Ashwin Dhanda
@adhanda.bsky.social
Liver lover. Academic Hepatologist. Plymouth UK
Alcohol related liver disease
#LiverSky
Alcohol related liver disease
#LiverSky
Reposted by Ashwin Dhanda
As Professor Colin Angus states:
"We've spent the last year listening to the government say sensible, if generic, things about being committed to a prevention agenda. We're seeing today that this, from the perspective of alcohol, was all mouth and no trousers whatsoever."
"We've spent the last year listening to the government say sensible, if generic, things about being committed to a prevention agenda. We're seeing today that this, from the perspective of alcohol, was all mouth and no trousers whatsoever."
The Government's big new 10 year health plan has finally been published.
In spite of lots of talk about moving towards prevention rather than treatment, there is basically no meaningful alcohol prevention policy here.
assets.publishing.service.gov.uk/media/686638...
In spite of lots of talk about moving towards prevention rather than treatment, there is basically no meaningful alcohol prevention policy here.
assets.publishing.service.gov.uk/media/686638...
July 3, 2025 at 1:38 PM
As Professor Colin Angus states:
"We've spent the last year listening to the government say sensible, if generic, things about being committed to a prevention agenda. We're seeing today that this, from the perspective of alcohol, was all mouth and no trousers whatsoever."
"We've spent the last year listening to the government say sensible, if generic, things about being committed to a prevention agenda. We're seeing today that this, from the perspective of alcohol, was all mouth and no trousers whatsoever."
Reposted by Ashwin Dhanda
"Embarrassing" 10-Year Plan.
The government has published its 10-Year Health Plan, which fails to include any of the most-effective prevention policies on alcohol.
The only measures are to improve labelling and support the growth of the zero..(1/2)
assets.publishing.service.gov.uk/media/686638...
The government has published its 10-Year Health Plan, which fails to include any of the most-effective prevention policies on alcohol.
The only measures are to improve labelling and support the growth of the zero..(1/2)
assets.publishing.service.gov.uk/media/686638...
July 3, 2025 at 10:26 AM
"Embarrassing" 10-Year Plan.
The government has published its 10-Year Health Plan, which fails to include any of the most-effective prevention policies on alcohol.
The only measures are to improve labelling and support the growth of the zero..(1/2)
assets.publishing.service.gov.uk/media/686638...
The government has published its 10-Year Health Plan, which fails to include any of the most-effective prevention policies on alcohol.
The only measures are to improve labelling and support the growth of the zero..(1/2)
assets.publishing.service.gov.uk/media/686638...
Reposted by Ashwin Dhanda
🧵 People with both mental health and substance use difficulties are fighting a battle on two fronts. But they often face closed doors to care, unable to access services for one until they've dealt with the other. This has to change.
tinyurl.com/yeynkxba #SubstanceUse #MentalHealth
tinyurl.com/yeynkxba #SubstanceUse #MentalHealth
May 20, 2025 at 9:48 AM
🧵 People with both mental health and substance use difficulties are fighting a battle on two fronts. But they often face closed doors to care, unable to access services for one until they've dealt with the other. This has to change.
tinyurl.com/yeynkxba #SubstanceUse #MentalHealth
tinyurl.com/yeynkxba #SubstanceUse #MentalHealth
So many unknowns! #microplastics An excellent meet the experts session at #EASLcongress2025 #LiverSky @plymouthmarine.bsky.social @hepatoresearch.bsky.social
May 10, 2025 at 6:27 AM
So many unknowns! #microplastics An excellent meet the experts session at #EASLcongress2025 #LiverSky @plymouthmarine.bsky.social @hepatoresearch.bsky.social
Reposted by Ashwin Dhanda
The far right feeds on fear, scapegoats, and fake "us vs. them" battles.
The worst thing you can do is echo them.
The best thing? Call them out and offer a better story.
A thread 🧵
#NoPasaran #StandUpToHate
1/
The worst thing you can do is echo them.
The best thing? Call them out and offer a better story.
A thread 🧵
#NoPasaran #StandUpToHate
1/
May 3, 2025 at 7:09 PM
The far right feeds on fear, scapegoats, and fake "us vs. them" battles.
The worst thing you can do is echo them.
The best thing? Call them out and offer a better story.
A thread 🧵
#NoPasaran #StandUpToHate
1/
The worst thing you can do is echo them.
The best thing? Call them out and offer a better story.
