Emanuela Maxan @emanuela__maxan
Joined February 2024-
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🚨Next week @UKParliament is holding an important debate on health inequalities in liver disease & liver cancer ⬇️Help ensure that patient voices are heard ✍️Tag/write to your local MP to ask them to speak on 25th April britishlivertrust.org.uk/we-need-your-s…
Representing the great work the KCH ACLD MDT does @DrVishalCPatel @AneZamalloa @emanuela__maxan @esjandromo, thank you for having us & being so welcoming @uhbtrust ! #liver #ACLD #team #makingfriends @NeilRajJ1 @abhichauhan @NadirAbbas_X @basl_events @LiverTrust @heppharm
1- Want to learn more about the impact of ultra-processed food #UPF on intestinal health? Interested in the #Eubiosis > #Dysbiosis transition ? THIS IS A READ FOR YOU !! Thanks to great collaboration with @ProfWhelan @AaronBancil and James Lindsay nature.com/articles/s4157…
ONS have published alcohol-specific deaths data for 2022 for England & Wales today, so we now have data for the whole of the UK. The picture is pretty grim, with deaths surpassing 10,000 for the first time on record - up 32.8% since 2019. ons.gov.uk/peoplepopulati…
Currently, no screening programmes exist for early detection of liver fibrosis, the precursor of #cirrhosis This article provides insights from colorectal & lung cancer screening to inspire future liver fibrosis screening initiatives rdcu.be/dFbET #WorldLiverDay
The @BoppPtrial is a landmark trial and is 98% enrolled Liver history in the making
The @BoppPtrial is a landmark trial and is 98% enrolled Liver history in the making
Want to know about the small bowel microbiome & obesity? Our paper @MASTprogram just published in @AmJGastro has details- and a surprising twist involving a beloved class of organisms!@CedarsSinaiMed #obesity #microbiome #gut #gihealth journals.lww.com/ajg/abstract/9…
Important collaborative session to help identify gaps and research needs in reducing alcohol liver disease burden. Please also note virtual option @serperm @singal_ashwani @TCotterMD @DeepikaDevuniMD
Important collaborative session to help identify gaps and research needs in reducing alcohol liver disease burden. Please also note virtual option @serperm @singal_ashwani @TCotterMD @DeepikaDevuniMD
There's still time to register for our Ask the Expert webinar tonight at 7pm. We'll be joined by senior physiotherapist at the QE Hospital, Birmingham, Alice Freer to discuss Fatigue & PSC: What it is and how to manage it in everyday life ➡️ buff.ly/49yWHGG #LetsBeatPSC
So important for people to use this free and confidential home testing service if they feel that they have ever been at risk - however long ago. Available to anyone 18 or over in England. Quick and simple!
So important for people to use this free and confidential home testing service if they feel that they have ever been at risk - however long ago. Available to anyone 18 or over in England. Quick and simple!
Check out our latest review on #Organoids as a tool to study homeostatic and pathological #immune–epithelial interactions in the #gut with Emma Kromann & @ainize7 @CEIjournal academic.oup.com/cei/article/do…
🤯 When a long-term memory forms, some neurons experience electrical activity so strong it snaps their DNA. Then, an inflammatory response kicks in, repairing this damage and helping to cement the memory. For @Nature w/ @TJRyan_77 @Clrar @DrLiHueiTsai nature.com/articles/d4158…
Great for lncRNA studies!
