Leticia Kawano-Dourado
@leticiakawano.bsky.social
Physician • Trialist • Guideline methodologist | Evidence-based metabolic health & T2D reversal enthusiast
Posting about: methodology, RCTs, #metabolichealth #Brazil, #Portugal
#womenInMedicine, #HumanRights, #meditation
Posting about: methodology, RCTs, #metabolichealth #Brazil, #Portugal
#womenInMedicine, #HumanRights, #meditation
So inspired at #WebSummitLisbon2025
Hearing stories on nuclear fusion, robotics, etc made me realize: innovation starts w diagnosing hurdles & designing💡 solutions. The same mindset applies in health — building systems that make lasting change possible.
#Innovation #Healthspan #WebSummitLisbon
Hearing stories on nuclear fusion, robotics, etc made me realize: innovation starts w diagnosing hurdles & designing💡 solutions. The same mindset applies in health — building systems that make lasting change possible.
#Innovation #Healthspan #WebSummitLisbon
November 13, 2025 at 9:50 AM
So inspired at #WebSummitLisbon2025
Hearing stories on nuclear fusion, robotics, etc made me realize: innovation starts w diagnosing hurdles & designing💡 solutions. The same mindset applies in health — building systems that make lasting change possible.
#Innovation #Healthspan #WebSummitLisbon
Hearing stories on nuclear fusion, robotics, etc made me realize: innovation starts w diagnosing hurdles & designing💡 solutions. The same mindset applies in health — building systems that make lasting change possible.
#Innovation #Healthspan #WebSummitLisbon
Coach recruited to accelerate my learning curve in #KravMaga. He also trains fighting, not just strength training, which was a great discovery for me. Thank you, Pedro.
🎬 In the video, a beginner focused on becoming pro 😅
#selfdefense #FightLikeaWoman
🎬 In the video, a beginner focused on becoming pro 😅
#selfdefense #FightLikeaWoman
November 7, 2025 at 7:19 PM
Coach recruited to accelerate my learning curve in #KravMaga. He also trains fighting, not just strength training, which was a great discovery for me. Thank you, Pedro.
🎬 In the video, a beginner focused on becoming pro 😅
#selfdefense #FightLikeaWoman
🎬 In the video, a beginner focused on becoming pro 😅
#selfdefense #FightLikeaWoman
In my #Krav class I’m the only woman (besides the instructor). However, women are the main targets of violence — 1 in 3 face it in life. I train hard, for myself and to inspire my daughter 🧑🧒🧒and her friends which is already happening 🫶
October 2, 2025 at 2:00 PM
In my #Krav class I’m the only woman (besides the instructor). However, women are the main targets of violence — 1 in 3 face it in life. I train hard, for myself and to inspire my daughter 🧑🧒🧒and her friends which is already happening 🫶
Had such a great time recording these snippets with you, @guyattgh.bsky.social Beyond the fun, I’m deeply grateful for your mentoring and friendship over these past five years—time really does fly. Your guidance has truly shaped me into a better clinician. #EBM
September 18, 2025 at 8:19 AM
Had such a great time recording these snippets with you, @guyattgh.bsky.social Beyond the fun, I’m deeply grateful for your mentoring and friendship over these past five years—time really does fly. Your guidance has truly shaped me into a better clinician. #EBM
Behind the scenes with @guyattgh.bsky.social , where we trade some of academia’s pomp & circumstance 👑for a bit of humor 😎😅
But wait the topic is serious (shared decision-making on hormone therapy for #menopause, through the lens of #EBM).
Stay tuned for the full conversation 🤩
But wait the topic is serious (shared decision-making on hormone therapy for #menopause, through the lens of #EBM).
Stay tuned for the full conversation 🤩
September 17, 2025 at 2:39 PM
Behind the scenes with @guyattgh.bsky.social , where we trade some of academia’s pomp & circumstance 👑for a bit of humor 😎😅
But wait the topic is serious (shared decision-making on hormone therapy for #menopause, through the lens of #EBM).
