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Doctor insights on: Dean Giannone

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How effective is the low fat diet proposed by Dean Ornish? Is there evidence to suggest it's as effective as he claims?

How effective is the low fat diet proposed by Dean Ornish? Is there evidence to suggest it's as effective as he claims?

Effective: There have been many studies documenting retardation and even reversal of atherosclerosis using the very low fat diet proposed by Dean Ornish. Here's 1 reference in a respected, peer reviewed, professional medical journal:http://jama. Jamanetwork. Com/article. Aspx? Articleid=188274 - the problem is: it's a very hard diet to follow. Only the highly motivated are successful. ...Read more

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My husband, Dean bought himself a penile pump without consulting a Dr. Is this safe? What precautions need to be taken? Had prostatectomy.

My husband, Dean bought himself a penile pump without consulting a Dr. Is this safe? What precautions need to be taken? Had prostatectomy.

Here are some. ..: Once bought it and just use it as instructed. If working, don't leave the ring on for more than 30 minutes, but finish love-making within 10-20 minutes as usual for most men. Meanwhile, it's good idea to seek pro-counseling so to decide the adequacy of every step of care, i.e., the sequencing of care options - drugs to pump to self injection and finally to penile implant. Best wish... ...Read more

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Hi Dr. Giannone I am writing because I started taking Sertraline 50mg Tablets for PMDD and anxiety. I've been taking it before bed but Its keeping me?

Hi Dr. Giannone I am writing because I started taking Sertraline 50mg Tablets for PMDD and anxiety. I've been taking it before bed but Its keeping me?

Adverse Effect: Sertraline, (zoloft) is given once daily at 50 mg for PMDD just after ovulation (leuteal phase) only during menstration. Insomnia is one of the more common side effects, however it may also cause fatigue and drowsiness along with Nausea, diarrhea and headache. If you start having thoughts of hurting yourself or others contact your Primary care doc or head to the Urgent care right away. ...Read more

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What is death?

What is death?

The absence of life: Death is the absence of life, meaning it is the loss of the vital organs or processes that keep a living thing alive. The definition becomes more complicated if one asks, "How dead do you have to be before you're really dead? " That leads to concepts like: when the conscience is gone, when the soul is gone, when the brain stops functioning, when the heart stops, etc... ...Read more

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What is death?

What is death?

The absence of life: Death is the absence of life, meaning it is the loss of the vital organs or processes that keep a living thing alive. The definition becomes more complicated if one asks, "How dead do you have to be before you're really dead? " That leads to concepts like: when the conscience is gone, when the soul is gone, when the brain stops functioning, when the heart stops, etc... ...Read more

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How to deal with kids?

How to deal with kids?

This could B interes: I will hold the comedy/sarcasm! Joint the rest of us! I wold recommend you go to some parenting classes. You can get some good tips on issues dealing with rearing children. Find an older man/woman/couple who your respect and get some mentoring from them. Speak with your relatives, close friend and clergy. Grandparents are a must. Relief valve! best to you! You can do it. Keep calm! ...Read more

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What is the death rate?

100%: To date, everyone ever born has or will die at some point. Is there a more specific question intended? ...Read more

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How to deal with axisety?

How to deal with axisety?

Anxiety: There are multiple treatment approaches available. However, the most widely researched and used treatments include: psychotherapy and medications. The majority of the research studies done showed that the combination of medications (antidepressants) and therapy (the most widely used one is cognitive-behavioral therapy) works the best. ...Read more

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How do I deal with losses?

How do I deal with losses?

Counselor: If you are sad or depressed from a loss then you should see a therapist or counselor. Other options would be to talk it out with a good friend or with your pastor/minister/priest etc. In severe cases you may want to see a doctor or psychiatrist for an antidepressant medication. If you are suicidal go to the er of call a suicide hotline. ...Read more

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What is dawn phenomena....

What is dawn phenomena....

Diabetes: This is a tendency to a high blood glucose early in the morning 2 am to 8 am. Some say it's from hormones that raise glucose such as cortisol, epinephrine, and growth hormone; your physician may restructure your medications to deal with this. ...Read more

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How to deal with geradia?

How to deal with geradia?