A thread 🧵
#NoPasaran #StandUpToHate
1/
Thanks to Matthew Cramp and Louisa Vine for organising a fantastic SW Hep Group meeting. Excellent speakers. Great venue. And well done to the early morning runners! 🏃♂️🏃♂️
Blessed to be living and working here with such fab colleagues @uhpnhs.bsky.social @hepatoresearch.bsky.social
Blessed to be living and working here with such fab colleagues @uhpnhs.bsky.social @hepatoresearch.bsky.social
March 20, 2025 at 8:45 PM
Thanks to Matthew Cramp and Louisa Vine for organising a fantastic SW Hep Group meeting. Excellent speakers. Great venue. And well done to the early morning runners! 🏃♂️🏃♂️
Blessed to be living and working here with such fab colleagues @uhpnhs.bsky.social @hepatoresearch.bsky.social
Blessed to be living and working here with such fab colleagues @uhpnhs.bsky.social @hepatoresearch.bsky.social
Great BASL ARLD SIG meeting today. Thanks @richardparker for organising
ALERT audit results
➡️ No audit standard met
➡️ Poor patient information
➡️ Poor follow up
Lots of work needed to improve care
@britishlivertrust.bsky.social giving patient perspective
ALERT audit results
➡️ No audit standard met
➡️ Poor patient information
➡️ Poor follow up
Lots of work needed to improve care
@britishlivertrust.bsky.social giving patient perspective
March 19, 2025 at 8:13 PM
Great BASL ARLD SIG meeting today. Thanks @richardparker for organising
ALERT audit results
➡️ No audit standard met
➡️ Poor patient information
➡️ Poor follow up
Lots of work needed to improve care
@britishlivertrust.bsky.social giving patient perspective
ALERT audit results
➡️ No audit standard met
➡️ Poor patient information
➡️ Poor follow up
Lots of work needed to improve care
@britishlivertrust.bsky.social giving patient perspective
Great news! Good to see @gwynnemp.bsky.social specifically mentions investment in addiction recovery services
Funding for the public health grants will be increased to £3.858 billion - a 5.4% cash increase & 3.0% in real terms
As Public Health Minister Andrew @gwynnemp.bsky.social states: "Prevention is better than cure. If we can reach people earlier & help them stay healthy...
www.gov.uk/government/n...
As Public Health Minister Andrew @gwynnemp.bsky.social states: "Prevention is better than cure. If we can reach people earlier & help them stay healthy...
www.gov.uk/government/n...
Local public health services given £200 million boost
Local communities to receive funding for family and school nurses, sexual health clinics and other public health services.
www.gov.uk
February 7, 2025 at 5:46 PM
Great news! Good to see @gwynnemp.bsky.social specifically mentions investment in addiction recovery services
Looking forward to lots of groundbreaking work from Prof Chokshi's new lab in Plymouth #microplastics
The beginning of our Environmental Hepatology research lab ✨
Head of the lab: Shilpa Chokshi
First post doc: Paula Boeira
Watch this space 👀
Head of the lab: Shilpa Chokshi
First post doc: Paula Boeira
Watch this space 👀
January 8, 2025 at 7:36 AM
Looking forward to lots of groundbreaking work from Prof Chokshi's new lab in Plymouth #microplastics
Reposted by Ashwin Dhanda
January 6, 2025 at 9:13 PM
Reposted by Ashwin Dhanda
Thoughtful piece from Marjot & Dhanda (@adhanda.bsky.social) in @natrevgastrohep.bsky.social: Alcohol-free drinks show promise for motivated individuals to reduce alcohol consumption but may pose relapse risks in others. Balance is key for clinical guidance. 🧪
www.nature.com/articles/s41...
www.nature.com/articles/s41...
Alcohol-free and low-strength drinks: friend or foe? - Nature Reviews Gastroenterology & Hepatology
Consumption of no and low-alcohol (NoLo) beverages is now commonplace in modern society. However, the debate surrounding the relative risks and benefits of these products is nuanced and evolving, part...
www.nature.com
January 5, 2025 at 2:16 PM
Thoughtful piece from Marjot & Dhanda (@adhanda.bsky.social) in @natrevgastrohep.bsky.social: Alcohol-free drinks show promise for motivated individuals to reduce alcohol consumption but may pose relapse risks in others. Balance is key for clinical guidance. 🧪
www.nature.com/articles/s41...
www.nature.com/articles/s41...
Reposted by Ashwin Dhanda
👋Hello #Liversky!
🗞️Proud to see our EASL experts @debbieshawcross.bsky.social , @ahmedelsharkawy.bsky.social, and Philip Newsome featured in The Guardian with advice on liver health.
Indulged during the holidays? It's not too late to give your liver some love!💚
www.theguardian.com/lifeandstyle...
