowel disease: globalnews.ca/video/11160379…
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Peter Dobranowski retweeted
As many of you know, one of the reasons I joined this platform a few years ago and advocate publicly is the rational and evidence-based link between diet and IBD outcomes (including IBD prevention!). I have watched the evolution of the narrative surrounding dietary therapy and there is one common thread: underming the role of diet and looking for every reason to avoid more than a cursory discussion of what remains one of patients’ top questions. Every patient has heard many of these: “diet doesn’t matter” “diet is woo-woo pseudoscience” “very low quality evidence” “studies are ongoing, we will know more in the next few years” “we don’t know which diet is best” “there is no one diet for everyone” “dietary therapy is restrictive and difficult” “diet is dangerous because ARFID” “a healthy diet is too expensive” “we don’t want to blame patients”. We are now at the stage where a role for diet in IBD is impossible to ignore so the default has become the Mediterranean Diet. I appreciate the baby steps over the last decade but this advice is vague and insufficient to optimize healthy outcomes in IBD. Our diet guidelines should not be the same as for healthy people. If we had a drug that was as safe and effective as EEN or a plethora of defined dietary therapies, it would be gold standard and first-line in every algorithm. It isn’t for two reasons: (1) the religion of RCTs, and (2) financial incentives don’t align with dietary therapies. Regarding RCTs, I say it is a religion because it stops any thought or discussion. Are robust placebo-controlled diet RCTs even feasible? Do all other aspects of IBD clinical care have RCT-level evidence? Is there a role for the art of medicine and common sense in patient care? Should there be a different standard for food vs drugs? Regarding incentives, I will simply say that physicians and patients have agency to create the system that is best for outcomes, regardless of financial incentive pressures. We can do the right things even if not the easiest things. Dietary guidance is harder than writing a prescription. But it is not harder than active disease, nonresponse or loss of response to medications, drug trial and error, poor quality of life, insurance delays and denials, drug AEs/SAEs, complications and surgeries, and more. If we can optimize outcomes with early aggressive dietary (and lifestyle) interventions, together with drug therapies, we must. Diet matters a great deal and should be a cornerstone of the therapeutic approach for all IBD patients.
We are excited to announce the publication of our new study. This work explores the relationship between dietary inflammatory potential and the development and progression of IBD. ➡️sciencedirect.com/science/ar…
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Calling all ulcerative colitis #IBD patients! Canada has been added as sub-site for the quick questionnaire study about protein and protein supplements in UC @CanGastroAssn @getgutsycanada
TQEH IBD service has commenced recruitment for the study: “understanding the perceptions, attitudes and use of protein supplements amongst adults with UC”. We encourage you to share with your networks! QR code and link below! survey.redcap.sahealth.sa.go…
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Peter Dobranowski retweeted
As I see lists of top IBD papers of 2024 circulating, please allow me to share my list with some commentary. 🧵 🥇 🌟 As an initial observation, 2024 was not, in my view, as productive in delivering truly meaningful new insights and ideas as 2023. If you disagree please let me know why. What papers have I missed? And what are my blind spots? You can also review my very detailed thread of my 2023 list in the post below. TLDR: There was progress (though not PROFILE), particularly in ‘omics and single-cell profiling of IBDs, intestinal ultrasound, better identification of specific IBDs and phenotypes (especially in children), and growing acceptance of diet and microbiome modulation, though much more needs to be done still.
As we wind down 2023, I offer here a 🧵of my top #IBD papers published this year. These are exceptional. And the good news is this is not a short list. I have categorized them into areas I think are important and deserve the most focus of our collective efforts. But first, some "thank you"s and a personal look back at 2023. Mostly, I want to profoundly thank the GI clinicians and researchers who connected with me this year, on @X , on WhatsApp, via Zoom, at #DDW, at ICN's Fall Community Conference, and at AHN's IBD Summit. You are the best of the best and I value you all more than I can say. This year, I once again had the great pleasure to interview some of you about your research (see @propelacure's YouTube channel). These were highlights for me and your work is in the 🧵below. Some of you were incredibly kind to ask for my input or assistance with your papers. I enjoyed this thoroughly and value your thinking and your approaches. This process of academic publishing has been truly insightful, frustratingly long, and I now have first-hand experience with reviewer #2. More than anything, it re-affirmed for me this year that we have many brilliant IBD researchers but that academic publishing in journals, as it works today, is not the most efficient or best way to get ideas and data--particularly paradigm-challenging ideas or data--out to the community. It certainly does not serve patients and their families with a sense of urgency to advance knowledge, therapies and cures. I may write more about this at some point. I also had the immense privilege to kickoff and host, with amazing collaboration and support from Propel and @connecttocure--two wonderful nonprofits deeply devoted to IBD patients--the Roadmap to a Cure, bringing together 15 and then 25 of the most brilliant IBD researchers from all over the world with a variety of areas of expertise, perspectives, and