Go see your doctor: Assuming that you're actually referring to giardia, an intestinal parasite, rather than geradia, a species of golden coral, you'll need to go see your family doc for antibiotic treatment but only if necessary & doesn't resolve on its own. Check out http://www. Cdc. Gov/parasites/giardia/ & http://www. Mayoclinic. Com/health/giardia-infection/ds00739 for more info. ...Read more

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Them bass my dear friend?

? Question: I am not sure what your question is. Please re-ask it with more clarity and maybe someone can provide you with assistance. Best wishes. ...Read more

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I want to pain free death?

I want to pain free death?

Need more info: How old are you? Do you have any symptoms? You have a terminal illness? It may be that you are pre-occupied with death because you are depressed. Depression is a chemical imbalance in the brain, not a moral failing. Please consult your doctor as there are effective treatments for depression.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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How to deal with bullying?

How to deal with bullying?

Good article: This gives article a lot of good advice on bullying.

http://kidshealth. Org/teen/school_jobs/bullying/bullies. Html ...Read more

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Is deca-drol good for you?

It Depends...: That depends on how it's being used and what is is being used for. ...Read more

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How to deal with being ugly?

How to deal with being ugly?

It has its plusses: Extremely good looking people tend to waste their best years in superficial relationships and get no useful skills, ending up in their 30s with dead-end jobs married to losers. You have 100% control over your level of physical fitness which is what most of good looks is all about. Extreme defects can be Rx'd by surgery; beyond this, a nice person is liked for who they are. ...Read more

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How should I deal with flares?

How should I deal with flares?

Ask your doctor: When you experience an arthritis flare it is best to see your doctor. Your medications may need to be adjusted or even changed, to eliminate the flare. ...Read more

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How can one cope with a death?

How can one cope with a death?

Find own answer: Only you can do this. Some people have confidence in a faith tradition, &/or have had or trust others accounts of paranormal experiences that give hope of survival. Others resolve to be brave, accept mortality, remember the good times, engage in customary mourning rituals, and understand that the attacks of grief will feel like blows to the soul but will become less with time. Talk to your friends. ...Read more

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How do you deal with setbacks?

How do you deal with setbacks?

Prayer and hard work: We all experience set backs and different people have different coping mechanisms. Some things that help are: prayer, having close relations with family and friends, exercise, focusing on what is important, and may be seeking counseling.
Remember, what does not kill you will make you stronger.
Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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How can I deal with being ugly?

How can I deal with being ugly?

Fitness is key: 95% of good looks for both men and women is physical fitness. This is completely under your control and you know it. If you have a severe deformity that surgery can correct, go for it. Otherwise, get / stay fit, be nice to everyone, be a productive member of society, love responsibly, and people will call you "unconventionally handsome / pretty" instead. ...Read more

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Can you overdose without death?

Can you overdose without death?

Of course: Depends entirely upon what the drug being overdosed. This is a ratio, published for most pharmaceuticals, which gives a risk of the amount of drug to cause death. For some drugs like digitalis, it is a low number but for others like darvon, it is very high (meaning you can take a lot). Most overestimate this and suicide attempts with drugs usually fail for this reason. ...Read more

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What is the modern black death?

What is the modern black death?

Today's strain: If I understand your question correctly, you are asking about different strains of bubonic plague. People have looked at the genomes of the plague bacillus from today and compared it to the bacilli left in remains of victims of the epidemic in India in the late 1800's, the medieval Black Plague, and that in the ancient world and traced its molecular evolution; all 3 strains still occur in nature. ...Read more

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How can I deal with bad children?

How can I deal with bad children?

Discipline: First of all, children are not bad, only their actions!!!! If you tell them they're bad, they believe it. You need to set limits: 1-don't do that 2- if you do that again, time out 3- time out. Period. Not negotiable. If they are old enough to know the rules of: no hittingkickingbitingpushingpinchingpullinghairorswearing, then automatic time out! 1 min/ yr, max 5m. Stick to it, then they listen. ...Read more

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How to emotionally deal with this?

With what?: Please re-ask and be more specific about what you would like to know. For an in-depth discussion consider discussing with your medical provider or asking a provider on Healthtap Prime or Concierge. ...Read more

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What will a person see after death?

Time will tell: Unfortunately, studies can not be done after some one dies to know what they see when they are dead, if in fact a person sees anything. Depending on your religious and personal beliefs, there are many theories as to where the soul of a person will transcend to and what one may experience in the afterlife. Best wishes. ...Read more