Dr. Gem Marq Mutia - Adult Medicine

29/10/2025

I eliminated 85% of microplastics from my ej*****te.

Nov 2024: 165 particles/mL
July 2025: 20 particles/mL

Nearly identical drop in my blood same time period:
Oct 2024: 70 particles/mL
May 2025: 10 particles/mL

Important as a meta-analysis of 36 studies reveals that microplastics induce oxidative stress in the male reproductive system, leading to testicular inflammation, cell death, and reduced testosterone levels, s***m production, and motility.

Two studies last year showed that microplastics were detected in every human testicular and semen samples tested.

The therapy we think most responsible for this reduction is sauna as it also eliminated most environmental toxins in my body, including those linked to various plastics (200 F, 20 min daily w/ ice on the boys). I also avoid the big no-no’s like microwaving in plastic, plastic cutting board, and having a reverse osmosis water system.

To our knowledge, this is the first report of any correlation (esp in the same person over two timepoints) between blood and semen microplastic levels, demonstrating successful microplastic detoxification in the semen following that in the blood.

27/10/2025

Please don’t take medical advice from President Trump or RFK Jr.

This post is full of dangerously incorrect claims about vaccines and medications.

Here’s what you should know:

1️⃣ Tylenol (acetaminophen) is safe to use in pregnancy and childhood when used as directed. It’s one of the most studied medications in both groups. No credible medical organization recommends avoiding it entirely.

2️⃣ MMR vaccines should not be “split up.” The combined vaccine has been proven safe and effective for decades. Separating it delays protection and increases the number of shots, visits, and risks of missed doses.

3️⃣ “Chicken P” and “Hepatitas B” timing in this post is completely wrong. Delaying Hep B until age 12 leaves children vulnerable to a virus that can cause lifelong infection and liver cancer.

4️⃣ Spacing vaccines over multiple visits does not improve safety; it only prolongs vulnerability to disease.

✅ Follow recommendations from your healthcare professional, not from politicians.

Science saves lives. Misinformation costs them.

21/10/2025

19/10/2025

18/10/2025

Medication management in the ICU is one of the most complex and important parts of patient care. Every drip you see hanging represents a medication that is actively keeping a vital function going. Vasopressors maintain blood pressure when the heart can’t, sedatives keep patients safe and comfortable while intubated, and insulin infusions control blood sugar that can swing dangerously high under stress. Each dose must be constantly adjusted based on minute-to-minute changes in vitals and labs. It’s a precise balance of physiology, pharmacology, and teamwork that determines whether a critically ill patient stabilizes or deteriorates.

18/10/2025

14/10/2025

13/10/2025

Yep. Anti-vaxxers reject modern medicine - up until the time they get sick, then it's all "gimme that good stuff, doctor!"

ALT TEXT: A meme by the page One Vaxxed Nurse. It's a stock photo of a pharmacist serving a customer, with text overlaid that reads:

Here's your Tamiflu, Robitussin, Ibuprofen, and Sudafed. Good thing you skipped that flu shot so you wouldn't support "big pharma."

11/10/2025

50 mg of oral daily was associated with body weight reduction and improved cardiometabolic risk factors in East Asian adults with overweight or , with or without type 2 . https://ja.ma/47fYGll

10/10/2025