🗞️Proud to see our EASL experts @debbieshawcross.bsky.social , @ahmedelsharkawy.bsky.social, and Philip Newsome featured in The Guardian with advice on liver health.
Indulged during the holidays? It's not too late to give your liver some love!💚
www.theguardian.com/lifeandstyle...
January 3, 2025 at 9:18 AM
👋Hello #Liversky!
🗞️Proud to see our EASL experts @debbieshawcross.bsky.social , @ahmedelsharkawy.bsky.social, and Philip Newsome featured in The Guardian with advice on liver health.
Indulged during the holidays? It's not too late to give your liver some love!💚
www.theguardian.com/lifeandstyle...
🗞️Proud to see our EASL experts @debbieshawcross.bsky.social , @ahmedelsharkawy.bsky.social, and Philip Newsome featured in The Guardian with advice on liver health.
Indulged during the holidays? It's not too late to give your liver some love!💚
www.theguardian.com/lifeandstyle...
Do read my comment piece with @tom-marjot.bsky.social on NoLo alcohol 👇🏾
JAN ISSUE | COMMENT
Alcohol-free and low-strength drinks: friend or foe?
www.nature.com/articles/s41...
#Liversky #Gastrosky
Alcohol-free and low-strength drinks: friend or foe?
www.nature.com/articles/s41...
#Liversky #Gastrosky
January 3, 2025 at 9:46 PM
Do read my comment piece with @tom-marjot.bsky.social on NoLo alcohol 👇🏾
Reposted by Ashwin Dhanda
Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
January 3, 2025 at 5:41 PM
Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
Reposted by Ashwin Dhanda
THREAD
This Is The Story Of The The Pernicious Rise of AI-Generated Papers and their Online Impact
An Incomplete History Told In The Voice of Documentarian Adam Curtis
1/31
This Is The Story Of The The Pernicious Rise of AI-Generated Papers and their Online Impact
An Incomplete History Told In The Voice of Documentarian Adam Curtis
1/31
December 19, 2024 at 9:10 PM
THREAD
This Is The Story Of The The Pernicious Rise of AI-Generated Papers and their Online Impact
An Incomplete History Told In The Voice of Documentarian Adam Curtis
1/31
This Is The Story Of The The Pernicious Rise of AI-Generated Papers and their Online Impact
An Incomplete History Told In The Voice of Documentarian Adam Curtis
1/31
Reposted by Ashwin Dhanda
Since England's alarming alcohol death statistics are in the news again today, here's a particularly alarming fact buried in the figures DHSC have released -
For the first time, in 2023 the rate of alcohol-specific deaths in the North East of England overtook Scotland and have risen 55% since 2019
For the first time, in 2023 the rate of alcohol-specific deaths in the North East of England overtook Scotland and have risen 55% since 2019
December 19, 2024 at 10:00 AM
Since England's alarming alcohol death statistics are in the news again today, here's a particularly alarming fact buried in the figures DHSC have released -
For the first time, in 2023 the rate of alcohol-specific deaths in the North East of England overtook Scotland and have risen 55% since 2019
For the first time, in 2023 the rate of alcohol-specific deaths in the North East of England overtook Scotland and have risen 55% since 2019
🚨 Depression and anxiety are common in cirrhosis
🚨 High prevalence in #ALD
🚫 Diagnosed and treated
We need to do better for our patients
Great review 👇🏾
#Liversky
🚨 High prevalence in #ALD
🚫 Diagnosed and treated
We need to do better for our patients
Great review 👇🏾
#Liversky
Everything you want to know about the management of depression and anxiety in #cirrhosis
From Zimbrean (@YalePsych) and Jakab (@YaleDigestive)
journals.lww.com/hepcomm/full...
#liversky
From Zimbrean (@YalePsych) and Jakab (@YaleDigestive)
journals.lww.com/hepcomm/full...
#liversky
Depression and anxiety management in cirrhosis : Hepatology Communications
nd depression are linked to lower health-related quality of life, more severe symptoms (eg, fatigue), and poorer response to medical treatment. Screening instruments for depression and anxiety have sh...
journals.lww.com
December 16, 2024 at 8:05 PM
Reposted by Ashwin Dhanda
It's that time of the year again. In no particular order, I would like to share a few of #livertwitter in 2024 with #liversky
These could be original research, guidance statement, position paper or editorial. This is def not an inclusive list. Feel free to add to the 🧵
These could be original research, guidance statement, position paper or editorial. This is def not an inclusive list. Feel free to add to the 🧵
December 10, 2024 at 8:28 PM
It's that time of the year again. In no particular order, I would like to share a few of #livertwitter in 2024 with #liversky
These could be original research, guidance statement, position paper or editorial. This is def not an inclusive list. Feel free to add to the 🧵
These could be original research, guidance statement, position paper or editorial. This is def not an inclusive list. Feel free to add to the 🧵
So true! Last month saw a pt who had had severe alc hep and MOF 9 mo ago ▶️ Full recovery. Normal fibroscan!
