Doctor insights on:
Erythropoietin Epo Effects On Adults
At what point erythropoitin supplementation given to patients deficient of erythropoitin?What are the side effects?
Depends.: For dialysis pts - if symptomatic as a result of anemia it may be reasonable to use epo at a HGB of 11 g/dl. Otherwise 10 is the standard. For other diseases anemia associated with epo levels in the 100-500 range is typically the trigger. Side effects are headache, hypertension and influenza like syndrome. In cancer patients there is a risk of blood clots. ...Read more
Does testosterone deficiency cause anemia and reduced responsiveness to erythropoiesis-stimulating agents?
75y old(single kidney+chronic kidney disease),creatinine (~250),hemoglobin (~9.5),red cell count(3.6),Iron serum(107). Shall we use Aranesp (darbepoetin alfa) injection?
What are adverse effects of very execessive masturbation on testosterone, lh, FSH and oestradiol?Can it cause delayed puberty or effect bone structure?
Some handy facts...: Normal men, women, boys, and girls masturbate (it's universal). It isn't harmful, as the body goes through similar effects during regular sex with a partner (but too much of anything may become a problem). Masturbation does not stunt height, cause hair loss or gray hair, make you weak, create heart problems, lower testosterone, affect virginity, lower fertility, change your weight, or damage eyes. ...Read moreSee 2 more doctor answers
Can EPO abuse stop the kidneys from producing their own EPO once drug use is ended i've read plenty of research about erythropoietin abuse by athletes, and there is consensus that one of the big risks is polycythemia and the possibility of strokes, hypert
Yes, : Yes, once exogenously administered erythropoietin is stopped, assuming that the patient's kidneys are normal (where erythropoietin is primarily made), they should resume making erythropoietin on their own. Erythropoietin also known as epo, is a hormone that controls erythropoiesis, or red blood cell production. ...Read more
Taurine: Please go to a nearby library and read the several articles about Taurine. Some folks will like this others won't. Read a lot and decide please! ...Read more
Menopause: As estrogen levels decline, the side effects include hot flashes, sweats, vaginal dryness, insomnia, low libido, weight gain, hair loss, wrinkles, osteoporosis, and more. At your age (29) estrogen loss would be unusual. Starting at age 35, it starts to happen for some women, by 60, just about all women have this problem. Bioidentical hormones can help a great deal. ...Read more
ALL leukaemia 50+yrs old female patient took: 1500ml methotrexate,2mg vincristine and 2 doses of 350mg etoposide. Is it the normal procedure or toxic?
Treatment for ALL?: Adult ALL is a difficult cancer to treat. The choice of drugs is often varied as more than one treatment programs have shown efficacy. Several drugs have been used and found to be useful. These include Methotrexate, Vincristine, Area-C, cyclophosphamide and Asparaginase. . The treatment success is dependent on the experience of the Treating team and the volume of patients treated at the Med- Cent ...Read more
Conflicting info on diuretics use in ckd4 with hyperkalemia issues (low aldosterone) with 2 g proteinuria. Will 20 mg lasix (furosemide) daily dose harm kidney?
Follow MD advice : You already have kidney problems and should be monitored by a kidney specialist. Follow their advice closely rather then trying to treat yourself. What is appropriate for your problem is best determined by some who does this for a living then try to make sense of all the information that you get from your well meaning friends and the internet ...Read more
Is conjugated linolenic acid safe to take while on a beta blocker, low dose aspirin? Adverse effects on LFT's / blood sugar?
Vitamin D: Why do you need vitamin D injections? Vitamin D tablets are available over the counter at limited cost and I would recommend 1000 or 2000 mg tablets. There are some medical conditions associated with very low levels of vitamin D and you will need much larger doses but, here too, you should not need injections. If you or your doctor have insisted on injections could you please let me know why. ...Read more
Side effect of testosterone injections for the treatment of low testosterone cernos depot injection?
T REPL.: There are risks and benefits of all medical therapies. The untreated 0800 total and free t results will help guide you through the decision. If the t is <100 the bones need more for their health. The exogenous or replacement t will hamper the testes and adrenal glands own production. Too much t and a largely fluctuating t can have side effects also. The body has a wavey rise and fall daily. ...Read more
Acutane according to studies what are the most common side effects %wise? I'm on a low dose treatment 10mg. :/
For a person who is on procrit (epoetin alfa), (epoetin alfa) what is the lowest blood number one can have without taking procrit (epoetin alfa) and not causing harm or damage?
Hemoglobin 10 or 11: For patients who are anemic due to ongoing chemotherapy, Procrit (epoetin alfa) is not recommended to be given if hemoglobin is 10 or above. For patients who are anemic due to kidney failure on dialysis or not, a similar product Epogen is not recommended if hemoglobin is 11 or above. Medicare and most insurance providers have used these parameters due to "safety concerns" that higher HGB levels pose a detriment. ...Read moreSee 1 more doctor answer
What are the effects of alcohol on RBC? Does alcohols have biphasic effects on RBC deformability?
Explanation below: Alcohol is associated with a macrocytic (with large RBCs) anemia and can also, by irritating the stomach, cause blood loss and iron deficiency. RBC deformability is more likely to be related to abnormal hemoglobin content (sickle cell anemia is the most well-known, but there are others as well). ...Read more
For patients with partial adrenal insufficiency, does hydrocortisone replacement of 20-30 mg daily cause iatrogenic cushings given that the pituitary and adrenals still function to some degree?
Depends: It really depeds what you mean by cushings. You may get some of the characteristics..Weight gain, immune dysfunction, but the classic physical signs are likely absent. The dose of 20-30 mg of hc is actually a bit above the "physiologic " dose of hc that would be similar to what the adrenals normally produce. As a result, the pituitary/adrenal are essentially shut down. ...Read moreSee 1 more doctor answer