Doctor insights on:
Best Itp Program
Uncertain: I disagree with some aspects of recommended treatments such as coffee enemas for detoxification purposes. I find no convincing studies proving benefit. In general, a working liver and healthy kidneys take care of detoxification quite admirably. Talking with people who have undergone treatment and discussing with various physicians and perhaps getting a second opinion would be worthwhile. ...Read more
The one that works: The 12-step programs have been very successful. However, there are other methodologies that work. Like most mental health treatments, you must fit the patient to the treatment modality. ...Read more
Shopping?: Your question suggests you're having problems with a recalcitrant adolescent. If so, before sending them off to boot camp, you may wish to consider counseling and a visit to your doctor to be sure there no underlying causes for the misbehavior. Drug use is a common problem in this area. As are learning problems. ...Read more
Is the 12 step program for eating disorders similar to the 12 step program for alcoholics/drug users?
Yes: The steps are largely the same. All 12 -step groups are based on the same steps. Admitting they were powerless over their illness/problem. And admitting that a power greater than themselves could restore them to sanity. Then following a series of steps to come to terms with their past actions and to enable them to lead fruitful productive lives and to be of service to others who suffered simil. ...Read moreSee 2 more doctor answers
Building muscle: Your 'Top 5' supplements with results best supported by clinical trials? (Assuming strict diet macros & a pro-level training regime)
It's your choice: It's a crash diet and arbitrary "this is good, this is bad" from somebody with no evidence and no qualifications. It's your life and your health. Many people find this sort of thing comforting. If you have actual health issues, get with an evidence-based physician, preferably one who shares your interest in "natural medicine" and pop claims. ...Read more
Trying to figure out how to manage low RBC and WBC counts...wanting to know how best to treat this while on Prograf, Prednisone and Cellcept (mycophenolate mofetil).
Don't do it : Those blood count changes are most likely due to your medications. They not require treatment. Your medications can cause bone marrow suppression which will cause these blood counts to decrease. The medications are normally adjusted based on these counts and the function of the transplanted organ they are protecting. Do not try to adjust these meds or blood counts without your docs directions. ...Read more
An MD: Visit might put one's mind at ease. Coexisting medical conditions often require an adjustment of any conditioning program to lower the potential risks. That said, the best program will be the one that will (1) allow for consistent engagement (usually based on one's interest) and that (2) supports the desired goals..Strength, aerobics, endurance, and/or any combination. ...Read moreSee 1 more doctor answer
Chronic obese pain patient. Medicare and Medicaid. Trying to have gastric sleeve bypass need primary for physician supervised diet. ADrive? Thanks
Gastric sleeve: Hi. We don't have all the information on you (BMI, obesity comorbidities), but you may very well meet criteria for sleeve gastrectomy surgery. It can help a lot with weight loss, and doesn't alter the anatomy of the small intestine, so there is generally not a problem with nutrient malabsorption. And depending on the nature of your chronic pain, it may help with that. What does "ADrive" mean? ...Read more
Suboxone treatment : To be placed on Suboxone, one must have a diagnosis of Opiate Use Disorder, aka, Opiate Addiction. to see me for Suboxone, patients are required to agree to comply fully with their treatment plan, submit to drug testing and abstain from all drugs and alcohol. It's part of an overall treatment program which uses the Harm Reduction Model for Opiate Use Disorder Medication Assisted Treatment. ...Read moreSee 1 more doctor answer
Best diet: Low fat- 50g or less daily-baked, broiled, grilled, or steamed lean meats, low fat/non-fat dairy, almond or rice milk, beans, lentils, soy products, tofu, whole grains, fresh, frozen, and canned fruits, applesauce, angel food cake, gelatin, popsicles, puddings, sherbet, sorbet, coffee, fruit and vegetable juices, tea, sport drinks, small amounts of butter/margarine/cooking oils, broth, honey ...Read more
Dental hygiene advice on the best proper care routine, techniques, and precautions for bulimics. It relapsesapproximately 5-7 days monthly; otherwise has a healthy diet.
Floride rinse: Bulimia is destructive to your teeth due to the high concentration of gastrointestinal acids that pass through the oral cavity. This lowers the ph of the area and causes destruction of enamel until the ph can be increased to a more neutral level. Using a Fluoride rinse like act! will help by increasing the ph at a more rapid rate than your saliva does naturally. ...Read moreSee 3 more doctor answers
Any moderate size: Hiv management has been fairly well standardized across the western world. There will always be subtle differences in the approach from physician to physician, without being able to predict from location to location who is "best". I have seen supposed outstanding experts deliver abysmally poor care, and great care from so-called "unknowns". No one city has a monopoly. ...Read more
Don't need referal: Often, individuals do not need a referral for residential care. It can be very helpful to have a referral from a geriatric psychiatrist or pcp. But often, one isn't needed. Many are "step down" facilities, where the healthier individuals rent the top floors like regular apartments, with benefits of living there like cafeterias, etc. As the need more help, according to the rules of the place. ...Read more
Depends: Running is not an essential part of any weight loss program. Change in diet is necessary for weight changes, exercise improves physical health and helps the body to maintain the weight loss. Cardio activities (like running) can burn calories and promote heart health. Select a physical activity enjoy and will stick with. .Efind a partner to increase your chances of success. ...Read moreSee 1 more doctor answer