Leticia Kawano-Dourado's Avatar

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

1,340 Followers  |  56 Following  |  342 Posts  |  Joined: 23.07.2023  |  2.2926

Latest posts by leticiakawano.bsky.social on Bluesky

Post image

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

13.11.2025 09:50 — 👍 2    🔁 0    💬 0    📌 0
Video thumbnail

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

07.11.2025 19:19 — 👍 1    🔁 0    💬 0    📌 0

Smaller box? ;-)

06.11.2025 09:50 — 👍 1    🔁 0    💬 0    📌 0
Preview
#evidencbasedmedicine #ebm | Gordon Guyatt This video presents a 16 second answer to the question of how #EvidencBasedMedicine - #EBM - protects us against inflated, misleading claims of treatment effect. I’ll be posting a number of such snipp...

This video presents a answer to the question of how evidence-based medicine - #EBM - protects us against inflated, misleading claims of treatment effect. I’ll be posting a number of such snippets and you’ll enjoy my charming interlocutor,
@leticiakawano.bsky.social
www.linkedin.com/feed/update/...

03.11.2025 04:22 — 👍 1    🔁 1    💬 0    📌 0
Video thumbnail

At MAGIC, we turn the best evidence into trustworthy guidance to improve patient care.

💡 #MAGICapp powers this process — a digital platform to build, publish, and update clinical practice #guidelines.

😎 Backed by a global network of leading methodologists.

magicevidence.org

08.10.2025 12:49 — 👍 2    🔁 2    💬 0    📌 0
Anyone: Why are there suddenly so many AHDH diagnoses?
Dr. Jen: Same reason there are suddenly more stars after we built telescopes.

Anyone: Why are there suddenly so many AHDH diagnoses? Dr. Jen: Same reason there are suddenly more stars after we built telescopes.

The mystery of medical diagnosis!

03.10.2025 18:25 — 👍 8094    🔁 2582    💬 45    📌 80
Post image

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 🫶

02.10.2025 14:00 — 👍 1    🔁 0    💬 0    📌 0
Video thumbnail

Come hear @leticiakawano.bsky.social share her 2️⃣ favorite features in #MAGICapp 💥
Leticia is a guideline developer who first used MAGICapp as Clinical Chair of the WHO guideline on COVID-19, & later as a methodologist with the BMJ Rapid Recs,

book 🗓️ a demo here: forms.monday.com/forms/baaf06...

02.10.2025 12:00 — 👍 3    🔁 2    💬 0    📌 0
[English] Hormone Therapy for Menopause & Evidence-Based Medicine #EBM
YouTube video by RenovaMeta [English] Hormone Therapy for Menopause & Evidence-Based Medicine #EBM

How can evidence-based medicine #EBM guide decisions on hormone therapy (HT) for #menopause &
#perimenopause?

Have a look at this a conversation with @guyattgh.bsky.social exploring the particular context of HT to address irritability, brain fog 🧠, and sleep 😴🔥

youtu.be/2SN6yxb8KTU?...

22.09.2025 12:18 — 👍 2    🔁 0    💬 0    📌 0
Video thumbnail

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

18.09.2025 08:19 — 👍 2    🔁 0    💬 0    📌 0
Video thumbnail

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 🤩

17.09.2025 14:39 — 👍 1    🔁 0    💬 0    📌 0
Post image Post image Post image

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

17.09.2025 14:29 — 👍 1    🔁 0    💬 0    📌 0
Post image

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

16.09.2025 09:29 — 👍 1    🔁 0    💬 0    📌 0
Post image

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

13.09.2025 11:12 — 👍 4    🔁 0    💬 0    📌 0
Post image

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...

06.09.2025 07:11 — 👍 1    🔁 0    💬 0    📌 0

Kinda scary you wanna say right?
(“Having fun” where there’s no room for fun?)

