Doctor insights on:
Beginning Naturopathy For Lupus
Herbalife: I'm not sure whether you're testifying that "herbal life" is good, or asking about it? Herbalife is a multilevel marketing company that sells many different kinds of products, including some for "weight management." it is not a program that provides personal accountability like weight watchers or tops. This part is needed for success in any program, because it engages you towards your goals. ...Read more
Have lupus.Doing well.Labs good.MD says my lupus is doing great.Work full time.Active.Still need frequent rest.Fatigue likely not related to lupus?
Question?: I am glad that your lupus is under pretty good control but one can't rule out that lupus may or may not be a cause for your fatigue without exploring other probabilities. For example, anemia is a common feature in lupus and a common cause for fatigue. Make sure that you get a comprehensive evaluation on both the physical and psychologic aspects of your health. ...Read more
What supplements are good for psoriatic arthritis beyond prescription of plaquenil (hydroxychloroquine)?
Anti inflammatory: There are numerous supplements that can have beneficial, antiinflammatory properties. Omega3is just one example. Rather than a specific supplement, though, I am a fan of the whole food, antiinflammatory diets. The results for many health conditions are well documented and can be pretty amazing. Thank you for your question. ...Read moreSee 1 more doctor answer
Part 2-diagnosed RA patients, with active disease, to try elimination diets of nightshades, gluten, etc before starting medications (dmards)? ".
I am considering benlysta (belimumab) for my sle. For those physicians that have used benlysta (belimumab) with their sle patients, what has been your experience?
Favorable: For aapropriate patients the experience with Benlysta (belimumab) has been good. There has been improvement in general features of fatigue with improvement in rash and joint pain. It's use has allowed me to lower the Prednisone dosage of patients and their serologies ( anti- dna and complemnent) levels have improved. ...Read more
Why would a rheumatologist prescribe Fosamax , plaquenil , calcium with vitamin d for systemic lupus ? Is this the right treatment for moderate lupus
Not unusual but...: Placquenil is a standard treatment ; vit d is helpful in autoimmune disease ; can prevent osteoporosis (as can calcium). Those with lupus are at increased risk of osteoporosis (esp. If put on steroids) but it is questionable if Fosamax (alendronate) is helpful for preventing rather than treating it. I personally question Fosamax (alendronate) but would add vit. K- see http://bit.Ly/1a48ofs see my comments for other ideas:. ...Read moreSee 1 more doctor answer
Yes: The lupus book: a guide for patients and their families by daniel j. Wallace. ...Read more
On remicade (infliximab) for crohn's, would chinese herbal immune boosting medicine, be contraindicated?
Why is the topic of chronic Lyme disease so controversial and do all infectious disease doctors specialize in Lyme disease treatment?
See below: Most infectious disease docs follow the guidelines of the idsa ; are either unaware of or willfully ignore a large body of sound science that proves without question that lyme infection can persist after what they consider to be adequate treatment.See http://bit.Ly/1px4fnq ; http://bit.Ly/1ffxjxl ; http://www.Lymeinfo.Net/lymefiles.Html ; http://bit.Ly/qcegra ; http://bit.Ly/orugxl for details. ...Read moreSee 2 more doctor answers
Depends: It depends on what medications you are on for your lupus. Acetaminophen is good for any, but non-steroidal inflammatory drugs have to be used with caution and G.I. protection with a proton pump inhibitor if on steroids. Opiods safer on major medications for lupus such as biologics and chemotheirapy drugs. ...Read more
Rituximab: Rituximab is a monoclonal antibody against the protein cd20, which is found on the surface of b cells. Rituximab destroys b cells, and is therefore used to treat diseases with excessive numbers of b cells, overactive b cells, or dysfunctional b cells. This includes many lymphomas, leukemias, transplant rejection, and autoimmune disorders. Whether it is ok for your scleritis must be d/w doctor. ...Read more
Why would my rheumy prescribe plaquenil (hydroxychloroquine) for osteoarthritis? I can't find any research that supports it's use for OA.
Anti inflammatory : Plaquinal is used in cases of inflammatory arthritis such as rhiematoid arthritis and lupus because it has strong anti-inflammatory characterics. It certainly has a significant side affect profile as well. Presumably your rheumatologist thinks it is indicated for your OA to treat inflmation. Don't hesitate to discuss this with him and never hesitate to get second opinion. ...Read more