There are two articles in NEJM this year that say naltrexone is 'contraindicated for cirrhosis'. This saddens me. It is not supported by an evidence. Alcohol is 'contraindicated for cirrhosis'. That is supported by evidence

Hanna Blaney, MD, MPH@blaneymd.medsky.social · last yr.

An important message on naltrexone in patients with liver disease: ✅Naltrexone can help reduce alcohol use without harming the liver. 🚫Alcohol DOES harm the liver. We do not need any more barriers to treat patients with AUD➕ALD! @nejm.org @ebtapper.bsky.social www.nejm.org/doi/full/10....

An important message on naltrexone in patients with liver disease: ✅Naltrexone can help reduce alcohol use without harming the liver. 🚫Alcohol DOES harm the liver. We do not need any more barriers to treat patients with AUD➕ALD! @nejm.org @ebtapper.bsky.social www.nejm.org/doi/full/10....

Do you want to support the future of the best speciality? As an Emerging Liver Scholar and Advanced Transplant Hepatology awardee, @aasldfoundation.bsky.social has shaped my career. 🙏 to all who support our pathways into hepatology @aasldnews.bsky.social 🙏Donate👇 www.aasldfoundation.org/donate

📢 PSA: 👩‍⚕️👨‍⚕️Primary care doctors and internists: ‼️Please 🛑 telling patients “it’s just fatty liver” Common, yes. But not benign! ✅ Take 🍺🍸history, perform brief intervention ✅ Manage metabolic risk factors 🧐Fibrosis (FIB-4) ☎️ Your friendly hepatologist if you need help! #liversky #medsky

In an epidemic of alcohol-use disorder, alcohol-associated liver disease, and cancers driven partially by 🥂🍸🍺, click-bait headlines like these are extremely harmful for population health. Let’s do better for our patients and public health. @theguardian.com @nytimes.com @cnn.com @washingtonpost.com

So fun to meet online friends IRL!

When did the hotel mini-bar get not-so-mini?! As an alcohol-associated liver disease focused hepatologist, this trend is very concerning!

Alcohol use is pervasive. I’ve had conversations about how to prevent harmful drinking in teenagers and children (one study I did on an AUD population the average age of first drink was 11). Here is one idea (that can be applied to other habits)! What else can we do help reduce underage drinking?

WHO@who.int · last yr.

Studies show that when kids see parents drinking, it normalizes alcohol consumption. 📢 Help prevent early drinking. Have open conversations & model healthy habits at home. You are your kid’s hero. 👉 bit.ly/3S60G7i

Most of what we see on the liver transplant wards are sick, young patients with alcohol-associated liver disease. We frequently see patients in their 20s and 30s, many who drank at “socially acceptable levels,” with severe liver disease resulting in either transplant or ☠️. #liversky

WHO@who.int · last yr.

Alcohol consumption is rising among young people across many low- & middle-income countries, especially among young women. Meanwhile, drinking rates remain high in high-income countries. Here are the risks & why you should care. 👉 bit.ly/3S60G7i

As a clinician scientist who has devoted my life to improving health + advancing science, the last few months have been terrifying. I don't understand why the US doesn't want to continue leading in health + science Supporting medical science in the USA - The Lancet www.thelancet.com/journals/lan...

Supporting medical science in the USA

The pursuit of rigorous medical science is not compatible with capitulation to government demands aimed at weaponising and eroding science. On April 14, Edwin R Martin Jr, the Trump-appointed interim ...

thelancet.com

Not surprising, but these pronatalists are white supremacists, backed by tech money and now with a large voice. Who would want to bring children into their sick world? www.npr.org/2025/04/25/n...

They say they want Americans to have more babies. What's beneath the surface?

Pronatalists believe that modern culture has failed to adequately prioritize the value of nuclear families and making lots of babies. They see powerful potential allies in Elon Musk and JD Vance.

npr.org

It’s #WorldImmunizationWeek Vaccines have saved 154 million lives in the last 50 years. That’s 6 lives every minute. A reminder of what is #HumanlyPossible. Science saves lives. #VaccinesWork bit.ly/wiw2025

Unsurprisingly, this administration misses the 🎯 on why many people don’t have more children: 💰(a one time $5k bonus isn’t enough) My PGY4, I spent more than my salary on childcare (and we had a very reasonably priced day care at the time for the area, ~$1300/m) www.nytimes.com/2025/04/21/u...

Trump Aides Solicit Ideas to Raise Birthrate, From Baby Bonuses to Fertility Planning

Baby bonuses and menstrual cycle classes are among the ideas pitched to Trump aides as they consider plans to try boosting the birthrate.

nytimes.com

Science is nonpartisan. www.nytimes.com/2025/04/18/h...

