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Doctor insights on: Can It Change For The Better Years Later

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What has changed in the last 12 years that made us all so fat?

Diet and lifestyle: In general, our american lifestyle has created a society that wants things quicker and cheaper. Unfortunately, this means we tend to eat foods that are more convenient, and as a consequence, usually less healthy. This, coupled with the fact that we are not getting the proper exercise, is leading to obesity. ...Read more

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How have people's eating patterns changed in the last 20 years?

Eating habits: They have deteriorated. We eat more processed foods, we eat more quantity than we are supposed to. This is in part due to the establishment that has increased serving size (for no god reason), lastly we have decreased our activity level. Its a society of over indulgence. ...Read more

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Why has the incidence of diabetes changed over the years?

Why has the incidence of diabetes changed over the years?

Obesity: The incidence of diabetes are rising and the rate of rise almost parallels that of the rate of rise for obesity. ...Read more

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How could the use of drugs for anesthesia change over the years?

How could the use of drugs for anesthesia change over the years?

New products: New products come on line old ones drop out due to expense and negative side effect profiles. ...Read more

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How has anesthesia changed specifically in the last 15 or so years?

How has anesthesia changed specifically in the last 15 or so years?

Hasn't much: There have been few ground breaking developments in anesthesia over the past 15 years. The use of intravenous acetaminophen, indwelling pain pumps that infuse local an esthetics post operatively, long acting/ slow release opiates that are injected epidurally or in the operative joint would be some examples. ...Read more

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I am 32 years old but my skin has changed so much that I look like 45years old man.

I am 32 years old but my skin has changed so much that I look like 45years old man.

Please see: Please see your dermatologist for evaluation and to discuss treatment options. ...Read more

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What changes have been made within the nhs over the years regarding cost emergency care?

NHS: This question might be better answered by a british physician familiar with the national health services.

http://www. Nhs. Uk/pages/homepage. Aspx. ...Read more

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Had a hysterectomy 12 years ago when 35, now 47, when would I expect to be thinking of any symptoms or a change in life. Thank you?

Had a hysterectomy 12 years ago when 35, now 47, when would I expect to be thinking of any symptoms or a change in life. Thank you?

Hysterectomy: I assume your ovaries were left during the procedure. Generally women go through menopause at the same time as their mother or older sisters. Additionally, some woman never have many symptoms. If you begin to have classic symptoms of hot flushes, vaginal dryness then see your doctor. ...Read more

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My problem started when I had my last child third birth all d a sudden my life changed 28 years no real recovery age56 female disprate help?

My problem started when I had my last child third birth all d a sudden my life changed 28 years no real recovery age56 female disprate help?

What is question: I'm truly sorry your life has taken such a turn, but it's not clear what your question is. Sounds like you may be suffering from chronic depressive symptoms, and if you have not been evaluated for this, it may be time. Please feel free to resubmit question with more specifics about your particular symptoms. ...Read more

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I weighed my self on new years. Now its march and I weighed myself again and I was 25 lbs lighter. I didn't change my diet or anything. Is it normal?

I weighed my self on new years. Now its march and I weighed myself again and I was 25 lbs lighter. I didn't change my diet or anything. Is it normal?

Weight loss: A 25 pound weight loss is considerable I need to be checked out I suggest you see your physician have a good physical examination and the necessary lab work ...Read more

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I have developed rhinitis in the last 2 years. I don't know what triggers it since nothing in my environment has changed noticeably any other causes?

I have developed rhinitis in the last 2 years. I don't know what triggers it since nothing in my environment has changed noticeably any other causes?

Rhinitis: Either allergic or nonallergic can develop at anytime and can be triggered by allergic and/or nonallergic triggers. See an allergist to determine what your triggers are. ...Read more

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I'm 43 years old. My metabolism seems to have slowed down in 3 years. I've gained weight and have been struggling with it! What do I do to change it?

I'm 43 years old. My metabolism seems to have slowed down in 3 years. I've gained weight and have been struggling with it! What do I do to change it?

See doctor: First thing is to schedule a doctors appointment and get a phyican examination. Your doctor will want to check your tbyroid and other blood chemistries. ...Read more

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I've been on fluoxitine for 10 years. 40 mg. 2 weeks ago I picked up my refill and have felt anxious ever since. Any chance they gave me the wrong dose? Or do I just need to up my dosage because my body has changed?

I've been on fluoxitine for 10 years. 40 mg. 2 weeks ago I picked up my refill and have felt anxious ever since. Any chance they gave me the wrong dose? Or do I just need to up my dosage because my body has changed?

Fluoxetine dosage: I would double-check with the pharmacy and with your doctor to see whether the dosage had been changed. Dosage increases with fluoxetine can cause anxiety sometimes, on a short-term basis as your body gets used to the new dosage. ...Read more

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Should I change my migren medication to something else bcause im been taking ponstan and confergot for 10 years plus. What harm if I keep on taking it?