Stay tuned for the full conversation 🤩
But wait the topic is serious (shared decision-making on hormone therapy for #menopause, through the lens of #EBM).
Stay tuned for the full conversation 🤩
One of the best parts of in-person events is the chance to actually meet *in person* the colleagues you’ve been working with from afar.
These moments remind me that collaboration is not just about outputs, but also about people: I need this! #GIN2025
@guyattgh.bsky.social @lisheyu.bsky.social
These moments remind me that collaboration is not just about outputs, but also about people: I need this! #GIN2025
@guyattgh.bsky.social @lisheyu.bsky.social
September 17, 2025 at 2:29 PM
One of the best parts of in-person events is the chance to actually meet *in person* the colleagues you’ve been working with from afar.
These moments remind me that collaboration is not just about outputs, but also about people: I need this! #GIN2025
@guyattgh.bsky.social @lisheyu.bsky.social
These moments remind me that collaboration is not just about outputs, but also about people: I need this! #GIN2025
@guyattgh.bsky.social @lisheyu.bsky.social
Why I never skip the gym when traveling for conferences:
Endorphins first, sharper mind after.
Healthspan is built choice by choice, day by day. Consistency matters
Endorphins first, sharper mind after.
Healthspan is built choice by choice, day by day. Consistency matters
September 16, 2025 at 9:29 AM
Why I never skip the gym when traveling for conferences:
Endorphins first, sharper mind after.
Healthspan is built choice by choice, day by day. Consistency matters
Endorphins first, sharper mind after.
Healthspan is built choice by choice, day by day. Consistency matters
With rising violence against women 🤷♀️, learning to neutralize a threat is more than self-defense 💥 it’s reclaiming agency, while investing in healthspan.
Training #KravMaga adds explosiveness (fast-twitch fiber resilience), ballance & coordination under stress #LoveThat
Training #KravMaga adds explosiveness (fast-twitch fiber resilience), ballance & coordination under stress #LoveThat
September 13, 2025 at 11:12 AM
Honored to celebrate 🥳 the 1st anniversary of Público 🇧🇷 Brasil, nested within Público — one of Portugal’s 🇵🇹 leading newspapers. In 2025, Público Brasil reached over 2M views, amplifying the voice of the Brazilian community in Portugal.
www.publico.pt/autor/letici...
www.publico.pt/autor/letici...
September 6, 2025 at 7:11 AM
Honored to celebrate 🥳 the 1st anniversary of Público 🇧🇷 Brasil, nested within Público — one of Portugal’s 🇵🇹 leading newspapers. In 2025, Público Brasil reached over 2M views, amplifying the voice of the Brazilian community in Portugal.
www.publico.pt/autor/letici...
www.publico.pt/autor/letici...
Box jumps 💥aren’t just about performance😎. Research shows high-impact jumps increase hip bone mineral density and recruit type II muscle fibers — the ones we lose fastest with age #perimenopause #menopause health prevention 😍
Refs: PMID: 37790374, 39822926, 37748300;
Refs: PMID: 37790374, 39822926, 37748300;
September 3, 2025 at 10:11 AM
Box jumps 💥aren’t just about performance😎. Research shows high-impact jumps increase hip bone mineral density and recruit type II muscle fibers — the ones we lose fastest with age #perimenopause #menopause health prevention 😍
Refs: PMID: 37790374, 39822926, 37748300;
Refs: PMID: 37790374, 39822926, 37748300;
1/ 🇵🇹 Immigrant Residency by Decree = Fragile Ground
Crossing back into #Portugal after weeks in 🇧🇷 brought discomfort. The operational backlog in processing residency permits, with a record influx of immigrants in 🇵🇹, means that many live under temporary decrees rather than secure documentation +
Crossing back into #Portugal after weeks in 🇧🇷 brought discomfort. The operational backlog in processing residency permits, with a record influx of immigrants in 🇵🇹, means that many live under temporary decrees rather than secure documentation +
August 26, 2025 at 6:26 AM
1/ 🇵🇹 Immigrant Residency by Decree = Fragile Ground
Crossing back into #Portugal after weeks in 🇧🇷 brought discomfort. The operational backlog in processing residency permits, with a record influx of immigrants in 🇵🇹, means that many live under temporary decrees rather than secure documentation +
Crossing back into #Portugal after weeks in 🇧🇷 brought discomfort. The operational backlog in processing residency permits, with a record influx of immigrants in 🇵🇹, means that many live under temporary decrees rather than secure documentation +
Spotted at Brasília #Brazil airport 👀😅
“Epic journeys begin with a warm welcome” — says the New York tourism ad, under the gaze of 🗽 the Statue of Liberty.
