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Doctor insights on: Ashley Peak

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At what age r drs at their peak or is there no age?

At what age r drs at their peak or is there no age?

No right answer: Being a great doctor means hard work, dedication to patients and continuous learning, and knowing when to ask for help from others in the health care team. Age has little to do with it. Younger doctors on average have more current facts in their brains, while more experienced doctors have the wisdom of experience as well. ...Read more

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Are the peaks and valleys of sugar levels as drastic in diabetes II as diabetes i?

Are the peaks and valleys of sugar levels as drastic in diabetes II as diabetes i?

Usually not: Type 1 diabetics require Insulin and the peaks and valleys of blood sugar levels tend to vary more than with type 2 diabetics. When under control, both type 1 and type 2 diabetics should ideally not have very deep drops nor very high elevations in their blood sugar levels. ...Read more

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Which hormone peaks at ovulation?

Which hormone peaks at ovulation?

LH: Estrogen levels rise as you approach ovulation, and the main hormone that "peaks" is lh hormone. This is what is detected on the urine ovulation predictor kits. ...Read more

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What is plasma peak of caffeine?

What is plasma peak of caffeine?

Time to peak: That is the time it takes from ingestion to when the peak concentration is reached in the plasma. ...Read more

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Where can I get a peak flow meter?

Where can I get a peak flow meter?

By prescription: Peak flow meters are an important part is asthma control. A peak flow meter can be prescribed to you by your doctor. Be sure you know your best reading. Decreases in your peak flow from your best can be a signal that your asthma is not in control and medications need to be adjusted. Your doctor can give you an asthma action plan so that you know what to do if your peak flow is decreased. ...Read more

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How long does the peak expiratory flow rate take?

How long does the peak expiratory flow rate take?

Breif: A peak expiratory flow rate is a fairly simple test done, usually as part of a comprehensive pulmonary function test procedure. By itself, a few minutes as one usually is instructed to do several attempts and the best result or average results recorded. A full set of pft's may take 30 minutes to an hour depending on factors like patient cooperation, quality of equipment etc. ...Read more

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What is the medical significance of a widow's peak?

What is the medical significance of a widow's peak?

There isn't much..: It is just a cosmetic finding. It used to be thought to be an omen of early widowhood. (Old wive's tale) Widow's peaks are seen in a couple of rare genetic syndromes, Donnai-Barrow syndrome, Waardenburg Syndrome and Aarskog syndrome are the ones I can think of. But they have other associated anomalies along with the widow's peak. Really rare. ...Read more

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What is peak time and half life of latuda (lurasidone)?

What is peak time and half life of latuda (lurasidone)?

Latuda (lurasidone) Half Life: The activity of Latuda (lurasidone) is primarily due to the parent drug. The pharmacokinetics of Latuda (lurasidone) is dose-proportional within a total daily dose range of 20 mg to 160 mg. Steady-state concentrations of Latuda (lurasidone) are reached within 7 days of starting Latuda (lurasidone).

Following administration of 40 mg of Latuda (lurasidone), the mean (%CV) elimination half-life was 18 (7) hours.

Absorption and Distribution: Latuda (lurasidone) is absorbed and reaches peak serum concentrations in approximately 1-3 hours. It is estimated that 9-19% of an administered dose is absorbed. Following administration of 40 mg of Latuda (lurasidone), the mean (%CV) apparent volume of distribution was 6173 (17.2) L. Latuda (lurasidone) is highly bound (~99%) to serum proteins.

In a food effect study, Latuda (lurasidone) mean Cmax and AUC were about 3-times and 2-times, respectively, when administered with food compared to the levels observed under fasting conditions. Latuda (lurasidone) exposure was not affected as meal size was increased from 350 to 1000 calories and was independent of meal fat content ...Read more

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What is the definition or description of: peak expiratory flow?

What is the definition or description of: peak expiratory flow?

Maximum effort: Is the maximum effort you can do while blowing the air out (expiration) is an inderect measure how your lungs are within a patient with asthma. Although not exact & varuiable as a follow up value can help patients monitor their asthma. ...Read more

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What is the normal peak expiratory flow rate of an typical adult?

Depends: Peakflow is based on your height and age. Best to google a peak flow rate calculator (they are free on line). ...Read more

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When do men and women reach their individual sexual peaks differently?

When do men and women reach their individual sexual peaks differently?

Everyone's different: It depends to a great extent upon what you mean by "sexual peaks". When you look at large groups of men & women, it's been said that men tend to engage in sex frequently in their teens to 20s while women tend to increase sexual frequency in their 30s to 50s. However, this isn't as important as the individual's sexual habits and finding an appropriate partner to match. ...Read more

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What should the numbers be on a peak flow meter for 5'2 24 y/o female?

What should the numbers be on a peak flow meter for 5'2 24 y/o female?

Normal Peak Flow: For a 24 year old 5'2" female normal peak expiratory flow should be 475 L/min. ...Read more

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My peak expiratory flow has never been over 250, Should I be concerned?

My peak expiratory flow has never been over 250, Should I be concerned?

Depends: That seems a bit low. Full pulmonary function tests with a pulmonary MD could help clarify the cause. ...Read more

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After my rescue inhaler, how much should my peak flow readings increase?

After my rescue inhaler, how much should my peak flow readings increase?