🚨🚨I'm delighted to present our new work, where we aimed to understand why antibiotic use is a risk factor for development of inflammatory bowel diseases (IBD). Yes, MUCUS will be involved! A 🧵/1
🚨🚨I'm delighted to present our new work, where we aimed to understand why antibiotic use is a risk factor for development of inflammatory bowel diseases (IBD). Yes, MUCUS will be involved! A 🧵/1
Really looking forward to giving this public lecture and to the questions and discussion that will follow! @BartsHepatology
Really looking forward to giving this public lecture and to the questions and discussion that will follow! @BartsHepatology
Are we missing cases of liver disease in people with dementia? 📜 Read this commentary on an interesting study from @JasmohanBajaj theconversation.com/could-many-dem… @SWliverbuddies @LiverTrust @EuropeLiver @PlymUniMedicine
Role of infections in ALD/MetALD? @JHEP_Reports & @Stine_Johansen_ has the answer: 🦠1/3 of early ALD patients developed infections during 4.5 years 🦠Indep. predictors: 🍺🍾, 🚬, MELD & LSM 🦠infections ⏫ risk of death (HR 8.2) & decomp (HR 5.0) 🔗jhep-reports.eu/article/S2589-…
We just published RCT of #prebiotics in older people in @NatureComms Prebiotic inulin/FOS modified #microbiome as we expected, but no impact on muscle function💪🏽 But, surprise finding, cognition improved🧠 Paper with amazing @maryniloc @DrClaireSteves👉🏽nature.com/articles/s4146…
Beverly @wilsonbeverly37
185 Followers 3K FollowingRebecca Little (Winte.. @Becsjlittle
1K Followers 1K Following Inspirational authentic leader, joyful creative, coach & trainer. Vascular surgeon, mission to change culture for women in surgery. PTSD survivor Views my ownLetitiaCraigie @H23pd9l4jcUeR63
3 Followers 53 FollowingNekisa Zakeri @nekisa_zakeri
549 Followers 452 Following NIHR Academic Clinical Lecturer in Hepatology. Interests in Liver cancer, immunotherapy, gamma delta T cells. ST7 Gastroenterology. Y-ILCA Committee.Sara Sawieres @LITUpharm
257 Followers 221 Following Liver Intensive Care Pharmacist @kingscollegenhs. Advanced practitioner in training.Neil Rajoriya @NeilRajJ1
1K Followers 986 Following Consultant Physician in Liver Transplantation at The Liver Unit, Queen Elizabeth Hospital, Birmingham, UK.Alejandro EM @esjandromo
176 Followers 667 FollowingCarole Moore @CMoore2more
1K Followers 3K FollowingKimberly @Iridaceous
15 Followers 364 Following The way to make money on twitter is to go into settings, sign out, and get back to work.Tessa Blay @BlayTessa
1K Followers 1K FollowingVikram @Vikram50337051
15 Followers 97 Following Gastroenterology & Hepatology Registrar | Clinical Research Fellow @KCH | RD Student @LSHTM |Martí Ortega-Ribera,.. @MartiOR92
497 Followers 752 Following 👨🏻🔬Postdoctoral Fellow @BIDMChealth & @harvardmed 🔊Communication vicechair @harvardmpa1 and Carrer resource chair @BIDMCPDA 🔬 ALD, LSEC & fibrosisGeorgia @Georgia11639551
164 Followers 3K FollowingMindy Engevik @micromindy
3K Followers 4K Following Microbe-mucus microbiologist. 1 of the 3 Engevik scientist sisters @thekengevik @AmyEngevik. MUSC Assistant Professor #sisterlab #EngevikEmpireDeborah @aguirredeborah5
204 Followers 3K FollowingUna Rastovic @UnaRastovic
174 Followers 345 Following Mitochondrial Medicine for Liver Disease | PhD Student @DrElePalma @ChokshiLab @Inst_of_Hep @f4liverresearchOnofrio Zanin @OnixZ1
275 Followers 1K Following Postdoc@King's College London, RNA Biology. PhD@Uni of Birmingham, UK. MS Molecular Biology & Functional Genomics@Uni of Trieste and ICGEB, IT.Jasmohan Bajaj @JasmohanBajaj
6K Followers 3K Following Liver specialist at Virginia Commonwealth University and Richmond VAMC . Interested in the brain liver gut axis. Co-EIC of Am J Gastro. Tweets are personal.BTPT @BTPTSociety