career stages to brainstorm about IBD pathogenesis, prevention, and cures of IBDs. My greatest challenge now looking to 2024 is to leverage this amazing group's goodwill and expertise to drive progress for patients within a framework that you are all used to working in, which frankly differs from how we operate in the business world. But I am optimistic and will have more to share soon. I am sorry I have been more quiet, but BIG things require iteration, deep thinking, and behind the scenes work, which has been my focus these last few months. I especially want to thank @guthealthmd and @bverstockt for your invaluable guidance, leadership, and belief in what is possible. I am also deeply grateful to @ImproveCareNow. This organization will continue to be my nonprofit focus. Thank you for continuing to strive to make meaningful quality improvements that improve the lives of children with IBD, and that of their families. I am grateful to @ssaeed94, Kristin, @PeterAMargolis and Missy for their leadership, for allowing me to (at times) challenge the status quo, for giving a real voice to parents/caregivers, and for supporting the incredible community of parents I have the privilege to work with, especially my national co-chair, Heidi, our dedicated leadership team, and former chair extraordinaire, @jmmh123. A shoutout to two of the physicians who partner with us at @ICNParents and always say YES, @SCKimIBDMD and @JeremyAdlerMD. And to @Flat_Jennie for partnering with us on an exciting project in progress, for being a phenomenal leader, and for generally doing so much for so many. Definitely a shining🌟in the world of IBD. 2024 is going to be exciting. It will be when personal and professional missions align: 20+ years in pharma, 7 years of experience with #IBD, the connections, insights, and efforts of these last years, and collective passion and drive will take shape in a new biotech company that is mission-driven to develop novel non-immunosuppressive therapeutics to improve the lives of #UC, #Crohn's and #Celiac patients and their families. Together with an outstanding business partner I connected with right here on @X, and who really provided the vision and the push, we are working hard to do what is not currently being done in the pharma pipeline--advancing truly novel, best-in-class, and promising therapeutics. And so, with all of that, please enjoy this thread of my top papers of 2023. Thank you to EVERYONE who worked on these.
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We’re proud to recognize Dr. Dr. David Mack for winning the 2023 Research Leadership Award. We’re grateful for your dedication to #IBD research! #IBDMinds2023
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Peter Dobranowski retweeted
1/n On behalf of co-authors, excited to share our new @The_GEMProject Study @AGA_Gastro, which shows evidence for the first time that gut microbiome composition is associated with future risk of Crohn’s disease in a prospective cohort following 3483 healthy first-degree relatives
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Tonight at our Young Adult Series, Dr. Graff will be discussing all things related to mental health and IBD! Want your questions answered? Don't forget to register : bit.ly/2TSBLGg.
We hope to see you at 7 pm ET tonight, where you can connect with peers through our virtual peer support session and hear Olympian John Smythe, member of the 2021 Canadian Men's Field Hockey Team for the Tokyo Olympics, talk about his journey with #IBD: bit.ly/2TSBLGg.
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Peter Dobranowski retweeted
To all Young Adults: MEET PEERS with #IBD, HAVE FUN, LEARN! @getgutsycanada's #youngadult series starts Sep 15, held weekly till Oct 6. If you're not a young adult but know someone, please pass it on! Register here: bit.ly/3EeMmBB #crohns
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We're inviting 18 – 30 year olds living with #IBD to join us for the Young Adult Series, supported by the LeGresley Family Foundation. This virtual event connects young adults to build a strong network with their peers and engage directly with experts: bit.ly/2TSBLGg.
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Recruiting IBD patients currently taking biologics to participate in a research project about ideas, experiences and approaches to managing IBD with biologics. If interested see poster⬇️ for details #research #IBD
Our Giveaway Frenzy continues! Don't miss out on 1 of 3 grand prizes! It's a walk in the park to enter: ☑️ Register in the Ottawa-Gatineau #GutsyWalk ☑️ Tell us where Chapter Vice-President @PDobrano is standing ☑️ DM your response Contest closes June 6th!
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Peter Dobranowski retweeted
The Stintzi Lab's been transformed into the @AmongUsGame! We study the gut #microbiome 💩🦠🧬 to better understand #InflammatoryBowelDisease @CHEOibd. @uOttawaBMI members - please check your emails and vote for your fellow Stintzi Stool Squad crewmates! #BMIbattle2021
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Peter Dobranowski retweeted
The Hospital for Sick Children will be accepting Adult #COVID ICU patients for transfer within the next 24h. What we were worried about happening pre-Wave 1, is happening in Ontario right now.
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Peter Dobranowski retweeted
Don't forget to check out the latest #GtsNGlry episode with @PDobrano. He is an #IBDWarrior who is doing incredible work for the #IBD community. Check it out! @ApplePodcasts: apple.co/2Z6kTyl @Spotify: spoti.fi/3p7NbTI #crohns #colitis
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Peter Dobranowski retweeted
New Episode Soon!🤗 @PDobrano shares how he has, quite literally, dedicated his life to #IBD. He's got IBD AND a brilliant 🧠. 👉In the meantime, check out his SWEET #Legomovie about his journey with IBD: bit.ly/2MHHsqB #GtnNGlry #crohns #colitis #dedicated #badass
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