The Curbsiders Internal Medicine Podcast

#325 Hotcakes: Fluid Wars revisited, Sleep & Weight Loss, Vitamin D, Pneumonia and HBV Vaccine Updates

Mar 7, 2022
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ADVICE

Don’t Overreact To One Negative Trial

  • Continue favoring balanced electrolyte solutions when clinically appropriate despite PLUS being negative.
  • Use accumulated evidence and clinical judgment rather than one trial to change practice.
INSIGHT

More Sleep Cuts Daily Calorie Intake

  • Sleep extension in short-sleeping overweight adults increased sleep by ~1.2 hours and reduced intake ~270 kcal/day.
  • Short-term weight loss occurred, suggesting sleep affects caloric intake and weight.
ADVICE

Advise Sleep Hygiene To Aid Weight Loss

  • Counsel patients to prioritize sleep and avoid late-night eating as practical steps to reduce calorie intake.
  • Recommend sleep hygiene and discourage eating within a couple hours of bedtime.
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