460 Followers 1K Following We are the representing society for UK Transplant Physician Trainees | Lung | Kidney | Heart | Liver | Pancreas | Small Bowel | Intensive Care | PaediatricsBlenderWonderWorks @andreygil23
541 Followers 5K Following 3D Visionary exploring the Metaverse with Blender. Discover new virtual worlds with me weekly 🔍Wendy M.Fernandes @WendyMFernande1
32 Followers 370 Following PhD student @Inst_of_Hep and @KingsCollegeLonEvangelos Triantafyll.. @TriantafyllouE_
1K Followers 840 Following MRC Investigator, Lecturer | Liver Immunology @ImperialMDR @ImperialCollegeRobertaForlano @ForlanoRoberta
458 Followers 802 Following Hepatologist, music lover and piano playerOliver Tavabie @OTavabie
1K Followers 894 Following Consultant Hepatologist @leedshospitals interested in transplantation and liver failure syndromes. @uk_torch member and treasurer @BTPTsocietyChokshi Lab London @ChokshiLab
754 Followers 858 Following Our research interests focus on the #pathophysiology and #immunology of #ViralHepatitis, #AlcoholicLiverDisease #ALD and #LiverCancer, #Hepatology, #ChokshiLabPaul Middleton @PaulKMiddleton
55 Followers 159 Following Chain-Florey Fellow at MRC LMS | Hepatology SpR at Imperial College. Interested in immunometabolism and mitochondrial research🇿🇲Vishal C Pate.. @DrVishalCPatel
1K Followers 605 Following Hepatologist🏥@KingsCollegeNHS | Principal Investigator Microbiome cfDNA 🧫🧬@Inst_of_Hep | Adj.Reader Hepatology @KCLImmunoMicro🖋️ | @BoppPtrial💊| Home=🇿🇲Robin Dart @rjcdart
567 Followers 663 Following GD T cells/mucosal immunology/IBD. Consultant gastroenterologist @gsttnhs & post-doc research fellow, KCL @haydaylab @y_ecco_IBD committeeEnrique de-Madaria @DeMadaria
18K Followers 3K Following Passionate about clinical research. Gastroenterologist, pancreatologist. Collaborative research through @ERICAconsortium. Alicante, SpainJessica Blair @JessicaMABlair
8K Followers 2K Following Professor of Antimicrobial Resistance. Institute of Microbiology and Infection, University of Birmingham. Editor in Chief of npj Antimicrobials and ResistanceDr Anna Hadjihambi @AHadjihambi
215 Followers 192 Following Neuroscientist 🧠 who loves physiology🫀. Team lead of the Liver-Brain Axis Group @Inst_of_hep. Honorary lecturer and STEM ambassador. She/her. Views are my ownJim Al-Khalili @jimalkhalili
191K Followers 324 Following Prof Jim Al-Khalili CBE FRS HonFREng @UniofSurrey Distinguished Chair in theoretical physics, author, broadcaster, humanist. "Affable Egghead" (Sunday Times).Chris Packham @ChrisGPackham
631K Followers 638 Following Wildlife TV Presenter & Conservationist – sign up to my newsletter below. #RestoreNatureNowRebecca Little (Winte.. @Becsjlittle
1K Followers 1K Following Inspirational authentic leader, joyful creative, coach & trainer. Vascular surgeon, mission to change culture for women in surgery. PTSD survivor Views my ownMatthew Brookes @GastroMJB
2K Followers 865 Following Prof Gastroenterology @RWT_NHS. CD NIHR CRN WM, deputy chair NiHR NSG. life’s essentials (in order) ➡️ ☕️🍰🏃♂️🏏🚴♂️ views own.Professor Lucy Eastho.. @LucyGoBag
28K Followers 11K Following Disaster Wild Card. Co-Founder, After Disaster Network. Author - Sunday Times Bestseller 'When The Dust Settles'Brian Cox @ProfBrianCox
3.0M Followers 1K Following Science, music and increasingly wondering about what it all means ....Dr Zoë Bell @ZoBell20
189 Followers 274 Following ESRC-funded postdoctoral research fellow at King’s College London l Food insecurity l Maternal Health and Nutrition l 200hr yoga teacherCharlotte Rutter @Charl0tteRutter
2K Followers 2K Following Gastroenterologist @CUH_NHS • Clinical Lead #CamCIRT • #intestinalrehabilitation • #intestinaltransplant • Shadow Secretary @BAPENUK • #ClinNutWebinarsNick Kennedy @DrNickKennedy
1K Followers 411 Following Gastroenterologist, IBD researcher, data enthusiast, father of twoDrSunny @DrSunnyR
