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NatWonk – Dr Bier’s Research Reviews

NatWonk – Dr Bier’s Research Reviews

An Informed Medicine Approach

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Category: Labs & Statistics

High-sensitivity C-reactive protein: potential adjunct for global risk assessment in the primary prevention of cardiovascular disease

February 28, 2026
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| Cardiovascular Health, Labs & Statistics

Comment: I incorporate high-sensitivity CRP into every cardiovascular workup because it captures a physiological reality that standard lipid panels miss. As this foundational paper details, hsCRP identifies high-risk individuals—even those with low cholesterol—who are otherwise invisible to standard screening algorithms.  It is an unfortunate reality that markers are frequently ignored because there is no FDA-approved […]

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Critical appraisal of the SIBO hypothesis and breath testing: A clinical practice update endorsed by the European society of neurogastroenterology and motility (ESNM) and the American neurogastroenterology and motility society (ANMS)

February 14, 2026
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| Gastrointestinal Health, Labs & Statistics

Comment: A central issue with the concept of SIB is the conflict between the biochemical allure of a bacterial explanation for complex symptoms and the physiological reality that our diagnostic tools are structurally incapable of distinguishing between overgrowth and simple transit speed. This clinical practice update from the ESNM and ANMS reveals that the Lactulose […]

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