Hard not to read it with irony, given how warm the US reception often feels for foreigners lately…🤌🤯
“Epic journeys begin with a warm welcome” — says the New York tourism ad, under the gaze of 🗽 the Statue of Liberty.
Hard not to read it with irony, given how warm the US reception often feels for foreigners lately…🤌🤯
August 25, 2025 at 2:53 PM
Spotted at Brasília #Brazil airport 👀😅
“Epic journeys begin with a warm welcome” — says the New York tourism ad, under the gaze of 🗽 the Statue of Liberty.
Hard not to read it with irony, given how warm the US reception often feels for foreigners lately…🤌🤯
“Epic journeys begin with a warm welcome” — says the New York tourism ad, under the gaze of 🗽 the Statue of Liberty.
Hard not to read it with irony, given how warm the US reception often feels for foreigners lately…🤌🤯
2/ Traditional research gives us averages. Randomized controlled trials are essential—but they don’t tell this woman what will work for her. That’s where N-of-1 trials come in.
pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov/articles/PMC...
August 21, 2025 at 4:18 PM
2/ Traditional research gives us averages. Randomized controlled trials are essential—but they don’t tell this woman what will work for her. That’s where N-of-1 trials come in.
pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov/articles/PMC...
Let me repost this aware that my social media activity is rendering non-eligible to enter USA 🇺🇸😅
www.state.gov/releases/off...
www.state.gov/releases/off...
August 20, 2025 at 1:08 PM
Let me repost this aware that my social media activity is rendering non-eligible to enter USA 🇺🇸😅
www.state.gov/releases/off...
www.state.gov/releases/off...
6/
I’m reframing my practice with the WHO “intrinsic capacity” lens—mobility, cognition, psychological well-being, vitality, sensory—layered onto disease-directed therapy + #intrinsiccapacity
www.nature.com/articles/s41...
I’m reframing my practice with the WHO “intrinsic capacity” lens—mobility, cognition, psychological well-being, vitality, sensory—layered onto disease-directed therapy + #intrinsiccapacity
www.nature.com/articles/s41...
August 20, 2025 at 11:12 AM
6/
I’m reframing my practice with the WHO “intrinsic capacity” lens—mobility, cognition, psychological well-being, vitality, sensory—layered onto disease-directed therapy + #intrinsiccapacity
www.nature.com/articles/s41...
I’m reframing my practice with the WHO “intrinsic capacity” lens—mobility, cognition, psychological well-being, vitality, sensory—layered onto disease-directed therapy + #intrinsiccapacity
www.nature.com/articles/s41...
5/
Why these? They intersect with inflammation, oxidative stress, and mitochondrial function — core pathways in ageing. Also in chronic lung disease biology? + #geroscience
pubmed.ncbi.nlm.nih.gov/40250404/
Why these? They intersect with inflammation, oxidative stress, and mitochondrial function — core pathways in ageing. Also in chronic lung disease biology? + #geroscience
pubmed.ncbi.nlm.nih.gov/40250404/
August 20, 2025 at 11:12 AM
5/
Why these? They intersect with inflammation, oxidative stress, and mitochondrial function — core pathways in ageing. Also in chronic lung disease biology? + #geroscience
pubmed.ncbi.nlm.nih.gov/40250404/
Why these? They intersect with inflammation, oxidative stress, and mitochondrial function — core pathways in ageing. Also in chronic lung disease biology? + #geroscience
pubmed.ncbi.nlm.nih.gov/40250404/
4/
Targets for reserve:
• Sleep quality & circadian alignment
• Insulin sensitivity & glycemic variability
• Structured exercise & pulmonary rehab
• Autonomic balance & stress reduction
• Social connection & belonging +
www.thelancet.com/journals/lan...
