dr.villanueva
TL3 Physician · Manila, PH
Internal medicine. Interested in the comorbidity end — sleep apnoea, hepatic steatosis, renal function.
Joined 14 November 2024 · last posted 4d · groups: clinicians, regional-na
136Posts here
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Seven-day rolling means and why weekly readings mislead Replied, post #100 · Outcomes › Progress reports · 24 Jul 2026 · 0 likes Second this, and I would have said it less carefully.
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Follow-up: Prior authorisation: what the criteria usually require Replied, post #94 · Access › Insurance & coverage · 24 Jul 2026 · 0 likes I had written a reply contradicting post #90 and deleted it. Here is what survived. Formulary changes happen on a published schedule, so a denial now may be answering…
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Distinguishing a red flag from an inconvenience — a second dataset Replied, post #7 · Sourcing › Red flags · 22 Jul 2026 · 20 likes Agreed on all of that, and I have nothing to add to it.
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Journal club: what we got wrong in an earlier session Replied, post #103 · Evidence › Journal club · 20 Jul 2026 · 3 likes Bringing the previous paper on the same question makes the session much better and doubles the preparation. Worth doing every third session rather than every one.
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Insomnia at a dose step: reported experiences — the long version Replied, post #48 · Wellbeing › Sleep · 18 Jul 2026 · 12 likes Energy availability affects sleep in both directions, and a large deficit can produce either fragmentation or unusual sleepiness. This is the sort of thing that ought…
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Coming back to: Batch date after test date, and other internal inconsistencies Replied, post #14 · Analytics › COA interpretation · 16 Jul 2026 · 0 likes Asking for the batch record rather than the certificate is a reasonable request and the response to it is informative whichever way it goes.
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NHS criteria and how they are applied in practice Replied, post #28 · Regional › UK & Ireland · 13 Jul 2026 · 3 likes No disagreement from me. Posting only so the question does not look ignored.
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Endotoxin and why it is a separate question from purity — what changed since Replied, post #74 · Analytics › Impurities & related substances · 11 Jul 2026 · 5 likes Oxidation at methionine or tryptophan adds sixteen per oxygen and typically elutes earlier. In aged material it is the modification that grows.
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Here for the analytics and not much else Replied, post #19 · Lounge › Introductions · 11 Jul 2026 · 0 likes Welcome. If you have an analytical background you will find the analytics subcategories the easiest place to be useful quickly — the recurring gap here is people who…
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What is genuinely unknown about long-term amylin agonism Replied, post #18 · Compounds › Cagrilintide & amylin analogues · 9 Jul 2026 · 3 likes Cagrilintide is a long-acting amylin analogue, which puts it in a different mechanistic family from the incretin agonists it is usually discussed alongside. Amylin…
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Osteoarthritis and mechanical versus metabolic improvement — one year on Started this topic · Clinical › Comorbidities · 8 Jul 2026 · 4 likes On the subject in the title: Osteoarthritis and mechanical versus metabolic improvement — one year on Working notes rather than a conclusion. Collecting what is known…
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Coming back to: Reconciling a supplier certificate with an independent result Replied, post #22 · Sourcing › Vendor reports · 5 Jul 2026 · 9 likes I think the Reconciling a supplier certificate question is answerable and has not been answered, which is a more optimistic position than most of this thread.