原創系列 — 王介立醫師Copper 親自撰寫的迷思釐清、臨床心得、生活、腎臟科普、考題解析、FB 存稿與公告。https://copper0722.com.tw/zh-Hant-TW進展期慢性腎臟病的抗凝與心血管事件預防：從 TRACK 試驗看淨臨床效益https://copper0722.com.tw/articles/original-anticoagulation-advanced-ckd-cardiovascular-2026-06/https://copper0722.com.tw/articles/original-anticoagulation-advanced-ckd-cardiovascular-2026-06/Thu, 04 Jun 2026 00:00:00 GMTwiki-humannephrologycardiologycardiorenalESRD 維持性靜脈鐵劑：ferritin 未超標但 TSAT 偏高時該停嗎https://copper0722.com.tw/articles/original-esrd-iv-iron-withhold-high-tsat-2026-06/https://copper0722.com.tw/articles/original-esrd-iv-iron-withhold-high-tsat-2026-06/Thu, 04 Jun 2026 00:00:00 GMTwiki-human腎性貧血鐵劑治療透析實測 GFR 與估算 GFR 的預後價值：mGFR 是完美金標準嗎？https://copper0722.com.tw/articles/original-measured-vs-estimated-gfr-prognosis-2026-06/https://copper0722.com.tw/articles/original-measured-vs-estimated-gfr-prognosis-2026-06/Thu, 04 Jun 2026 00:00:00 GMTwiki-humannephrologylaboratory_medicineepidemiology大腸到底吸收多少熱量？結腸發酵供能的量、機轉與實證邊界https://copper0722.com.tw/articles/original-colonic-energy-harvest-2026-06/https://copper0722.com.tw/articles/original-colonic-energy-harvest-2026-06/Wed, 03 Jun 2026 00:00:00 GMTwiki-humancolonic energy harvestshort-chain fatty acidsSCFAbutyratepropionateacetatecolonic salvageresistant starchgut microbiotafermentationbomb calorimetryfirst-pass hepatic extraction膽固醇真的不重要了嗎？— 一篇被撤稿的研究、一個 n=1 餅乾實驗、一群傳播舊內容的影音https://copper0722.com.tw/articles/original-cholesterol-is-still-causal-2026/https://copper0722.com.tw/articles/original-cholesterol-is-still-causal-2026/Wed, 20 May 2026 00:00:00 GMTwiki-humanketolipid_metabolismLDL_cholesterolLMHRretractionpseudoscience_critique通暢的冠狀動脈也會心肌梗塞 — 為什麼血管沒塞還是會出事？https://copper0722.com.tw/articles/original-ami-patent-vessel-paradox/https://copper0722.com.tw/articles/original-ami-patent-vessel-paradox/Tue, 19 May 2026 00:00:00 GMTwiki-humancardiologycoronary_artery_diseaseLean Mass Hyper-Responder (LMHR) — 從 Oreo 餅乾說起的偽科學標籤https://copper0722.com.tw/articles/original-lmhr-pseudoscience-debunk/https://copper0722.com.tw/articles/original-lmhr-pseudoscience-debunk/Tue, 19 May 2026 00:00:00 GMTwiki-humanketolipid_metabolismLDLpseudoscience_critique飯後想睡的機轉檢驗：「暈碳」色胺酸假說與更可信的替代解釋https://copper0722.com.tw/articles/original-wiki-human-postprandial-somnolence-preclinical-2026-05/https://copper0722.com.tw/articles/original-wiki-human-postprandial-somnolence-preclinical-2026-05/Sat, 16 May 2026 00:00:00 GMTwiki-humanpostprandial somnolencefood comatryptophanserotoninmelatoninorexinhypocretininsulinLNAAsleep neurobiology病人 BG > 500 mg/dL，可以 IV bolus RI 嗎？