Timothy Caulfield

Timothy Caulfield

@caulfieldtim.bsky.social

Professor of health law and science policy, author, speaker, and commentator. #ScienceUpFirst Linktree: https://linktr.ee/caulfieldtim

33.3K followers1.5K following4.5K posts

🚨 Fake online reviews are distorting competition & endangering consumers, research www.theglobeandmail.com/investing/pe... "...fabricating reviews has morphed into a thriving business of its own." Every week I get offers to produce hundreds of authentic looking 5 star reviews for my books❗

theglobeandmail.comFake online reviews are distorting competition and endangering consumers, research findsThe Canadian Anti-Monopoly Project says regulators should compel platforms to ‘name and shame’ companies that purchase fake reviews

In my last book, The Certainty Illusion, I do a deep dive into the scope and power of the fake review industry. I think most people intuitively know majority of reviews are fake or manipulated, but we STILL rely on them! Fascinating paradox.

Does all the tracking produce "enough meaningful health benefit to justify the cost, effort, and potential for anxiety"❓ Nah‼️ "We should measure success in healthier, happier lives – not more data, more alerts, or more perfect scores." Chill. conscienhealth.org/2026/10/27/d...

conscienhealth.orgDoes All This Tracking Make Us Healthier and Happier? - ConscienHealthClever marketing promises that health tracking will make us healthier. But does it? Or does it have a downside?

One thing that bugs me about all this testing hype – we already over-test. All this data only helps if it, um, actually helps‼️ Does more data always = better health❓ No. Can it lead to harm❓ Yep. Elizabeth Holmes film enthrals — but her legacy haunts science www.nature.com/articles/d41...

nature.comElizabeth Holmes film enthrals — but her legacy haunts scienceYou Can See Everything brings blood-testing start-ups back into the public eye. They persevere in Theranos’s shadow.

‼️ SO many myths about immigrants. ⚠️ Don't believe the hateful lies (looking at you Alberta UCP 👀) Migrants use significantly less NHS care than they effectively pay for, analysis finds www.bmj.com/content/395/... "...pay 60% more towards the NHS than the cost of healthcare they use."

bmj.comMigrants use significantly less NHS care than they effectively pay for, analysis findsMigrants are a net boon to NHS coffers, a new analysis has indicated.1 From thinktank the Nuffield Trust, the analysis found that immigrants charged the immigration health surcharge (IHS) pay 60% mor...

The science & politics behind the panic over ultraprocessed foods theconversation.com/the-science-... "...the very definition of ultraprocessed is highly contested." "...scientists remain unconvinced that processing alone can explain why certain foods are associated with poor health."

theconversation.comThe science and politics behind the panic over ultraprocessed foodsThere’s no doubt that the modern food environment needs to be healthier. But are ultraprocessed foods as evil as their reputation suggests?

⚠️ AI orders more medical tests. A costly pressure‼️ Comparative Cost of Care Recommended by Large Language Models versus Treating Physicians ai.nejm.org/doi/full/10.... "The care these [AI] systems recommended cost substantially more than physicians’ documented care..."

ai.nejm.orgComparative Cost of Care Recommended by Large Language Models versus Treating PhysiciansLarge language models (LLMs) are increasingly consulted for clinical decision support, yet the cost of services or treatment they recommend has not been systematically evaluated. We evaluated 24 AI...

⚠️ Social media = polarization machine ‼️ 👉 Extreme ideologues post more 👉 People are more likely to post extreme positions "...robust evidence that online discourse severely over-represents extreme perspectives" = "prediction of false polarization." Important preprint: osf.io/preprints/ps...

📣 Excellent piece...👇 "Hegseth is promoting gender-affirming care for cis men..." "Every relevant medical society recommends against screening asymptomatic men for testosterone deficiency..." Reality: MAGA manosphere BS‼️ Is the Military Low-T? www.newyorker.com/science/anna... #testosterone

newyorker.comIs the Military Low-T?New data suggest that a quarter of American servicemen may have low testosterone. That doesn’t mean what Pete Hegseth thinks it does.

‼️ Yet another study deflates supplement hype...👇 Millions take fish oil for brain health. A two-year study found no benefit www.sciencedaily.com/releases/202... "...even when high doses of omega-3s successfully reached the brain, they did not produce measurable improvements..."

sciencedaily.comMillions take fish oil for brain health. A two-year study found no benefitA surprising two-year clinical trial found that fish oil supplements successfully delivered omega-3s to the brain but failed to improve memory or protect against Alzheimer's-related brain shrinka...

