🧬 Why metformin causes lactate: the mechanism is in the gut _Nature Metabolism 2026 article - Basic science, human metabolomics + male murine genetics. Does not change dosing. Mechanistic insight for what we see in the ICU._ 🎯 The core problem We teach that metformin inhibits hepatic gluconeogenesis. Yet inhibition of mitochondrial complex I requires MILLIMOLAR concentrations, only reached in the gut at usual doses…

Channel
Medical cases 🇬🇧 🥼🏨
@m9dcases
On this record: Topic · Growth · Engagement · Posts · Cite this entry
55subscribers
+2 since we began measuring on 27 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
Register entry
| Telegram ID | -1003825142399 |
|---|---|
| Type | Channel |
| Username | @m9dcases |
| Created | Between 1 February 2026 and 16 March 2026 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 26 September 2026 |
| Last confirmed live | 7 October 2026 |
| Measurements held | 5 |
| Confirmed unchanged | 1 time, most recently 7 October 2026 |
| On Telegram | t.me/m9dcases |
Topic
Health & wellness — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 29 September 2026 and assigned it the closest of 31 fixed categories, at 85% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 7 Oct 2026, 14:39 | 55 | -1 |
| 26 Sept 2026, 12:54 | 56 | +2 |
| 26 Sept 2026, 07:22 | 54 | no change |
| 5 Sept 2026, 08:01 | 54 | +1 |
| 27 Aug 2026, 06:45 | 53 | first reading |
Engagement
9 posts held, back to 16 March 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 page of Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 12.1%
- avg views ÷ 55 subscribers
- Avg views / post
- 6.7
- 3 posts measured
- Reaction rate
- —
- this channel exposes no reaction counts
- Posts in window
- 3
- of 9 held
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views — note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.
| Window | Rolling 30 days · latest post in window 25 September 2026 |
|---|---|
| Posts held | 9 (16 March 2026 – 25 September 2026) |
| Views total | 20 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 26 Sept 2026, 07:22 UTC |
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
Recent posts
https://diabetesjournals.org/care/article/doi/10.2337/dci26-0122/172498/The-Management-of-Type-1-Diabetes-in-Adults-The The Management of Type 1 Diabetes in Adults - 2026 ADA/EASD Consensus This update of the 2021 report provides a comprehensive framework, developed via ACCORD methodology. 7 sections revised with new evidence. 1. Diagnosis & Classification: - Emphasizes adult-onset T1D is common and misdiagnosed…
ASH 2026 - Diagnosis of Iron Deficiency - Summary [16 Sept 2026] First evidence-based ASH guidelines, goal is to diagnose iron deficiency before anemia develops. Moves from population-based Lower Limits of Normal (LLN) to Clinical Decision Limits (CDL). b95c Old thresholds ≤12-15 ng/mL were inherited, not evidence-based, and missed up to 70% of cases in high-risk groups. ec70a365 New ferritin thresholds: - Childr…
🧴 DERMATOLOGY — CLINICAL SIGNS | INICET 🔥 1️⃣ Auspitz sign → Psoriasis 2️⃣ Koebner phenomenon / Isomorphism → Psoriasis, Lichen planus, Vitiligo 3️⃣ Nikolsky sign → Pemphigus 4️⃣ Asboe-Hansen sign → Pemphigus 5️⃣ Darier sign → Cutaneous mastocytosis 6️⃣ Wickham striae → Lichen planus 7️⃣ Apple-jelly sign → Lupus vulgaris 8️⃣ Dermographism → Urticaria 9️⃣ Pastia’s lines → Scarlet fever 🔟 Hutchinson sign → Herpes zost…
*🩺 _NEET PG 2026 GRAND RECALL_ - Repeat in FMGE too* 🤰 *OBG* 1. FIGO classification of fibroids 2. Contraindications to external cephalic version 3. Timing of delivery in gestational diabetes mellitus 4. Bishop score and cervical ripening 5. Adenomyosis and MRI findings 6. Le Fort colpocleisis 7. Pelvic septic thrombophlebitis 8. Vesicovaginal fistula 9. Functions of round and uterosacral ligaments *🩺 Medicine* 10…
Vascular Catheter Infections: What Still Works and What’s Changing _Based on Infectious Disease Clinics of North America 2026, Nebraska group_ 📊 The burden 80-91% of hospitalized adults have ≥1 vascular catheter. Each CLABSI costs ∼$12,000, adds 2.4 ICU days + 7.5 hospital days, and increases mortality (OR 2.75; 95% CI: 1.86-4.07). US rate: 0.88 per 1000 catheter-days. In LMICs: 4.55-5.30, 5-6x higher. 🧤 What we kn…
🔬 COMPARATIVE SAFETY OF ADVANCED THERAPIES IN CROHN'S DISEASE (JAMA Netw Open, 2026) When there are 5 drug classes available, the question is no longer "which one works?" but "which one is safer?". This study goes straight to that 👇 📋 Study Design Retrospective comparative effectiveness cohort using a U.S. insurance claims database (OptumLabs), 2016-2022. 12,245 patients with Crohn's disease, mean age 46.5 years, 5…
Messages in this channel will be automatically deleted after 1 month
Messages in this channel will be automatically deleted after 1 week
Showing the 9 most recent of 9 posts we hold for @m9dcases. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Cite this entry
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 7 October 2026 — this entry's latest reading, not the date you are reading this.
“Medical cases 🇬🇧 🥼🏨” (@m9dcases), 55 subscribers as measured 7 October 2026. Telegram Register, tgregister.com/channel/m9dcases.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.