Doctor insights on:
Beta Glucan Lupus
Effect on heart: They reduce heart rate and cardiac output which can reduce BP. Most BP lowering drugs do dilate blood vessels to lower BP and those are generally the best drugs to use for treatment of high BP. Beta blockers are usually add on drugs to reduce tachycardia, arrhythmias and stress on heart that might be helpful to further reduce BP or adverse events especially in patients with heart disease. ...Read more
Slightly elevated beta fraction from serum protein electrophoresis. Beta 1.07 (high) (0.52-0.98) increased beta fraction, no monoclonal or polyclonal gammopathy seen. Immunofixation normal.
Increased aldolase, complement c3/c4 serum, sed rate, c-react. Protein, beta globulin, monocytes, bun/creatin low mcv-mch, vit d-possible causes?
Complicated: When i was doing clinical medicine, these were collectively sort of the flags for sarcoid disease but I am not saying that's the case here. This is because sarcoid is a diagnosis of exclusion so the advice is to rule out other diseases with additional diagnostic tests which can be done by a primary care physician or rheumatologist. ...Read more
Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?
Pulmonary HTN: There are a range of molecules available by prescription that address P HTN ;go see a cardiologist or pulmonologist that has an interest in treating this condition ...Read more
Are beta blockers & calcium channel blockers truly contradicted in Wolff-Parkinson-White patients?
Sometimes: These are two totally different classes of drugs and depending on the mechanism by which your pvcs arise, a calcium channel blocker may indeed be more effective. If drugs fail you, an expert center and electrophysiologist may be able to perform a PVC ablation to eliminate the beats from within the heart, but such procedures require a skilled electrophysiologist for the best chance at good results. ...Read moreSee 1 more doctor answer
No: It's not a listed side effect and I've personally never seen it happen. ...Read more
Maybe: Please forgive this senior physician's frankness. The data on carotenes and lycopenes is so massive, so contradictory, is so tied up with the politics of "healthy diet", and makes so little sense scientifically that your question cannot be answered. In science, the stuff that's really true is generally established quickly. I love eating carrots, but would not spend money supplementing carotene. ...Read moreSee 1 more doctor answer
Can you interpret, squam epi cells few a, alpha 2 protein 1.01 h, possible faint IgM lambda monoclonal protein present, ACE serum 75 h?
No: Can't interpret random blood test results without context. Talk to the doctor that ordered the tests. Most medical tests (x-rays, blood tests, etc., ) are better at telling us what you don't have rather than diagnosing what (if anything) you do have wrong with you. ...Read more
Dear doc, is cod liver oil safe to take with:
1. bp meds (beta blockers, calcium channel blockers)
2. proton pump inhibitors &
3. VitD3 supplements?
Yes: It's fine to take with the blood pressure medications and the proton pump inhibitor. I would probably stop the vitamin D supplement as cod liver oil has vitamin A and D as the main vitamin sources. Vitamin D is one you can get in trouble with because it is fat soluble and can accumulate in your organs if you take too much. ...Read more
This may help: http://labtestsonline.org/understanding/analytes/beta-microglob/tab/test/.Get a more detailed answer ›
How do cholinesterase inhibitors affect tau proteins and beta amyloid that form in Alzheimer's disease?
They don't: The cholinesterase inhibitor group of drugs are not disease modifying agents, and merely improve synaptic connections by preserving the lower levels of acetylcholine in the brain. However, there is no direct or indirect effect on the tau or amyloid presence. ...Read moreSee 1 more doctor answer
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