300+: Depends on the severity of your asthma. You are a 25 yo male, so it should be in the 300-400 range at the very least to show that it's working.
If it is in the 150 range then you are probably having much more severe asthma that rescue inhaler alone won't touch. ...Read more

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Do peak height pills really work for height or they are just another scam?

If it sounds 2 good: To be true it is likely a scam. Unless you had delayed puberty you (at 18)are done growing taller. Even hormone shots will not increase height when your growth centers close. An x-ray of your wrist/hand can tell if you have time to grow more. If possible. A good diet/proper rest and exercise will help you reach your genetic potential. The pills are crap. ...Read more

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Is a peak flow of 300 a reason to be concerned in a 58 year old 5 ft 7, normal weight?

Is a peak flow of 300 a reason to be concerned in a 58 year old 5 ft 7, normal weight?

Normal is 370: You are just barely in the green assuming your normal peak flow is 370. A number of assumptions. You probably have some underlying disorder like asthma or COPD causing your peak flow to be lower? Green means that you are ok, yellow range would be from 300 to 185 and below 185 is the red range. Red range, seek medical attention. Yellow range - you should have a plan with your regular physician. ...Read more

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For vancomycin why check trough and peak. What does low or high trough and peak mean?

For vancomycin why check trough and peak. What does low or high trough and peak mean?

To know correct dose: The levels of vancomycin in the blood are not accurately predictable based only on the dose given. The peak level is to make sure the dose isn't too high and the trough to make sure it isn't too low. These tests are especially important if there are kidney problems. I'm sure your doctor knows what she is doing, but if in doubt, ask for consultation with an infectious diseases specialist. ...Read more

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What do you suggest if my peak expiratory flow has never been over 250, should I be worried?

What do you suggest if my peak expiratory flow has never been over 250, should I be worried?

More information/pft: Yes, for most adults, this would indicate an abnormal amount of air being expired. This may indicate obstruction/restriction or a combination of these conditions. Your physician will guide further testing to determine the underlying cause.
Asthma is one of the more common causes of a low PEF. ...Read more

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What can people often say that our skin is at its peak in our twenties, not during childhood?

What can people often say that our skin is at its peak in our twenties, not during childhood?

Skin: I have not heard that- but probably it is a marketing technique because children do not shop for skin care products, and do not pay attention to those ads.
What is true is that taking care of your skin must begin with sunblock and safeproducts from childhood, and that anti-aging protection must begin in your 20s not your 50s. ...Read more

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I am 24 year old female distance runner (5'5' 125lbs). Best peak flow has been 350. Is that normal?

I am 24 year old female distance runner (5'5' 125lbs). Best peak flow has been 350. Is that normal?

No: That is on the low side fora 24 year old who is 5'5"you should visit the dr and get that checked out and you will run much easier! You migh need a long acting medication not just albuterol ...Read more

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What factors can negatively affect peak flow in a normal person? For example lying down, body posture, stress?

What factors can negatively affect peak flow in a normal person? For example lying down, body posture, stress?

Peak flow changes: Any things which trigger your asthma will decrease your peak flow rate. Also anything which restricts the movement of your chest wall - tight fitting clothes, injury to the chest wall. ...Read more

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Can taking my peak flows trigger a bronchiospasm? When I take my peak flows my first blow is always higher than the last 2.

Can taking my peak flows trigger a bronchiospasm? When I take my peak flows my first blow is always higher than the last 2.

Mechanism....: Using a peak flow meter is effort-dependent. So, the first time you force air into the meter, you will likely give a better effort so the number will be a bit higher. If you rest a minute or 2 between trials, the numbers will likely be closer together. It is good that you are monitoring the peak flows so see if resting helps. If symptomatic, see your doctor or go to ER for evaluation and treatment ...Read more

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I have tiny 2mm bites all over. Pink with small red peak. More every nite. The bites are not in linear line. I washed everything on my bed, no help.

I have tiny 2mm bites all over. Pink with small red peak. More every nite. The bites are not in linear line. I washed everything on my bed, no help.

Despite: Your "washing" I suspect the mattress itselF!



'Bed Bugs", Dust mites, and a number of small "critters" bite at night! Consult with your Primary Health Care Provider or join Health Tap Prime and select an Infectious Disease expert!

Hope this helps!
Dr Z ...Read more

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I got my first peak digital test on the 31st of March, tested again yesterday it still came up as peak, when should I expect to "actually" ovulate?

I got my first peak digital test on the 31st of March, tested again yesterday it still came up as peak, when should I expect to "actually" ovulate?

Stop after 1st: After your ovulation test is positive then you stop testing as the hormone it is detecting stays positive. Ovulation is usually 12-24 hours after but one can not predict exactly in any one individual during any one cycle ...Read more

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What would be the peak time of tegretol?

What would be the peak time of tegretol?

Information below: The absorption of carbamazepine in man is relatively slow. When taken in a single oral dose, the carbamazepine tablets and chewable tablets yield peak plasma concentrations of unchanged carbamazepine within 4 to 24 hours. With respect to the quantity of carbamazepine absorbed, there is no clinically relevant difference between the various dosage forms. However, carbamazepine suspension is absorbed somewhat faster than the tablet; peak plasma levels are reached within 2 hours. Following b.i.d. dosage regimens, higher peak levels and lower trough levels are obtained with the suspension than with the tablets. Steady-state plasma levels are comparable for carbamazepine suspension given t.i.d. and carbamazepine tablets given b.i.d., when administered at the same total daily dose. ...Read more