pubmed.ncbi.nlm.nih.gov/37373042/
Targets for reserve:
• Sleep quality & circadian alignment
• Insulin sensitivity & glycemic variability
• Structured exercise & pulmonary rehab
• Autonomic balance & stress reduction
• Social connection & belonging +
www.thelancet.com/journals/lan...
pubmed.ncbi.nlm.nih.gov/37373042/
August 20, 2025 at 11:12 AM
4/
Targets for reserve:
• Sleep quality & circadian alignment
• Insulin sensitivity & glycemic variability
• Structured exercise & pulmonary rehab
• Autonomic balance & stress reduction
• Social connection & belonging +
www.thelancet.com/journals/lan...
pubmed.ncbi.nlm.nih.gov/37373042/
Targets for reserve:
• Sleep quality & circadian alignment
• Insulin sensitivity & glycemic variability
• Structured exercise & pulmonary rehab
• Autonomic balance & stress reduction
• Social connection & belonging +
www.thelancet.com/journals/lan...
pubmed.ncbi.nlm.nih.gov/37373042/
3/
We lack large RCTs on “resilience restoration,” but biology + patient-centered logic support acting on modifiable systems that build reserve. 💥 Uncertainty ≠ inaction +
hallmarks of ageing:
www.cell.com/cell/abstrac...
catalyst.nejm.org/doi/full/10....
We lack large RCTs on “resilience restoration,” but biology + patient-centered logic support acting on modifiable systems that build reserve. 💥 Uncertainty ≠ inaction +
hallmarks of ageing:
www.cell.com/cell/abstrac...
catalyst.nejm.org/doi/full/10....
August 20, 2025 at 11:12 AM
3/
We lack large RCTs on “resilience restoration,” but biology + patient-centered logic support acting on modifiable systems that build reserve. 💥 Uncertainty ≠ inaction +
hallmarks of ageing:
www.cell.com/cell/abstrac...
catalyst.nejm.org/doi/full/10....
We lack large RCTs on “resilience restoration,” but biology + patient-centered logic support acting on modifiable systems that build reserve. 💥 Uncertainty ≠ inaction +
hallmarks of ageing:
www.cell.com/cell/abstrac...
catalyst.nejm.org/doi/full/10....
2/
In progressive disease, “stable” can feel like success—yet it may mean missed chances to help patients regain *resilience* and possibly slow further decline beyond what drugs alone deliver +
www.ncbi.nlm.nih.gov/books/NBK437...
In progressive disease, “stable” can feel like success—yet it may mean missed chances to help patients regain *resilience* and possibly slow further decline beyond what drugs alone deliver +
www.ncbi.nlm.nih.gov/books/NBK437...
August 20, 2025 at 11:12 AM
2/
In progressive disease, “stable” can feel like success—yet it may mean missed chances to help patients regain *resilience* and possibly slow further decline beyond what drugs alone deliver +
www.ncbi.nlm.nih.gov/books/NBK437...
In progressive disease, “stable” can feel like success—yet it may mean missed chances to help patients regain *resilience* and possibly slow further decline beyond what drugs alone deliver +
www.ncbi.nlm.nih.gov/books/NBK437...
