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Doctor insights on: Cis Trans Dextro Levo Stereoisomers Enantiomers

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Is the pharmaceutical methamphetamine which doctors sometimes prescribe the same enantiomer as the illegally manufactured form?

Mirror image: Many molecules have a left and right form and have different effects. L-methamphetamine is legal and d-methamphetamine (enantiomer) isn't. The illegal form has psychoactive effects, while the legal form doesn't. ...Read more

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What is CIN vs cis?

What is CIN vs cis?

Similar: "cis" is the old term carcinoma in situ, for a bad premalignant lesion in an epithelium. "cin" is the not-so-old but misleading term for any premalignant-looking lesion in an epithelium. ...Read more

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Is CIN III treatment the same as cis?

Is CIN III treatment the same as cis?

Yes: Both are used synonymously, neither are invasive cancer but are considered high grade lesions and can be treated locally with leep (loop electrode excision procedure) or cold conization of the cervix. Leeps are usually done in the office & cold cones in the or. ...Read more

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Experienced cis (mild). Only diagnostic was onigoclonal bands in csf. Can vit d3, B12 & 6 and diet & exercise prevent relapse?

Experienced cis (mild). Only diagnostic was onigoclonal bands in csf. Can vit d3, B12 & 6 and diet & exercise prevent relapse?

No, you need med: The presence of oligoclonal bands have close to 90-95% predictive rate of clinically definite ms, and if you have even one MRI lesion, this points to an 88% chance of ms in 14 yrs. Vitamin d is important and makes course of disease far better, but will not be the sole wise course. You need to discuss future treatment now, and get onto a potent agent. Delay could be risky. ...Read more

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What happens if you have cis bladder cancer and have decided not to have a cystectomy. id like to hear about your experie?

What happens if you have cis bladder cancer and have decided not to have a cystectomy. id like to hear about your experie?

Other Treatment: CIS means that there are cancer cells only in the innermost layer of the bladder. It should be treated as the cells will usually start to grow deeper. It is usually best treated with topical therapies placed inside the bladder through the urethra. This could be immune therapy with BCG (a modified bacteria) or with chemotherapy. ...Read more

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What happens if you have cis bladder cancer and have decided not to have a cystectomy. i'd like to hear about your experie?

What happens if you have cis bladder cancer and have decided not to have a cystectomy. i'd like to hear about your experie?

Think about decision: Assuming the diagnosis is correct, you have a very high probability of developing invasive bladder cancer. Perhaps seeking another opinion would help you weigh the pros and cons of your decision. Hopefully you are also aware that treatments for bladder cancer, once the tumor spreads beyond the bladder, are limited. ...Read more

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Neurologists! what is your opinion on the maximum daily dosage of vit D3 to prevent MS where cis confirmed? How often is toxicity witnessed?

Neurologists! what is your opinion on the maximum daily dosage of vit D3 to prevent MS where cis confirmed? How often is toxicity witnessed?

My opinion: What is the evidence? Clearly, those with higher levels of oh-vit d-3 who have active ms, have fewer relapses, less progression, and fewer MRI lesions. Also, a military study showing lower risk of ms in folks with higher d levels. Typically, my patients will take about 5000-10000 units of d-3 daily, and we aim for blood levels of 50-60 ng/ml. Would also advise starting ms medicine, now. ...Read more

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Is it possible for FTM transsexuals who starting HRT after 22 , to grow a big prominent Adam's apple like cis guys going puberty?

Is it possible for FTM transsexuals who starting HRT after 22 , to grow a big prominent Adam's apple like cis guys going puberty?

Yes: Adam's apple is formed by the cartilage in your throat protruding due to muscles in the region. Testosterone changes your muscle composition and can cause your Adam's apple to grow. For more info about testosterone changes for FTM see http://bit.ly/2fh48HU. And good luck! ...Read more

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Is it possible for over 20yo FTM transsexuals who starting HRT to grow a big prominent Adam's apple like cis guys going puberty?

Is it possible for over 20yo FTM transsexuals who starting HRT to grow a big prominent Adam's apple like cis guys going puberty?

Here are some...: Known to us, physical growth comes to halt soon marking into adulthood, i.e., some 16 of age for females and 18 for males. Using sex hormone will just change the tissues still sensitive to a degree, like breast, but what you desire will not emerge and grow to your wish. So, a mental reorientation stressing realistic expectation is extremely important for transsexual process. Ask trusted experts. ...Read more

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