GMJ

Prof. Giorgi Pkhakadze

Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.
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1083 Articles

Resistant Starch and Gut Health: Why Fiber Type Matters More Than You Think

Resistant starch works through a specific bacterial fermentation pathway that other fibers do not, requiring doses of 15–30g daily—far above…

The 30-gram protein myth: why recent evidence challenges the fitness industry’s most durable claim

For over a decade, the fitness industry has promoted a rule: your body can only use 25–30 grams of protein…

How the gut absorbs nutrients with molecular precision: A seven-meter biochemical assembly line

The human gastrointestinal tract functions as a seven-meter nutrient-extraction assembly line, with each segment specializing in absorbing specific vitamins, minerals,…

Why Thiamine Deficiency Is Silent but Serious in Heart Failure Patients

Loop diuretics—the standard treatment for heart failure—deplete thiamine, the essential cofactor for energy production. Research shows 33% of heart failure…

Aerobic Exercise Reverses Age-Related Hippocampal Shrinkage in Older Adults

A 12-month aerobic exercise trial published in PNAS reversed age-related hippocampal shrinkage in older adults, with participants gaining 2% in…

How muscle contraction clears blood glucose independently of insulin after meals

Skeletal muscle activates a second glucose-clearance pathway during physical activity that operates independently of insulin, allowing direct glucose uptake without…

Why Spinach Iron Doesn’t Count Like Meat Iron: The Bioavailability Gap

A cup of spinach contains 6 mg of iron but only 2–20% is absorbed, while beef's 2.5 mg iron is…

How Coffee Brewing Method Affects Cholesterol: The Science Behind Diterpenes and Filters

Coffee's effect on cholesterol depends entirely on brewing method. Unfiltered coffee—French press, espresso, Turkish—allows diterpenes (cafestol and kahweol) to reach…