1/
Leaving behind the physician I was. “Stable” was my finish line—now it’s my starting point😍. #ILD #pulmonaryfibrosis
Earlier in my career, I focused on stability checks (CT, PFTs, symptoms). If unchanged, I reassured. In hindsight, I regret stopping there +
Leaving behind the physician I was. “Stable” was my finish line—now it’s my starting point😍. #ILD #pulmonaryfibrosis
Earlier in my career, I focused on stability checks (CT, PFTs, symptoms). If unchanged, I reassured. In hindsight, I regret stopping there +
August 20, 2025 at 11:12 AM
1/
Leaving behind the physician I was. “Stable” was my finish line—now it’s my starting point😍. #ILD #pulmonaryfibrosis
Earlier in my career, I focused on stability checks (CT, PFTs, symptoms). If unchanged, I reassured. In hindsight, I regret stopping there +
Leaving behind the physician I was. “Stable” was my finish line—now it’s my starting point😍. #ILD #pulmonaryfibrosis
Earlier in my career, I focused on stability checks (CT, PFTs, symptoms). If unchanged, I reassured. In hindsight, I regret stopping there +
August 19, 2025 at 10:32 AM
Food is more than nourishment — it’s connection. 🇧🇷✨
Sharing a meal of fish with shrimp, roasted potatoes, and fresh fruit for dessert reminds us that well-being is also about joy at the table, presence with others, and the warmth of brasilidade 🇧🇷.
When feeding the body also feeds the soul. 🍤🥔🍓
Sharing a meal of fish with shrimp, roasted potatoes, and fresh fruit for dessert reminds us that well-being is also about joy at the table, presence with others, and the warmth of brasilidade 🇧🇷.
When feeding the body also feeds the soul. 🍤🥔🍓
August 17, 2025 at 9:32 PM
Food is more than nourishment — it’s connection. 🇧🇷✨
Sharing a meal of fish with shrimp, roasted potatoes, and fresh fruit for dessert reminds us that well-being is also about joy at the table, presence with others, and the warmth of brasilidade 🇧🇷.
When feeding the body also feeds the soul. 🍤🥔🍓
Sharing a meal of fish with shrimp, roasted potatoes, and fresh fruit for dessert reminds us that well-being is also about joy at the table, presence with others, and the warmth of brasilidade 🇧🇷.
When feeding the body also feeds the soul. 🍤🥔🍓
Place matters for health: our biology & well-being are shaped by context: people, rhythms, foods & landscapes. Returning to my roots this summer - home country 🇧🇷 - was incredibly nurturing. About belonging, connection, familiar foods, familiar nature🌳 🟰 health resilience reinforcement💕 #exposome
August 17, 2025 at 10:59 AM
Place matters for health: our biology & well-being are shaped by context: people, rhythms, foods & landscapes. Returning to my roots this summer - home country 🇧🇷 - was incredibly nurturing. About belonging, connection, familiar foods, familiar nature🌳 🟰 health resilience reinforcement💕 #exposome
A morning at the 🇧🇷 market is also a walk through our exposome — every color, aroma, and choice shaping our health over time.
Fresh, minimally processed foods from healthy soils reduce harmful exposures and strengthen protective ones. Prevention starts here. 🌱
Fresh, minimally processed foods from healthy soils reduce harmful exposures and strengthen protective ones. Prevention starts here. 🌱
August 16, 2025 at 12:03 PM
A morning at the 🇧🇷 market is also a walk through our exposome — every color, aroma, and choice shaping our health over time.
Fresh, minimally processed foods from healthy soils reduce harmful exposures and strengthen protective ones. Prevention starts here. 🌱
Fresh, minimally processed foods from healthy soils reduce harmful exposures and strengthen protective ones. Prevention starts here. 🌱
The 🇧🇷 Amazon rainforest : a jaw-dropping experience for its sheer vastness, its extraordinary biodiversity, and its rich blend of cultural and culinary traditions. #AnavilhanasEcologicalReserve
August 10, 2025 at 5:06 PM
The 🇧🇷 Amazon rainforest : a jaw-dropping experience for its sheer vastness, its extraordinary biodiversity, and its rich blend of cultural and culinary traditions. #AnavilhanasEcologicalReserve