Friday, December 6, 2013

Q&A Session at HealthTap.com

I have been feeling nauseated with headches and no apitite. I had sex a month ago but I'm on birth control. I also have low energy levels.



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Q&A Session at HealthTap.com

How long does it take for depo provera to become effective. I have only been on it almost 2 months & have bleeding on & off. Could I be pregnant?



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Q&A Session at HealthTap.com

I take metformin...some days no side effects, other days i have diarrhea...how come? Do too many carbs



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Thursday, December 5, 2013

Q&A Session at HealthTap.com

Does vegetable stearate help erectile dysfunction?


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Q&A Session at HealthTap.com

Wat do they do if u have a tumor in ur bladder? Ct scan saw white spot top of bladder. Everything checked ok. Had bit of pain peeing & bit blood


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Q&A Session at HealthTap.com

Can prozac causes kidneys problems?


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Wednesday, December 4, 2013

Q&A Session at HealthTap.com

Can Geodon withdrawal cause schizophrenia?   



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Q&A Session at HealthTap.com

Is it normal to have your kidneys hurt when you cough?   



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Q&A Session at HealthTap.com

How can someone benefit from ritalin LA more than concerta with less side effects and another one benefit more from concerta than ritalin LA for examp?   



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Tuesday, December 3, 2013

Q&A Session at HealthTap.com

I'm taking norco does that make you crave sweets?   



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Q&A Session at HealthTap.com

There is any relation between coldness and impotence?   



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Q&A Session at HealthTap.com

Having a pain pump implanted for life. Now will all the side effects go away? Constipation, and feeling drugged. Also will urine retention go away to    



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Monday, December 2, 2013

Q&A Session at HealthTap.com

Why is my ear aching from excessive cough?   



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Q&A Session at HealthTap.com

I am 5 feet 3 inches tall but i am only 40 kilogram weight. So i can increase my weight???   


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Q&A Session at HealthTap.com

How do we breathe? (This is for an assessment question, detailed answers please!)   



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Sunday, December 1, 2013

Q&A Session at HealthTap.com

Where can activist cough syrup be found?   



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Q&A Session at HealthTap.com

Is it bad eating ice cream when I have the cough?   



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Q&A Session at HealthTap.com

I unwantedly pee while coughing why??   



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Friday, November 15, 2013

Q&A Session at HealthTap.com

At what age do men normally suffer erectile dysfunction?



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Q&A Session at HealthTap.com

Viagra really work for 66 years aged man?



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Q&A Session at HealthTap.com

Is Sildenafil with neurobion okay to take?



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Treating Heart Disease: Part 3 Obesity

As you all know by now, the American Heart Association and the American College of Cardiology published new guidelines on the prevention & treatment of heart disease earlier this week, focusing on cholesterol, lifestyle and obesity.  However, I must admit to some disappointment as I read over the obesity guideline.


For instance, we're directed to measure & weight at each visit, at least annually.  Really?  Then the definition of overweight & obesity (class I, II & III) are reviewed.  We are then advised to assess the need to lose weight.  But wait!  No pun intended, this is a guideline on obesity.  Of course we're talking about people who are obese and need to lose weight!  To add fuel to the fire, we are then told to advise our patients to avoid weight gain.  No sh-t, Sherlock, pardon my French.  Here I was hoping for new guidance on what diet to recommend.  Or perhaps what medication to recommend.  Or even a mention of body composition vs body mass index and what to do with those who are skinny fat.  

Ironically, a systematic review was published yesterday early online in JAMA in which the authors concluded that weight loss medication used in conjunction w/lifestyle modifications did lead to greater weight loss than placebo.  Orlistat & lorcaserin were noted to be least beneficial while the highest dose of phentermine plus topiramate had 3 times the relative weight loss.

So here it is w/2014 fast approaching and we still don't have a magic bullet to ward off obesity.  As far as this guideline is concerned, it still comes down to eating less & moving more.  That and maybe pop a pill.



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