https://copper0722.com.tw/articles/original-severe-hyperglycemia-iv-bolus-eval-2026-05/https://copper0722.com.tw/articles/original-severe-hyperglycemia-iv-bolus-eval-2026-05/Fri, 15 May 2026 00:00:00 GMTwiki-humanhyperglycemiaDKAHHSinsulininpatientemergency-departmentoutpatient-clinic整理目前 IgAN 的藥物治療適應症https://copper0722.com.tw/articles/original-igan-pharmacotherapy-2026-05/https://copper0722.com.tw/articles/original-igan-pharmacotherapy-2026-05/Thu, 14 May 2026 00:00:00 GMTwiki-humanIgA nephropathypharmacotherapynephrologyKDIGO 2025成人頭暈的結構化病史詢問（TiTrATE / ATTEST 取代症狀性質四分類）https://copper0722.com.tw/articles/original-dizziness-history-taking-2026-05/https://copper0722.com.tw/articles/original-dizziness-history-taking-2026-05/Wed, 13 May 2026 00:00:00 GMTwiki-humandizzinessvertigohistory takingacute vestibular syndromeepisodic vestibular syndromeCMNV 跨物種感染與 POH-VAU 臨床警訊（疾管署通函 606，2026-05）https://copper0722.com.tw/articles/original-cmnv-poh-vau-2026-05/https://copper0722.com.tw/articles/original-cmnv-poh-vau-2026-05/Tue, 12 May 2026 00:00:00 GMTwiki-humanCMNVcovert mortality nodavirusPOH-VAUanterior uveitisemerging infectious disease運動前 reactive hypoglycemia 矛盾性低血糖（2026-05 版）https://copper0722.com.tw/articles/original-reactive-hypoglycemia-pre-exercise-2026-05/https://copper0722.com.tw/articles/original-reactive-hypoglycemia-pre-exercise-2026-05/Tue, 12 May 2026 00:00:00 GMTwiki-humanreactive hypoglycemiarebound hypoglycemiapre-exercise carbohydratesport nutritionendurance國健署戒菸服務人員訓練課程綱要公告（111年11月1日起適用）https://copper0722.com.tw/notes/public/gov-docs/hpa-1110761060/https://copper0722.com.tw/notes/public/gov-docs/hpa-1110761060/Sat, 09 May 2026 00:00:00 GMTannouncement戒菸服務法規公告胰島素阻抗的錯誤迷思https://copper0722.com.tw/notes/public/debunk/original-debunk-insulin-resistance-myths/https://copper0722.com.tw/notes/public/debunk/original-debunk-insulin-resistance-myths/Mon, 04 May 2026 00:00:00 GMTdebunk胰島素阻抗代謝症候群血脂治療目標 — 各國臨床指引與保險給付對照https://copper0722.com.tw/articles/original-wiki-human-lipid-treatment-targets/https://copper0722.com.tw/articles/original-wiki-human-lipid-treatment-targets/Thu, 01 Jan 1970 00:00:00 GMTwiki-human減重看的是熱量不是巨量營養素比例：POUNDS LOST 試驗（Sacks 2009）https://copper0722.com.tw/articles/journal-NEJM-2009-NEJM_Comparison_Weight-Loss_Diets_Fat_Protein_Carbohydrates/https://copper0722.com.tw/articles/journal-NEJM-2009-NEJM_Comparison_Weight-Loss_Diets_Fat_Protein_Carbohydrates/Thu, 01 Jan 1970 00:00:00 GMTwiki-humanclinical_medicine/internal_medicine/endocrinology/obesity2026 ACC/AHA 血脂異常指引：LDL-C 目標值回歸、PREVENT 取代 PCE、CKD 第三期以上納入治療——美版與歐版的同與異https://copper0722.com.tw/articles/journal-Circulation-2026-2026-04-28-acc-aha-2026-dyslipidemia-guideline/https://copper0722.com.tw/articles/journal-Circulation-2026-2026-04-28-acc-aha-2026-dyslipidemia-guideline/Thu, 01 Jan 1970 00:00:00 GMTwiki-human心臟血管／血脂異常／動脈粥狀硬化預防2025 ESC/EAS 血脂異常聚焦更新：『LDL-C 是病因不只是危險因子』如何貫穿全篇，與一連串陰性試驗教我們的去實作https://copper0722.com.tw/articles/journal-EHJ-2025-vol-46-no-44-esc-eas-2025-dyslipidaemia-focused-update/https://copper0722.com.tw/articles/journal-EHJ-2025-vol-46-no-44-esc-eas-2025-dyslipidaemia-focused-update/Thu, 01 Jan 1970 00:00:00 GMTwiki-human心臟血管／血脂異常／動脈粥狀硬化預防