‼️ So much hype & myths about icing & heat in exercise.... Reality: not so great.👇 Beyond the ice bath: How heat and cold affect recovery medicalxpress.com/news/2026-10... "...neither heat nor cold resulted in superior recovery of muscle strength over a 72-hour period."

medicalxpress.comBeyond the ice bath: How heat and cold affect recoveryCold-water immersion is a popular post-workout recovery strategy, but new research suggests it may offer no greater benefit for muscle strength recovery than heat-based methods.

⚠️ Does health misinformation do incredible harm? Yep. ONLY 8% know there is NO credible evidence COVID vaccines increase risk of miscarriage. BIG political divide too (of course). Reality: COVID vaccines improve pregnancy outcomes❗via @kff.org

4 red flags amid the #peptide hype www.usatoday.com/story/life/h... via @usatoday.com Red flag peptide claims: 🚩 Aren't a drug (yes they are❗) 🚩 Safe because natural (not safe, not natural❗) 🚩 Treat illness & heal (NO good clinical evidence❗) 🚩 Can't be patented (of course they can❗)

usatoday.com4 red flags – and 1 truth – amid the peptide hypeExperimental peptides are all the rage in longevity and “optimization” podcasts, but a lot of the chatter is misleading.

‼️ Yep, #manosphere a BIG issue...👇 1 in 3 teen boys follows Andrew Tate at least a little, and those who do hold more rigid views of manhood www.psypost.org/one-in-three... From study: "associated with holding beliefs that favor emotional detachment, dominance, toughness, and antifemininity..."

psypost.orgOne in three teen boys follows Andrew Tate at least a little, and those who do hold more rigid views of manhoodA third of U.S. teen boys in a new survey said they follow Andrew Tate at least a little. Those who did tended to favor emotional detachment, dominance, toughness, and rejecting femininity, even after...

🚨 Continuous Glucose Monitoring in Type 2 Diabetes and Beyond: A Review jamanetwork.com/journals/jam... "CGM should be deployed in response to a specific patient problem rather than as a default intervention." Needed: "...avoiding overuse in populations for whom benefit remains unproven."

jamanetwork.comContinuous Glucose Monitoring in Type 2 Diabetes and BeyondThis review examines the evidence for continuous glucose monitoring use beyond type 1 diabetes or pregnancy, explores its usefulness as a behavior change aid, and critically assesses its expanding rol...

☝️ I find these "I'm just asking questions" articles fantastically annoying. In this age if wellness woo and tremendously harmful health misinformation, these kind of articles legitimize exploitive bunk and make room for grifters. Do better, @nytimes.com 👎

Timothy Caulfield reposted

📣 Dear Alberta, I'm gonna be blunt... If you voted "yes" to the immigration questions during Alberta referendum, you either: A) Believe the hateful LIES spread by UCP B) Know they are LIES and just leaned into "hateful" part I really REALLY wish there was a rational and less depressing "C"... 💔

DIY healthcare is on the rise – here’s why it’s so dangerous theconversation.com/diy-healthca... So many harms, including: 👉 "...delayed access to professional support." 👉 marketing of unproven products / advice 👉 contaminated, "counterfeit & substandard medicines" 👉 marketing of distrust

theconversation.comDIY healthcare is on the rise – here’s why it’s so dangerousDIY healthcare is booming – but fake pills, missed diagnoses and drug interactions are real risks.

Even if AI can improve breast #cancer risk prediction, will that improve patient outcomes? garyschwitzer.substack.com/p/even-if-ai... ⚠️ THE key point: "The trouble is, we don’t know if more accurate cancer risk prediction improves patient-oriented outcomes." "People can get hurt in that process."

garyschwitzer.substack.comEven if AI can improve breast cancer risk prediction, will that improve patient outcomes?"AI tools may only increase preventive care costs without producing health benefits."

OMG, make it stop❗ 🛑 Longevity medicine is NOT "gaining credibility". It is a grift, it is a grift, it is a grift. A similar trend happened with "integrative med" & "wellness". Institutions embrace new trendy grift. 💰 Is #Longevity Medicine Going Mainstream? www.nytimes.com/2026/10/16/b...

nytimes.comIs Longevity Medicine Going Mainstream?As major health systems open their own programs, longevity medicine is gaining credibility and becoming more accessible.

