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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Internal Medicine
Licenses
United States: New York
Languages spoken
English
Doctor Q&A
224 Answers
1 Agree
The number of answers this doctor has agreed with.
A 25-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
More info needed: Fo you mean newman-pick or pick's disease. They are different.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Blood: It means blood was detected.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Passable: They work by different mechanisms.....Could be useful in combination.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
No benefit known: Most supplement, outside of folate (folic acid) have no proven benefit.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Spinal tap: Spinal tap is very easy and fast to get results...Best test.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Wash your hjands: Besides alcohol, the santizers have other chemicals. Best to wash hands properly.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
No age limit: It is a skin infection...Do not think there are age limits on this.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Elevator shoes: Bone growth stops after adolescence.. So you are where you will be, some russian doctors had developed a leg-lengthening operation but it os very comp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Beta HCG: There is a urine and a blood test based on the hormone the zygote(fertilized egg) makes......The commercial kits test for this too.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Chronic inflammation: These tonsils are lymphatic organs, recurrent infections are common and if a big problem, sometimes removal is suggested. Many people have enlarged to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Serious: It could be a heart or lung symptom so a medical examination is very important.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Iron, petobismol: It is reasonable to see a doctor who can check the stool for blood, or give you special cards to collect the stool for a test.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Yes: Powerful steroid.. Definitely impacts blood sugar levels.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Yes: The sanitizers use rubbing alcohol and a thickener..They cost more too.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Cool it: Cooling by cold running water or an cold compress is best until pain is relieved.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Not : The hormones regulating your cycle are not affected by antibiotics....
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
See a doctor: Clotting in veins is always abnormal. It is important to see a physician. @ lives involved here, mother and the new baby who needs her care.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Cough is useful: Those products have colorants, flavors, antihistamines and a lot of other stuff that doesn't help you recover. Why use it? Cough helps get the mucus o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Test blood: Testing the blood is much more accurate. Urine testing for sugar is passe and outdated. Get a glucometer..Cheap, reliable and accurate.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Lose weight: Lose weight, avoid trans fats, exercise and eat fruits and vegetables .. This advice of course is not just for teens but suits everyione.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Bad drug: Liver and kidney toxic, better to avoid.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Bone density: There is a test to check.....Ask your doctor.....
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Lots: Need to check your own levels....And the baby's if you have the same exposure frkm the environment....
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Hormones do it: The hormones secreted in the brain to trigger ovulation raise the body temperature.. This is the basis of the rhythm method and also it signals the ov... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Hearing and balance: The area where this grows is small, so hearing and balance can be affected. Speak with your doctor as well as this is found on ct or MRI ususally.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Too much delay: Get it dome already, being on antibiotics longer than needed is not safe or smart. Call your dentist today.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Fluid overload: Sounds like it could be fluid overload or a problem with the heart muscle. It may be reasonable to get a clinical; exam, chest xray and an echocardiog... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Depends: Depends mostly on the country and the quality of the health care system, almost everywhere you go thou, even us, being financially comfortable gives y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Dose dependent: It is a steroid that can promote salt and water retention...So it is a possible consideration in hypertension and congestive heart failure. Generally ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
More info needed: Calcitonin has been used for osteoporosis, there is a nose spray and injections. Not sure the tablets survive in stomach acid.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
See a physician: Pain and altered hearing suggests a serious problem..See a physican fast.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
# of tests done: Some screen do more specific tests like types of opiod and benzo, thc and others drugs of abuse. The tests will vary by the number of tests done.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
It works: Works great and it is supremely affordable.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
It may be you: Having a taste for certain foods is very individual. Almost everyone likes chocolate, and peanut butter. This doesn't sound like an illness but a pref... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 66-year-old male asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Ask the doctor: Your surgeon is the best resource here.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Location is crucial: the distribution is varied, and location and relationship to the rest of the vascular system has to be known in order to assess the situation and plan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Tell the whole story: best relationship with a physician is based in honesty and crucial exchange of information. You will have a better communication when you tell the tru... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Need doctor visit: chest pain can come from many causes but some are serious so a medical assessment is needed
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Genetic: You didn't do it, it is inherited. There are many types of causes. Usually genetic. Your doctor can fine tune the diagnosis and preventive treatment t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Bacteria: The bacteria is named after an outbreak found at american leigon convention. It is fairly common and causes pneumionia and requires treatment for reco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Depends: Paget's can be localized or widespread. It can cause deformity and nerve damage.. Treatment involves drugs like Didronel (etidronate) etc..See a good... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Yes: It can lead to loss of healthy teeth you need a dentist who is competent.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Infections..: Stool and urine, food particles can all become airborne......And the child will inhale them. Better kept elsewhere.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
More info needed: Liver problems with an elevated bilirubin generally produce generalized itching on the whole skin surface....Isolated itching suggests a more localize... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Depends: If you are dry, naked on an ice floe, you are much safer than wet or immersed in water because the heat loss is so much faster in the water.....It is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Mourning is personal: This question is impossible to answer ...Our feeling over the loss of a loved person will be painful and intense. This is part of the cycle of life.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
No: Many different causes of kidney disease. Uncontrolled hypertension can harm kidney however and other organs.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Depends: The union requires cells to grown to bridge the gap....
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Why wait: The setting position of the bones and the fixation is useful for expediting healing.New bone has to be manufactured by your body. There is no good rea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Mary Efremovanswered
Internal Medicine 45 years experience
Not : The hormones regulating your cycle are not affected by antibiotics....
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
353
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Efremov is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Efremov is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
My heart "flutters" sometimes don't happen for years, then sort of often, then not again for a while. Its hard to pin it down. No pain.
HealthTap member
thank you i was told to get a laporscop done cause my stomach is large an hard.is there any programss that would help me
HealthTap member
Thank you, your answer was very helpful! Recently discovered i have scarring on the liver, i have had hepetitis
Education & Training
Medical/Graduate school
Free University of Berlin Faculty of Medicine, Germany
Graduated 1978MD
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