557 Followers 781 Following Clinical Reseach Fellow in Gastroenterology, BSG Trainees Section Chair, Doctor in Gastroenterology and General Internal MedicineChris Lamb @DrChrisLamb
2K Followers 660 Following Clinician Scientist @UniofNewcastle | Gastroenterologist @NewcastleHosps | IBD immunology, gut microbiota & therapeutics | Chief Investigator @IBDResponseSreelakshmi Kotha @sreeL_k
199 Followers 259 Following Hepatologist, HPB endoscopist and Endoscopy lead at Guy’s and St Thomas’ HospitalQuadram Institute @TheQuadram
11K Followers 3K Following At the forefront of research into food, the gut microbiome, and human health. Partnership between Quadram Institute Bioscience, @NNUH, @uniofeastanglia & @BBSRCJyoti Hansi @JyotiHansi
70 Followers 49 FollowingGuy's and St Thomas' .. @GSTTresearch
5K Followers 549 Following The Research and Development Department at Guy's and St Thomas' NHS Foundation Trust @GSTTNHS.Sian Saha @SianSaha
264 Followers 911 Following NIHR Doctoral Fellow. ACET research nurse. @KingsICUSupport. Passionate about supporting patients and their families during and after ICU. All views my own.Nekisa Zakeri @nekisa_zakeri
549 Followers 452 Following NIHR Academic Clinical Lecturer in Hepatology. Interests in Liver cancer, immunotherapy, gamma delta T cells. ST7 Gastroenterology. Y-ILCA Committee.Neil Rajoriya @NeilRajJ1
1K Followers 986 Following Consultant Physician in Liver Transplantation at The Liver Unit, Queen Elizabeth Hospital, Birmingham, UK.Sara Sawieres @LITUpharm
257 Followers 221 Following Liver Intensive Care Pharmacist @kingscollegenhs. Advanced practitioner in training.Sarah Berry @saraheeberry
7K Followers 416 Following Nutritional Sciences, King's College London. Leading RCTs in Diet & Cardiometabolic health and Precision Nutrition.Wendy Hall @hall_wendy
1K Followers 804 Following Registered Nutritionist and Reader in Nutritional Sciences at King's College London. Researching dietary strategies for prevention of cardiometabolic diseases.Prof Francois Balloux @BallouxFrancois
148K Followers 1K Following Director @UGI_at_UCL. Interest in Infectious disease epidemiology, pathogen genomics, global health, and all sorts of other stuff.Philip Kelly @endocrinemed
561 Followers 507 Following @KingsHealth CAG Lead Medicine & Integrated Care. @KingsCollegeNHS, & @kaos_kings. Chair @London_RTC. My views; vaccination and masks work. Use your vote.Jonel Trebicka @JonelTrebicka
495 Followers 132 FollowingDr. Raven the Science.. @ravenscimaven
158K Followers 31 Following Raven Baxter, Ph.D. ✨ Molecular biologist, science educator. Director @TheScienceHaven. Views are my own. 1908. [email protected]Gastro Hep Advances @AGA_GHAdvances
760 Followers 18 Following The @amergastroassn's broad-scope, online-only, open access journal for basic, clinical and translational gastroenterology and hepatology.Annalisa Berzigotti @docberza
2K Followers 300 Following Hepatologist in Berne, with a passion for ultrasound, research, and human beings.Rotonya Carr @RotonyaC
2K Followers 830 Following https://t.co/Pf63o0QRhq; steatosis (not fibrosis not cirrhosis) researcher; all things sphingolipids; preventive hepatologyArteelBeierLabs @ArteelBeier
496 Followers 683 Following We are researchers @PittDeptofMed, @PittGILiverNutr and @PLRC_PittLiver. #LiverDisease #fattyliver #NAFLD #AASLD #LiverLover Tweets are our own.Hashem el- Serag @SeragHashem
3K Followers 76 Following Professor & Chairman of Medicine, Baylor College of Medicine, Gastroenterologist and Hepatologist. past president Amer Gastro Association. opinions are mineNature Reviews Gastro.. @NatRevGastroHep
32K Followers 3K Following We publish #gastroenterology & #hepatology Reviews and opinion. #GastroEdPick selections by the Editors: Katrina, Jordan & Eleni | #medtwitter | #sciencetwitterRuben Hernaez @ruben_hernaez