Trump-Allied Prosecutor Sends Letters to Medical Journals Alleging Bias (Gift Article)

An interim U.S. attorney is demanding information about the selection of research articles and the role of N.I.H. Experts worry this will have a chilling effect on publications.

nytimes.com

Home *slightly* early on this gorgeous Friday afternoon for some light reading with my 12.3 lb besties on enteral feeding in hospitalized patients. @nejm.org This is the life! @GISky @liversky @medsky

This trend is *very* concerning given that alcohol damages the liver of females at 2x the rate of males. We are seeing so many young females (20s and 30s) who get very sick and often die from🍸🍷🍻-associated liver disease! We need to work on strategies to 📉 alcohol use in this population! #liversky

JAMA@jama.com · last yr.

Past-month binge drinking among young adult females in 2021-2023 was higher than among males, reversing 2017-2019 patterns, whereas males in other age groups continued to binge and heavy drink at higher rates. https://ja.ma/42pf2V6 #MedSky

An estimated 3.3 million Americans are living with viral hepatitis. I see many of them daily with complications including liver cancer and cirrhosis. We see periodic outbreaks of hepatitis across our country, on top of a growing IVDU-related HCV epidemic. This is pure bananas 🍌.

NPR@npr.org · last yr.

All 27 scientists at this CDC lab were told their duties were "unnecessary," and now viral outbreak investigations have been halted.

PSA: You can have iron deficiency without anemia and it still matters and can cause serious symptoms and absolutely warrants treatment.

“DEI and proud” “Donald Trump’s worst nightmare” Happy to be in NYC and supporting ReelAbilities Comedy Night

Wise words from Dr Scott Winder: Congratulate your AUD/ALD on their progress for reducing alcohol use, even if they haven’t achieved abstinence. Addiction is hard. Recognize success. #liversky #ALD-ALLY #medsky

Naltrexone in 🍷🍸🍺-associated liver disease ✅ Overall, safe for treatment of alcohol use disorder in this population Black box warning for chronic liver disease was REMOVED in 2013: 🚫 evidence of harm 🔑 Alcohol causes harm to the liver, naltrexone does NOT Slides: #ALD-ALLY Lamia Haque #liversky

As a constituent who formally worked at NIH: yes and yes.

Rep. Jamie Raskin@raskin.house.gov · last yr.

Tens of thousands of my constituents devote their careers to public service. They go to work every day to help America, often passing up lucrative opportunities in the private sector. They are patriots and we should thank them, not vilify them and drive them from public service.

Heading to @amergastroassn.bsky.social DDW? Apply for 🌈@rainbowingastro.bsky.social inaugural Health Equity Travel Awards! Would love to see a 🌱 hepatologist awarded! 📆Deadline to apply is April 18th! urldefense.com/v3/__https:/...

I frequently see patients with “new” cirrhosis only to find that on chart review they had low platelets/some other finding concerning for cirrhosis or liver disease often YEARS before. Thrombocytopenia should prompt a search for cirrhosis and may save lives/livers! #liversky

Encouraging #GISky and #liversky Fellows to apply! 📆 Apply by April 1st!

Hanna Blaney, MD, MPH@blaneymd.medsky.social · last yr.

👋 #liversky! Do you love the Liver Fellow Network and want to be a part of the amazing work we do? Our application for content writers is out! 📆Apply by April 1st! docs.google.com/forms/d/e/1F... @amcollegegastro.bsky.social @amergastroassn.bsky.social @ebtapper.bsky.social

Who has completely deleted their Twitter/X account? I’ve struggled to given what #MedTwitter was and the connections made. Just logged into check and was overwhelmed with xenophobia/islamaphobia/white supremacy and I cannot 🤯. Haven’t pulled the plug just yet but wow…things have gotten very 💩

“Moderate” alcohol-associated hepatitis MELD < 20 journals.lww.com/hepcomm/full... #liversky

This picture reminds me how I have always been extremely goal oriented (Also: So much fun to share this with my mini-me. Bonus: my dad teaching my son how to aim as well as fly fish in high desert streams!)

Ascites is like carrying around a hot tub: Huge energy bill! 1⃣Kilocalorie= energy to 🔥1L by 1°C 2⃣Ascites=Heating ~5-10L to 36°C 24hrs/day 3⃣Energy comes from body breakdown (sarcopenia) If you⬇️ascites➡️the energy bill falls Help patients. ⬇️the ascites!!! #liversky

After five decades, steroid dosing in AAH is revisited: Tapered prednisolone proves superior in reducing infections. #STASH trial @jasmohanbajaj.bsky.social @juanpabloarab.bsky.social @ebtapper.bsky.social @tonybreu.bsky.social @blaneymd.medsky.social journals.lww.com/ajg/abstract... #liversky

Infections in Standard or Tapered Dose of Prednisolone for... : Official journal of the American College of Gastroenterology | ACG

mary objective was to assess the incidence of infection by day 90. The key secondary objectives were the incidence of mortality, acute kidney injury (AKI), readmissions rate and adverse events. Metho...

journals.lww.com