Depends: It depends upon how often you have migraine attacks. If the migraine is severe and frequent then you would be better off taking something to prevent these attacks. There are several meds approved for that purpose. Cafergot (ergotamine and caffeine) is useful only if you have infrequent migraine and its long term use is harmful. ...Read more

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Has the treatment of diabetes changed over the years?

Has the treatment of diabetes changed over the years?

Dramatically: The treatment options of diabetes have changed dramatically in the us. Metformin was approved for use in the mid 1990's and since then 9 more classes of diabetes medications have been added as treatment options including a new class just approved in 4/2013. Prior to metformin we had just Insulin and one class of oral medication (sulfonylureas). Many new insulins have been added since then as well. ...Read more

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How did my eyesight change so much, so much more nearsighted in just a couple years?

How did my eyesight change so much, so much more nearsighted in just a couple years?

Can happen: Significant changes in myopia (nearsightedness) can ceratinly occur in a short time period, especially in childhood. There may be some association with intense near activities like reading, computer use, hand--held video games etc. Some medications can cause myopia as a side-effect, and there are some eye problems, notably cataract, which can increase myopia too. See an eye md to sort it out. ...Read more

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Can IBS change to something else? Years ago had the classic symptoms but they changed as I got older. From my 30`s to 40`s.

Can IBS change to something else? Years ago had the classic symptoms but they changed as I got older. From my 30`s to 40`s.

Maybe: I have many patients with ibs. They try to manage it with how and what they eat and medication. It is nerve wracking to have cramps and always need to know where the nearest restroom is. I have sent some patients to a psychologist to help them deal with this problem. Anxiety aggravates ibs. As we age many problems seem to multiple adding fuel to the fire. Get a colonoscopy now to ease your mind. ...Read more

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I keep haveing reoccuring Bacterial Vaginosisfor 2 years. I'm following the doctors orders but no change.?

I keep haveing reoccuring Bacterial Vaginosisfor 2 years. I'm following the doctors orders but no change.?

Very common: This is a common and frustrating problem, for the patient for sure but also often for the doctor. BV tends to recur, and can be a particular problem in some patients. Things to try include consistent condoms for sex, periodic brief treatment routinely before symptoms appear. If you're not seeing a gynecologist with special interest in infectious diseases, that would be worth a try. Good luck! ...Read more

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Could womens bodies change at all in weight after teen years?

Could womens bodies change at all in weight after teen years?

Yes,: Anyone can gain or lose weight at any age. If you were asking about height, the answer is different. Most girls grow for about 2 years after they start menstruating (get their period), but the growth in those 2 years is minimal. The biggest growth spurt is the year before the first period. If I am misunderstanding your question, please re-post. ...Read more

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How do eating disorders change after the teen years?

How do eating disorders change after the teen years?

Not much, really: While all eating disorders peak during teenage years, especially for young women, spontaneous remission is not common as sufferers age. Disorders may take on new characteristics, such as conversion of anorexia to bulimia, but the core disturbance of the disorder - a profound disturbance is the sense of self - remains. Early treatment can be life savings as mortality rates approach 10%. ...Read more

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Why did definition of autism change from the one maybe 40 years ago?

Why did definition of autism change from the one maybe 40 years ago?

AUTISM: This neurodevelopmental disorder has attracted a lot of research and emphasis on how to improve cognitive and behavior disorder. Intensive early multidisciplinary approaches are done at home and in school. Treatments are given to control mood and behavior. Overall, there's a lot of improvements than before. ...Read more

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Can skin change color when spending years in the sun (permanantely)?

Can skin change color when spending years in the sun (permanantely)?

Yes: Long term skin damage can age the skin, increase wrinkles, darken the skin, and dry out the skin. It is important to protect the skin from the sun to avoid cancer and the dry, dark, aging, look that people often liken to a leather look. It excellerates the aging process. ...Read more

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I'm 19 years old male and I look like a 15 year old. How should I change this?

I'm 19 years old male and I look like a 15 year old. How should I change this?

Accepting Ourselves: Only time will help you here. I promise you that looking younger than your age will become a blessing after a few more years. There is not medical condition or disease here. You are normal. ...Read more

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Is a person with narcissistic personality stable or the problem changes a lot over the years?

Is a person with narcissistic personality stable or the problem changes a lot over the years?

Mostly stable: Personality disorders tend to remain as such unless there is some kind of intervention. Personality disorders have characteristics that therapists refer to as "ego-syntonic, " which means that others recognize their characteristics as problematic but the person herself does not! The goal of therapy is to render ego-dystonic what had once been ego-syntonic for the patient. ...Read more