2K Followers 933 Following Spanish American, epidemiology, tx hepatology,methods. AASLD, AGA, Gut, CGH, Hepatology, LiverTx ebs @bcm_gihep @VAHouston, DABOM, AGAFHenry E. Chang @HenryEChang
6K Followers 5K Following Executive Director @LiverSaver | Member @AASLDtweets NAFLD SIG Mentorship and Membership | Member @LiverForum | #NAFLD #NASH #MASLD #MASH #LiverTwitterVijay Shah @Dr_Vijay_Shah
3K Followers 142 Following Dean of Research and Chair of Medicine at Mayo Clinic | Alcohol liver disease | life and leadership | advanced liver disease| AI and digital tech| the FutureAmerican Society for .. @ASIPath
3K Followers 4K Following discovery, advancement & knowledge in #pathology & related disciplines 🔬fostering the investigation of mechanisms of #disease #pathobiology #scienceJose Debes MD PhD @JoseDebesMD
769 Followers 222 Following Clinician scientist studying viral hepatitis and liver cancer in global settings | Assoc Prof UMN | #HBV | #HCC | https://t.co/3nVAuMCX1y | https://t.co/zpWDqlowIDPaul Monga @DrPMonga
459 Followers 125 Following Academic physician with expertise in liver regeneration, cancer and stem cells @plrc_pittliver. Tweets are mine. RTs are not an endorsement.Shivan Mehta @Shivan_Mehta
469 Followers 158 Following Associate Chief Innovation Officer @ Penn Medicine, Gastroenterology physician; interested in developing , evaluating, and scaling new ways of delivering careKing's College London @KingsCollegeLon
152K Followers 2K Following News from King's College London | King’s is a multi-faculty research-led institution & one of the top 10 UK universities in the world | Contact: [email protected]The Naglik Lab @thenagliklab
1K Followers 972 Following Fungal pathogenesis and immunology group based at @KingsCollegeLon. We are professional fun-guys! Views are our own.Frontline Gastro @FrontGastro_BMJ
11K Followers 992 Following Supporting education and practice in GI, Hepatology & Clin Nutr. Companion to @BMJOpen_Gastro and Gut @Gut_BMJ. Published with @BritSocGastro. EiC:@RMBeattie50Mark Beattie @RMBeattie50
2K Followers 1K Following Consultant Paediatric Gastroenterologist Professor of Paediatric Gastroenterology, Editor in Chief Frontline Gastroenterology, BMJ Open GastroenterologyYasuko Iwakiri @YasukoIwakiri
891 Followers 836 Following Professor at Yale School of Med, lab PI, enjoy running, art, science (liver, vascular biology, lymphatic system)JuanC Quijano-Campos�.. @JCQuijanoCampos
618 Followers 1K Following HEE/NIHR Clinical Doctoral Research Fellow (@QMULWHRI) and Honorary Clinical Research Fellow (@BartsHospital & @RoyalPapworth) | Nurse | All views my ownGreg Jenner @greg_jenner
141K Followers 11K Following Public Historian FRHistS 🎙Host & creator of #YoureDeadToMe on @bbcsounds 📖Author of 5 books 📺 Series 1-8 BBCHorribleHistories ⚽️ Spurs #COYSRuairi Robertson @ruairirobertson
3K Followers 3K Following Lecturer in Microbiome Science @blizard_inst @QMUL studying host-microbiome interactions in child undernutrition | 🍏Nutritionist 🔬Scientist 🎙️Public speakerLauren Feld @LaurenFeldMD
2K Followers 1K Following Assistant Professor of Hepatology & Gastroenterology @UMassGI | Passionate about workforce equity, medical ethics and women's health in liver disease. She/her.STEMCELL Technologies @STEMCELLTech
25K Followers 7K Following Committed to advancing science with innovative technologies and expert support.🔑Are all proteins🟰 for ammoniagenesis? No! 🔑Can one meal change affect ⬇️#ammonia in #cirrhosis? Yes! ✅our #RCT where 1⃣ meal change from 🥩to 🌱/🌿-based was enough to⬇️#ammonia ! 🔑Impt because replacing full diets⛔️ 🔑metabolomic changes @ACG_CTG ⤵️ journals.lww.com/ctg/abstract/9…
All welcome! Hopefully the start of a new chapter bringing sex and gender research and policy work together across Edinburgh…
Join us for the Sex and Gender Research Meeting Thursday 2nd of May 2024, 9.00-13.00 at the QMRI, Wellcome Auditorium. Great speakers and interesting topics!