‼️ Key: Why I wish you didn’t want to see Nathan Fielder’s Elizabeth Holmes documentary www.statnews.com/2026/10/20/e... by @matthewherper.bsky.social via @statnews.com Documentaries can be powerful (I've produced, written & hosted). But they can manipulate too. She's a fraud. Science hype is bad.

statnews.comWhy I wish you didn’t want to see Nathan Fielder’s Elizabeth Holmes documentaryA reporter who interviewed Elizabeth Holmes on why society confuses authenticity, honesty, and truth, and how she takes advantage.

‼️ When misinformation is normalized & politicized THIS happens... There has NEVER been evidence that spacing out vaccines is healthier for children, but this LIE believed by: 👉 69% of Republicans 👉 32% of Democrats #VaccinesWork via @kff.org

📣 Dear Alberta, I'm gonna be blunt... If you voted "yes" to the immigration questions during Alberta referendum, you either: A) Believe the hateful LIES spread by UCP B) Know they are LIES and just leaned into "hateful" part I really REALLY wish there was a rational and less depressing "C"... 💔

Noncitizens don't vote in large numbers in US elections. Here's proof www.snopes.com/articles/474... Reality: "Noncitizens rarely vote in U.S. elections. This is not a partisan opinion." Sad Albertans fell for this lie. All about creating barriers to voting and doubt & rage about immigrants. 👎

snopes.comNoncitizens don't vote in large numbers in US elections. Here's proofWe spoke to state election officials to learn how they prevent noncitizens from voting in federal elections.

📣 Dear #UCP, The vote today in #Alberta? What a massive, massive, massive waste of resources and taxpayers' money. What a hate-mongering debacle. What a lie-infused polarizing clusterf*ck. Shame. On. You. 😡

We are gonna hear a lot about Theranos & Holmes. ⚠️ Documentaries are a powerful art form that can also mislead. I haven't seen this doc yet, but...👇 Key: I was a Theranos whistleblower. In ‘You Can See Everything,’ Elizabeth Holmes is still lying www.statnews.com/2026/10/19/e...

statnews.comI was a Theranos whistleblower. In ‘You Can See Everything,’ Elizabeth Holmes is still lyingA more accurate name would be “You Can See Everything That We Chose To Point The Camera At,”Theranos whistleblower Tyler Shultz writes.

Don't let the lies win! 💪 YES to Canada. 🇨🇦 NO to NINE. 👎 AI misinformation floods feeds ahead of Monday's vote calgaryjournal.ca/2026/10/18/a... Me: “Unfortunately, you can create very convincing AI content that sort of supports preconceived notions, preconceived lies, about important topics."

calgaryjournal.caAI misinformation floods feeds ahead of Monday’s voteAlbertans are heading to the polls tomorrow, for a consequential election that could shape the province’s future. But as the vote approaches, experts say that AI-generated misinformation abou…

⚠️ Ugh. A very misleading headline: wapo.st/4eCal16 Reality: lots of cancer fearmongering marketing & little evidence of benefit for these early cancer detection products. Sum: “The marketing is ahead of the science" And my friend Arthur Caplan: “modest benefit, high cost, high risk of misuse.”

wapo.stColumn | A blood test for 50-plus cancers? One survivor is glad he took it.The FDA is expected to approve a new kind of blood test that may allow earlier diagnosis and less invasive, more effective treatment. But doctors warn of drawbacks.

Yep❗ Health Claims on Food Promote Sales More Than Health conscienhealth.org/2026/10/17/h... "...stop treating selective marketing claims as a reliable guide to healthfulness. Claims should reflect the whole nutritional profile, not just the feature most likely to sell." PS Blue Zone = bogus data

conscienhealth.orgHealth Claims on Food Promote Sales More Than Health - ConscienHealthNew consumer research tells us that the health claims on food are more likely to promote food sales more than to promote health.

‼️ Conspiracy theories & rage cluster. OF COURSE this separatist conference has: - vendors selling bunk products ($6,500 LED helmets to prevent dementia?) - “anti-woke” rhetoric & grievance about immigrants - sale of gold & silver for when money "fails" Sigh. www.theguardian.com/world/2026/o...

theguardian.comJust 14% of Albertans want independence from Canada. Can a conference in a Calgary ballroom change that?WeUnify’s Reclaiming Alberta brought together ardent supporters of separating from Canada while highlighting key disagreements – not least how close an independent Albert should be to the US