sports medicine physician

Joined September 2013
9 Photos and videos
Louis Holtzhausen retweeted
This may well be a landmark review on nutrition for endurance and non-endurance athletes.
🚨Our Landmark Sport Nutrition Analysis in Endocrine Reviews — spanning 100 years & ~600 studies🔬— challenges the foundations of the sports nutrition industry & guidelines, exposing potential harm to athletes' health. This is the most comprehensive pub on nutrition's impact on performance (5 years in the making). What we found is critical to athletes, coaches, dieticians, and the scientists who write guidelines with FREE study link below: 1) 🍞"Carb-loading" is misguided? Current sport nutrition guidelines (i.e., @ACSMNews, @IntSocietySN, @Gatorade Sport Science Institute) recommend 5–12 g/kg CHO/day and 60–90 g CHO/hour. What does that mean? 📈This can push some athletes to over 1000 carbohydrates/day. Multiple meta-analyses in the report revealed that sport nutrition guidelines have over-emphasized muscle glycogen and carbohydrate oxidation levels...yet these metrics didn't consistently align with performance... so what metric predicts performance? See #2. 👇 2)🧠Primary performance driver? Sustaining total brain energy (glucose ketones lactate)—not muscle glycogen or carb oxidation. In >160 sports performance studies, 88% showed that carb intake only benefits performance when blood glucose plummeted in the placebo group, triggering early fatigue in non-carb athletes due to brain energy deficit. Carbs maintained blood glucose and brain energy, and this out-predicted every other metric. Yet, the brain's role has been sidelined in sports nutrition, ignoring evidence since the 1920s of its pivotal impact on performance. 3)🔥High carbohydrate intake paradoxically accelerates glycogen breakdown and suppresses fat oxidation during exercise. This contradicts many of the sports nutrition marketing claims promoting high levels of carbohydrate supplementation (60-120g/hour) to "spare" muscle glycogen AND evidence showing that higher fat oxidation correlates with better performance. 4)🫀Health risks of sports nutrition guidelines? Emergent evidence has demonstrated that high-carbohydrate intake can lead to prediabetes in a percentage of athletes. This analysis also reveals that current sport nutrition guidelines' carbohydrate intake levels create a metabolic environment during exercise analogous to diabetes: -⬆️circulating insulin -⬇️fat oxidation -⬆️glycogen breakdown -🔒forced reliance on glucose as fuel This is critical. We show that athletes ARE NOT immune to the metabolic problems driven by the food environment. 5)🥵Ketogenic athletes CAN "bonk" too...but not if they fuel correctly. Contrary to claims, athletes on ketogenic diets can and do bonk—like on high-carb diets—due to dropping blood glucose. The lack of strategic carbohydrate placement was a mistake many keto-athletes made when trying to reach their peak performance. Small targeted brain-fuel supplements (10g/hour) during exercise boost peak performance without high-carb loads. After 4-week adaptation, ketogenic performance equals high-carb performance...but BOTH high and low-carb athletes benefit from ~10g/hour carbs to maintain glucose/brain energy for exercise >60 minutes in duration, improving performance 22%. It will be interesting to see how other brain fuels can also assist (ketones and lactate). 🔗FREE Study Link: doi.org/10.1210/endrev/bnaf0… 📣CONCLUSIONS: This landmark analysis challenges over half a century of scientific assumptions in sports nutrition—and explains how they became embedded in official guidelines—with implications reaching beyond elite athletes to public health and chronic disease prevention. Please share this widely with athletes, coaches, dietitians, and scientists to help optimize not just peak performance, but lifelong health. 🤝
7
27
179
20,142
Louis Holtzhausen retweeted
The Difference Between "Significant" and "Not Significant" is not Itself Statistically Significant
9
172
755
38,554
Louis Holtzhausen retweeted
Replying to @bigfatsurprise
And just for the record👇
3
2
36
754
Louis Holtzhausen retweeted
How To Choose a Good Scientific Problem
The importance of stupidity in scientific research
13
807
4,387
1,402,557
Louis Holtzhausen retweeted
6 Dec 2025
28
1,227
6,582
347,817
Louis Holtzhausen retweeted
#WorldRugby is broken. Here is the moment #Mostert hit #Gargbisi. Perfectly legal, textbook tackle. Result: Permanent Red Card. Either World Rugby begin holding officials accountable or the game is dead. The OBVIOUS bias against South Africa is evident to see.
