MD, PhD, FAMM, FACP, FRCP, FACG, AGAF, FASc. Professor of Medicine. #USM #USAINS #USUS #MyGutBrainCenter #MSGH. All opinion my own.

Kota Bharu, Malaysia
Joined January 2011
I turn 50 today. This is a message to my kids but I offer it to you in case any of it rings useful. I was born in Sri Lanka in 1976 in a country that, at the time, was about to enter a decades long civil war. My father was able to get stationed at the Sri Lankan High Commission in Canada for four years in the early 80s - when some of the fighting was most severe - and which from our vantage point in Canada gave us some respite from an otherwise omnipresent conflict. He came as a diplomat but then my father filed for refugee status after four years when his life was threatened by militants. We stayed in Canada as refugees. My dad never really landed on his feet and we grew up on welfare. My mom stepped up. She did an incredible thing and put our family on her back and kept marching forward. Sometimes the steps were very small but she always tried to keep moving forward. I worked at Burger King starting at 14, giving my paycheck to my mom and dad to support our family in the role that I was assigned - earn enough to pay for our bus passes because we couldn’t afford a car. I was a loser growing up. Some friends, some good memories but mostly forgettable and lonely. I wasn’t very studious but did get my act together in my final year and got into a great university. I immigrated to the US soon after graduating and found an opportunity. Things clicked and I have been traveling a path to find myself ever since. Only in America is this possible… I worked hard, followed the rules, paid my taxes and stayed in California out of loyalty for the opportunities it has given me despite its dysfunction. I found my wife here. Had my kids here. Found my tribe here. There have been some very hard times as well - deaths, divorce, financial pain, mistakes of omission and mistakes of commission. You can’t dwell on these things - they are weights that will pull you down if you’re not careful. Learn from them. Respect them. BUT MOVE ON. To think 50 years ago I could have ever gotten a chance to meet the people I’ve met and have had the experiences I’ve had would have been mind boggling to my parents. It’s mind boggling to me now. We forget often and try to convince others it’s not true but America truly is the best country in the world. Everything and anything is possible here. I can testify. Be grateful to be here. This is the only place that gives EVERYONE a chance to live a great adventure. The first 50 years have been that for me - an incredible adventure. Notice there is nothing here about accomplishments or money. Because it doesn’t matter and it won’t matter. You will be dust in less than 100 years from now and the decision to be remembered won’t be yours so stop sweating it. It’s not in your control. So what is in your control? Be kind. Have fun. Work on something meaningful to you. Find your tribe. Try to find perspective. Find an incredible partner. Have a bunch of kids. Live an adventure. Forgive your parents - they were doing the best they could even if that wasn’t what you deserved. I will do what I can to make my next 50 years a wild ride. You should too. I love you and thank you. ❤️ 🙏🏽🙏🏽
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Justin Lee retweeted
Summary of the South East Asian consensus recommendations on PPI use 💊 📸: Harsha Ganta
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#ANMM2026 wrapped up in Brisbane on Saturday — with a strong focus on practical DGBI management and real-world application. If you attended — what was your key takeaway? (And please complete the feedback survey if you haven’t yet.) A few moments from #ANMM2026 in the video below. 👇 ANMM 2026 is brought to you by the Dept of Gastroenterology and Hepatology, Princess Alexandra Hospital. In 2027, ANMM will be held jointly with the Indian Neurogastroenterology & Motility Association @INMAssociation in India. #Neurogastroenterology #GutBrainHealth #Motility #DGBI
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Bringing together the brightest minds in neurogastroenterology this March #MedTwitter @NJTalley01 @CREDigestHealth @Prof_NickTalley @AyeshaShah717 @KewinSiah #UdayGhoshal @justntweet
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Sleep is a better predictor of longevity than diet or exercise, according to new research. Here are some helpful targets: at least 7 hours of sleep each night, at least 90’ REM, at least 60’ deep sleep, and oxygen saturation at least 94%. sciencealert.com/one-critica…
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As 2025 comes to a close, we’re grateful for our global community of clinicians, researchers, and patients dedicated to advancing care for disorders of gut-brain interaction. Thank you for your collaboration and impact. Wishing you a peaceful holiday season!
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KL Goh Memorial lecture #APDW2025 delivered by Prof. Joseph Sung on global disparity of #AI-assisted colonoscopy
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🆕🔥Clinical efficacy of #AbdominalMassage combined With #Moxibustion for treatment of chronic #Constipation‼️ 🎯Superior efficacy in improving stool characteristics, ⬇️defecation intervals, regulating neurotransmitter, & ⬆️QoL👏 👉onlinelibrary.wiley.com/doi/… @ANMSociety @esnm_eu
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Ultra-processed foods – what’s the impact? In a new Lancet Series, experts warn a global rise in #UPFs presents a growing public health threat. Read the evidence & policy recommendations ⬇️ hubs.li/Q03TLKK30
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Surveillance of Barrett’s oesophagus: 🆕 2025 guidelines by ⁦⁦⁦⁦@AmerGastroAssn⁩ #4KMedEd
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Clinical leadership Course #Cube #UM organized by the College of Physicians Malaysia & the UK - am delivering a talk on burnout
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Justin Lee retweeted
The beautiful Taipei city at dusk. Read in this @Gut_BMJ issue the 2nd Taipei Global Consensus on screening and eradication of Helicobacter pylori for gastric cancer prevention by Liou et al via bit.ly/4q7rtAi @sunnyheiwong @justntweet @emadelomar #HelicobacterPylori #GastricCancer #GUTCover #GUTFrontCover
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Another publication from our group: Important #gut #health implication of #Microplastics as the Potential #Reservoir and #Carrier of #Viral Pathogens Detected from Hospital #Sewage doi.org/10.1016/j.envres.202…
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Congratulations to Professors Jim Toouli and Naima Lahbabi-Armani, who received recognition at #WCOG_AGW25 with WGO’s named lectures. It is an honor to celebrate their contributions that transformed the organization and furthered our global impact.
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Taipei Global Consensus for Gastric Cancer Prevention 🌏 - a productive Day 1 among incredible colleagues and friends achieving consensus on H pylori screening/eradication and other core interventions for primary & secondary #GastricCancer prevention ✨🙏
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My lecture - human #microplastic #microbiome #IBD in the climate change session #WCOG_AGW25 along with my esteemed colleagues
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Great start to #WCOG_AGW2025 - Breakfast symposium on #liver #microbiome from excellent faculty
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Catching up with my Malaysian friends at #WCOG_AGW25 @justntweet
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