Another wow for this group: it’s the macronutrient targets that matter in #cirrhosis BCAA supplements without improvement in muscle or quality of life. Non-significant improvement in strength. Cannot emphasize how impressive this group has been. On absolute fire. Thank you
Read open access "Branched-chain amino acid supplementation does not improve measures of sarcopenia in cirrhosis: results of a randomised controlled trial" at bit.ly/3uNXHZn #livertwitter #cirrhosis #clinicaltrial
Happy #DayofImmunology!! Still shocked by the GCs in this spleen - one of the many beautiful wonders of immunology! 😍 #WorldImmunologyDay #scienceisbeautiful #IFwonders
Don’t forget to watch this incredible talk if you missed the live session here m.youtube.com/watch?v=sirNaL… …follow me on X at @SanjayaSatapath for updates on upcoming INEDSYS meetings.
Join us for a virtual State-of-the-art lecture on MetALD and Liver Transplantation by @juanpabloarab | April 6, 2024, 08:00 AM ET (US and Canada) | 5:30 PM IST | Register: us06web.zoom.us/meeting/regist… @AASLDtweets @AmCollegeGastro @_ILTS_
📖 Read the latest #FGblog "How can we support patients with advanced chronic liver disease better in our units?" by @sheiybani here: bit.ly/3xT30rD @DunnePdj @RexWHHui @DrJMKennedy @MohsenSubhani @VivekGoodoory
justgiving.com/team/hepat-thl… 23 miles walked, over £3,000 raised for @LiverTrust - great effort from a great liver team, still time to donate!
Intrigued to learn more about Xist and the impact it has on autoimmune disease risk for women. Powerful short clip from @wef weforum.org/videos/scienti…
Microbiota metabolism of amino acids Gut microbes &metabolic genes deplete amino acids, affecting host amino acid homeostasis. ie, #microbiota genes in branched-chain amino acid & tryptophan depletion regulate glucose tolerance via serotonin @GuoGroupWCM cell.com/cell-host-micr…
Free e-learning resources are available for health and care researchers to help develop your leadership skills. Log in or register on NIHR Learn and select Leadership Development and then Leadership e-learning modules to find out more: learn.nihr.ac.uk/course/view.ph…
Representing the great work the KCH ACLD MDT does @DrVishalCPatel @AneZamalloa @emanuela__maxan @esjandromo, thank you for having us & being so welcoming @uhbtrust ! #liver #ACLD #team #makingfriends @NeilRajJ1 @abhichauhan @NadirAbbas_X @basl_events @LiverTrust @heppharm
Nice discussion for #WorldImmunologyDay in @TheCrick this evening about immunity during pregnancy and early life. Much still to be understood about the effect of the maternal microbiome on maternal and infant immunity 🦠👶🏼
Exciting news ‼️ Thrilled to announce that as part of my PhD, I'll be working with organisations and individuals across N.Ireland and Reading to interview people aged over 65 about their food behaviours. Pls share with your contacts. Can't wait to get started 😊💯 @QUBelfast
Interested in pursuing a #Postdoc on gut #microbiome & #Mucosalbarrier relationship in inflammation #IBD & novel dietary health strategies? Come work with me at @Pharmabiotic @UccMicrobiology. I'm happy to support an application, #MSCA call open 👇
Heads up! The #MSCA Postdoctoral Fellowships 2024 call opens in April. 🔍 Start your journey early by exploring potential host organisations now and gear up to craft the perfect proposal! 🌟 🎓🔬 More info and opportunities this way ➡️ europa.eu/!KJ8XY7
Our new issue is live! Check it out here: ow.ly/cjgW50RlFG6
As we near 550 participants in the multi-omic precision medicine study @IBDResponse, thanks to @BMJ_Open for publishing our protocol - patient pathway and analytical plans for microbiome, single cell transcriptome, genetics, metabolome and diet - bmjopen.bmj.com/content/14/4/e…🦠🍏🧬 🙏
🥁 join us for a clinical #metabolomics seminar “omics in Women’s Health” @BioCPH in Copenhagen 2 pm May 13th & online access too Super 💫 line up @inespinedatorra @D_Westergaard & Dr Elleke Bosma free in clime.dk
So important for the comprehensive care of our patients with alcohol-associated liver disease! Great advice from @ponnivp
In the 📕#RedJournal: Practical Considerations to Optimize Care for Patients With Alcohol-Associated Liver Disease in General Gastroenterology Practice Perumalswami, et al. 👉 bit.ly/3wcqLdA @ponnivp @annefernanPhD