Gary Wayne Miller, Sr., M.D., passed away on September 6, 2022, at home in Vienna, West Virginia. He was 78 years of age.
Orthopedic Surgeon, Family Man Gary Wayne Miller Passes Away

Dr. Miller was born on June 2, 1944, in Frostburg, Maryland, the son of the late George Charles Miller and Betty Irene Lewis Miller Edwards. After attending high school in Frostburg, he earned his bachelor’s degree at West Virginia University and then graduated from the University of Maryland Medical School with his Doctor of Medicine degree.
Miller then went back to West Virginia University for his residency and orthopedic fellowship. He served two years as a doctor in the U.S. Army at Fort Stewart Georgia before setting up his orthopedics practice in the Mid-Ohio Valley.
Miller dedicated 45 years of his life to serving the Mid-Ohio Valley as an orthopedic surgeon. He was also a very devoted family man. His family says his greatest joy was spending time with his grandchildren.
Faith was one of the foundations of Dr. Miller’s life and practice. While in Ohio, he spent several years as a member of the Porterfield Baptist Church, serving in various areas of the church, and then later he became an active member of the North Parkersburg Baptist Church in West Virginia.
Miller also enjoyed playing golf and spending time in Florida, the Sunshine State. He is survived by his wife Becky Miller, sons Gary Miller, Jr. of Sherman, West Virginia, Christopher Miller of Washington, West Virginia, stepsons Barry Thompson of Liberty Township, Ohio, Christopher Thompson of Vienna, West Virginia, Jason Thompson of Lancaster, Ohio, their wives and his ten grandchildren. He also leaves behind a brother, George Miller of Sarasota, Florida, and a sister, Joan Longo, two nephews, and one niece.
He was preceded in death by his parents and his stepfather George Edwards.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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