96
248
1,376
58,350
Louis Holtzhausen retweeted
🧵 Brace Yourselves: Meniscus Rehab Is Coming” 1️⃣ 🔗nickilicphysio.substack.com/… The MRI can look nasty. The knee can feel wobbly. The stories can sound dramatic. But good management? It’s calmer, clearer, and far less surgical than most people think. #Meniscus #Knee #Orthopaedics
1
1
7
989
Louis Holtzhausen retweeted
We gotta be better than this folks! 🤷🏼‍♂️
1
10
58
3,958
Louis Holtzhausen retweeted
1,129
13,594
71,975
4,774,466
Louis Holtzhausen retweeted
الأدعم حاضر وبقوة… صامبا، باسم، وإسماعيل يتأهّلون لنصف نهائي 400م حواجز في طوكيو 2025. Team Qatar athletes are making a strong statement… Samba, Bassem, and Ismail advance to the 400m hurdles semi-finals at Tokyo 2025. #كلنا_الأدعم #WeAreTeamQatar #WorldAthleticsChamps #WCHTokyo25
1
4
1,018
Louis Holtzhausen retweeted
Blood Flow Dynamics Reveal Early Signs of Alzheimer’s Disease A new diagnostic tool that measures how the brain regulates blood flow may provide a safer and more accurate way to detect Alzheimer’s disease. Using Doppler ultrasound and near-infrared spectroscopy, researchers created the Cerebrovascular Dynamics Index (CDI), which assesses vascular responsiveness in the brain. The method outperformed PET scans and cognitive exams in distinguishing Alzheimer’s patients from healthy individuals. This breakthrough suggests blood flow dysregulation plays a central role in the disease and could inspire new therapies. neurosciencenews.com/blood-f…
2
28
97
4,879
Louis Holtzhausen retweeted
The Healthcare System wants you sick. I´m a Doctor of Physical Therapy, so I would know. Here are the 6 biggest health secrets they hid from you to sell you more pills: Secret 1: Eggs do NOT raise cholesterol
85
409
2,506
1,076,017
Louis Holtzhausen retweeted
15 Most Powerful Life Lessons: 1.
26
752
8,543
654,820
Louis Holtzhausen retweeted
Can we stop now, @Nike, and all brands, media, scientists, and hype crew? Let’s just race and let humans run, and celebrate athletes like Kipyegon for what they do, not the hypotheticals
23
30
315
36,557
Louis Holtzhausen retweeted
Thrilled to co-author our newest Delphi consensus in #BJSM on Achilles tendinopathy! A solid academic endurance exercise to assist in lightening the load on our athletes' ankles, one step closer to safer strides and bigger dreams 🦶🦶! Big shoutout to Peter Malliaras #Achilles
2
14
504
Louis Holtzhausen retweeted
Another 👇👇👇👇👇👇👇!
21 Jan 2025
Your problems adjust to their true level of importance after a hard workout and a good night of sleep.
1
7
1,619
Louis Holtzhausen retweeted
🏆 CHAMPIONS 🏆 🏆❤️💙 Congratulations to the Parisians for lifting the Trophée des Champions in beautiful Doha! 🩺 Aspetar is the Official Medical Partner of Paris Saint-Germain #PSG #france @PSG_inside
2
4
1,747
Louis Holtzhausen retweeted
Aspetar: A Qatari Pride, Leading Global Sports Medicine in 2024. As a leader of sports medicine, concluded 2024 with a resounding success. Aspetar achieved significant milestones, solidifying its position as the first and leading destination for sports medicine tourism in the region. 🔗 More 👉 aspetar.com/en/about-us/pres…
4
14
1,803
Louis Holtzhausen retweeted
You’ve been lied to. The FDA doesn’t want you healthy. They want you sick, fat, and stressed out. Here are the 14 nutrition myths that are forced down your throat. 1/ Myth: Eggs Raise Your Cholesterol
155
1,838
9,090
2,028,885
Louis Holtzhausen retweeted
Thank you so much for great collaboration.
1
1
47