06.09.2025 07:01 — 👍 0    🔁 0    💬 0    📌 0
Video thumbnail

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;

03.09.2025 10:11 — 👍 5    🔁 1    💬 1    📌 0
Preview
Nova lei de imigração contraria tratado, e Brasil pode aplicar reciprocidade, diz embaixador em Portugal Embaixador Raimundo Carreiro afirma que o governo brasileiro está analisando todas as medidas do pacote anti-imigração proposto pela administração de Luís Montenegro. E promete reagir.

2/ Depending on political decrees to validate an immigrant's rights can feel fragile, especially where far-right discourse grows louder 🇵🇹. That moment at the border reminded our family to stay cautious. The tension did not escape our children.
www.publico.pt/2025/08/12/p...

26.08.2025 06:26 — 👍 1    🔁 0    💬 0    📌 0
Post image

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 +

26.08.2025 06:26 — 👍 2    🔁 0    💬 1    📌 0
Post image

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…🤌🤯

25.08.2025 14:53 — 👍 1    🔁 0    💬 0    📌 0

8/ #Menopausecare has long been trapped between rigid protocols and “trial-and-error.” N-of-1 trials offer a third way: science, but personal.
It’s time we move beyond averages—and start building evidence that begins with the individual ♥️
End

21.08.2025 16:18 — 👍 0    🔁 1    💬 0    📌 0

The land of freedom 🤌

21.08.2025 16:21 — 👍 8    🔁 2    💬 0    📌 0
Post image

What I love about interferons is their simplicity ;-)
But seriously a great @cellcellpress.bsky.social new review of IFNs that are our 1st line of defense vs infections and have a critical role in many inflammatory an autoimmune diseases www.cell.com/cell/fulltex...

21.08.2025 15:41 — 👍 97    🔁 21    💬 6    📌 1

8/ #Menopausecare has long been trapped between rigid protocols and “trial-and-error.” N-of-1 trials offer a third way: science, but personal.
It’s time we move beyond averages—and start building evidence that begins with the individual ♥️
End

21.08.2025 16:18 — 👍 0    🔁 1    💬 0    📌 0

7/ That would create not only personalized care but a collective resource: thousands of N-of-1s, aggregated into patterns, refining guidelines in real-time. Ping @guyattgh.bsky.social

21.08.2025 16:18 — 👍 0    🔁 0    💬 1    📌 0
Preview
a poster for the great shows a woman with blonde hair ALT: a poster for the great shows a woman with blonde hair

6/ Blue sky 🦋 thinking: What if every woman had access to a simple digital tool to run her own N-of-1 trial—logging symptoms, integrating wearables, feeding back into shared databases?

21.08.2025 16:18 — 👍 0    🔁 0    💬 1    📌 0

5/ This approach could be a paradigm shift in #menopause #perimenopause care:
• More precise tailoring of hormone therapy
• Better alignment with patient values
• Filling in the evidence gap in #HRT

21.08.2025 16:18 — 👍 0    🔁 0    💬 1    📌 0
Preview
the man is wearing a suit and tie and clapping his hands . ALT: the man is wearing a suit and tie and clapping his hands .

4/ Imagine a woman trying two hormone therapy regimens, or HT vs. non-hormonal options, with systematic monitoring of sleep, cognition, metabolic markers, or quality of life.

21.08.2025 16:18 — 👍 0    🔁 0    💬 1    📌 0
Preview
a dog wearing sunglasses is sitting in a car with a man . ALT: a dog wearing sunglasses is sitting in a car with a man .

3/ An N-of-1 trial is a structured way to test therapies within a single patient. Instead of “one-size-fits-all,” it’s personalized evidence: alternating treatment periods, careful symptom tracking, shared decision-making (when interventions & outcomes allow it)

21.08.2025 16:18 — 👍 0    🔁 0    💬 1    📌 0
Post image

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...

21.08.2025 16:18 — 👍 0    🔁 0    💬 1    📌 0

@leticiakawano is following 19 prominent accounts