Peter Attia· MD
the problem clinically right is that the mass effect doesn't give you a lot of flexibility to delay surgery so between corticosteroids and radiation when a patient most patients present with gdm not it not GBM not as incidental findings they have symptoms from the Mass Effect so we have to be sympathetic to the clinicians in the conventional pathway who are saying look I got Bob here he's complaining he's got you know Hemi paralysis and yet he's got a GBM the idea that we're gonna wait a month to put him on a ketogenic diet when I need to either cut that thing out now or radiate him or or put him on corticosteroids