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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    1. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      Pleased to share my latest paper showing that #fenugreek does not appear to be any more effective than placebo as a #galactagogue for increasing #breastmilk supply. https://doi.org/10.1002/ptr.6914 … @hosp_research @RobsInstitute @Flinders @OzBreastfeeding @BFMedicine @BfWendy @Lisa_H_Amir

      3 replies 3 retweets 17 likes
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    2. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      Women concerned about their #breastmilk supply should be encouraged to seek expert #breastfeeding support and advice, rather than resorting to non evidence-based therapies like #fenugreek. @OzBreastfeeding @ILCA1985

      1 reply 1 retweet 7 likes
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    3. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      This paper is an update of a previous meta-analysis published by others in 2017 in @WileyNews Phytotherapy Research. The original study concluded that #fenugreek was better than placebo, BUT the main finding turned out to be wrong and was due to data extraction errors

      1 reply 0 retweets 1 like
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    4. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      The original study (https://doi.org/10.1002/ptr.5972 …) said that #fenugreek increases #breastmilk production by 11 mL (95% CI 7-15) per expression or breast feed. The correct estimate turned out to be −41 mL (−88 to 6). That is, use of fenugreek led to a REDUCTION in breast milk supply.

      1 reply 0 retweets 1 like
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    5. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      Despite talking to the original study authors who have acknowledged the major mistake, the journal editors determined there was no need to issue an erratum or retraction as they felt that ‘the key findings did not change substantially’ #EthicsInPublishing

      1 reply 0 retweets 0 likes
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    6. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      In the COVID era, public trust in science has never been more important. It is disappointing that the @WileyNews journal appears to favour citations over scientific quality. The original paper has over 20 citations and is widely cited in support of #fenugreek

      1 reply 0 retweets 0 likes
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    7. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      Despite scientific evidence refuting any benefits, companies like @blackmores or @SwisseAU are allowed to continue making misleading statements that #fenugreek ‘helps increase breast milk production’ or ‘stimulates healthy milk flow’ based purely on claims of traditional use.

      1 reply 0 retweets 2 likes
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    8. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      Surely at some point traditional use claims should be considered invalid if contradicted by scientific evidence. But that is an ongoing problem of regulation within the massive complementary medicine industry.

      2 replies 0 retweets 1 like
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    9. Luke Grzeskowiak‏ @LukeGrzeskowiak 29 Oct 2020

      Meta-analyses are often regarded as the highest levels of evidence to guide practice, however this provides a salutary lesson that not all can be trusted on face value. Thoughts @GidMK?

      1 reply 0 retweets 2 likes
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      Health Nerd‏Verified account @GidMK 29 Oct 2020
      Replying to @LukeGrzeskowiak

      Agree wholeheartedly! Meta-analysis is a skill in and of itself and one that can be done poorly or well

      7:37 PM - 29 Oct 2020
      0 replies 0 retweets 0 likes

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