We need better integrated care. Treating the #AUD is fundamental
We need better integrated care. Treating the #AUD is fundamental
Seeing high MELD patients w/ ALD who re-compensate with sobriety & get their lives back (and avoid transplant!) is incredibly rewarding. As Hepatologists treating ALD, it is essential that we treat the underlying alcohol use disorder so our patients can improve! @juanpabloarab.bsky.social #liversky
December 9, 2024 at 10:18 PM
So true! Last month saw a pt who had had severe alc hep and MOF 9 mo ago ▶️ Full recovery. Normal fibroscan!
We need better integrated care. Treating the #AUD is fundamental
We need better integrated care. Treating the #AUD is fundamental
Increase in #alcohol use in middle age in all generations
🚨 Worrying trends for Millennials as they reach their 40s+
➕ Rising #obesity
🟰 ⬆️ Liver disease and death
#MetALD
🚨 Worrying trends for Millennials as they reach their 40s+
➕ Rising #obesity
🟰 ⬆️ Liver disease and death
#MetALD
This isn’t, to be clear, a life cycle effect - ie, it’s not just a natural thing older people do.
If we split the data into birth cohorts, we see women born in the 50s, 60s and 80s drastically increase their drinking when they hit middle age
5/7
If we split the data into birth cohorts, we see women born in the 50s, 60s and 80s drastically increase their drinking when they hit middle age
5/7
December 8, 2024 at 7:47 PM
#Alcohol
⬇️ Affordability = ⬇️ Alcohol harm
@teamlabouruk.bsky.social need to bring in Minimum Unit Pricing
#MUPworks
www.bmj.com/content/387/...
⬇️ Affordability = ⬇️ Alcohol harm
@teamlabouruk.bsky.social need to bring in Minimum Unit Pricing
#MUPworks
www.bmj.com/content/387/...
It’s time to end the policy vacuum on alcohol harm in England, if this government is serious about shifting its focus to prevention
The newly elected United Kingdom’s government has moved quickly to resurrect legislation, initiated by its predecessors, that is designed to tackle the epidemic of youth vaping and create a smoke-free...
www.bmj.com
December 6, 2024 at 8:45 PM
#Alcohol
⬇️ Affordability = ⬇️ Alcohol harm
@teamlabouruk.bsky.social need to bring in Minimum Unit Pricing
#MUPworks
www.bmj.com/content/387/...
⬇️ Affordability = ⬇️ Alcohol harm
@teamlabouruk.bsky.social need to bring in Minimum Unit Pricing
#MUPworks
www.bmj.com/content/387/...
December 6, 2024 at 6:16 AM
Reposted by Ashwin Dhanda
HRG Christmas Meal with our annual Christmas Quiz. Tamar was the big winner once again! Congrats 👏🏻🎅🏻
December 6, 2024 at 12:38 AM
HRG Christmas Meal with our annual Christmas Quiz. Tamar was the big winner once again! Congrats 👏🏻🎅🏻
📈 Increasing alcohol specific deaths in England
🚨 Alarming data
🎯 We need to address this growing problem at multiple levels. Read this report 👇🏾
m-c-a.org.uk/policy/
🚨 Alarming data
🎯 We need to address this growing problem at multiple levels. Read this report 👇🏾
m-c-a.org.uk/policy/
December 4, 2024 at 8:47 PM
📈 Increasing alcohol specific deaths in England
🚨 Alarming data
🎯 We need to address this growing problem at multiple levels. Read this report 👇🏾
m-c-a.org.uk/policy/
🚨 Alarming data
🎯 We need to address this growing problem at multiple levels. Read this report 👇🏾
m-c-a.org.uk/policy/
Reposted by Ashwin Dhanda
Here's my version of a graph originally by the British Liver Trust showing how rates of liver disease deaths in England & Wales have almost quadrupled since 1968, while other leading causes of death have fallen.
In spite of working in alcohol research for 13+ years, this still surprised me...
In spite of working in alcohol research for 13+ years, this still surprised me...
December 2, 2024 at 3:16 PM
Here's my version of a graph originally by the British Liver Trust showing how rates of liver disease deaths in England & Wales have almost quadrupled since 1968, while other leading causes of death have fallen.
In spite of working in alcohol research for 13+ years, this still surprised me...
In spite of working in alcohol research for 13+ years, this still surprised me...