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From Twitter. Pierre Kory , MD MPA @PierreKory This memo went out to 1000's of physicians in a 20 - hospital system today . If any docs still need convincing that the " practice of medicine " is now prohibited , give this a read . Hey patients : next time you get sick , stat page a hospital administrator , I'm sure it'll be fine . WTF "Colleagues, Please see the newest COVID - 19 Comprehensive Treatment Guidelines ( version 26 ) . Updates are emphasized below. • Corticosteroids expanded information around steroid dosing. Dexamethasone 6mg is still the recommended regimen but equivalent doses of other steroids listed . Alternatives for higher doses of steroids listed although this is up to provider discretion and not yet supported in COVID specific trials . • Added a 'do not endorse' section which includes medications that may cause harm and efficacy/safety is not supported in peer reviewed, published RCT.These medications will not be verified or dispensed for prevention or treatment of COVID: Ivermectin, bicalutamide, etoposide, fluvoxamine, dutasteride, and finasteride . These medications should only be prescribed if the patient is enrolled in a clinical trial . • Ascorbic acid ( Vitamin C ) IV is not endorsed for prevention or treatment of COVID - 19 or sepsis/ septic shock. 7:10 PM Oct 7, 2021 Twitter Web App 5,567 Retweets 571 Quote Tweets 10.5K Likes