Doctor insights on:
Hrt And Alzheimer's
Helpful in LBD: I routinely use donepezil effectively in my lewy body disease patients. Although only 40-50% of them actually have cognitive improvements in the here & now, but we suspect it slows the progression of cognitive deterioration anecdotally. Can't comment on personal experience with vascular dementia. ...Read moreSee 4 more doctor answers
Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more
Complex issues: Female hormones increase thromboembolism, deep venous thrombosis--progesteron is blamed, more than estrogen--because at menopause, there is changes in blood coagulation?Increase weight, arteriosclerosis, metabolic syndrome all of this increase risk of cardiovascular disease-- estrogen can be given at low dose for brief periods. ...Read moreSee 2 more doctor answers
How strong is the link between HRT and breast cancer? Maternal grandma is bc survivor and was diagnosis after being on HRT for many years.
Increased risk: Using combined hormone therapy after menopause increases the risk of getting breast cancer. It may also increase the chances of dying from breast cancer. This increase in risk can be seen with as little as 2 years of use. Combined ht also increases the likelihood that the cancer may be found at a more advanced stage. ...Read moreSee 2 more doctor answers
Testosterone: At the present time, the FDA has NOT concluded that there is an increased risk for heart attack and stroke if prescribed properly. Testosterone is a hormone essential to the development of male growth and masculine characteristics. Testosterone products are FDA-approved only for use in men who lack or have low testosterone levels in conjunction with an associated medical condition. http://www.fda.gov/Drugs/DrugSafety/ucm383904.htm ...Read more
70 yo female w/osteoporosis and family hx of BRCA breast cancer. Ok to Denosumab and Reloxifene therapy together??
Yes it is OK: You can take these medicines together. There is no significant interaction or harm. So relax and take them as advised by your doctor. ...Read more
Controversial: Alzheimers disease affect at the same age of pats. With atherosclerosis. There is a dementia called multi infarct dementia that presents clinically indistinguishable from alzheimer's and is related to strokes associated to atherosclerosis and hypertension. Lowering cholesterol levels or preventing atherosclerosis (with statins) in theory prevents multi infarct dementia. Not aware of direct effect. ...Read moreSee 2 more doctor answers
No - very different: Anxiety includes emotions of dread, apprehension ; worry, and physical symptoms such as pounding heart, sweating, tremors/twitches, nausea, dizziness, shortness of breath, muscle tension, and headaches. Dementia is completely different -- it's a loss of brain function affecting memory, thinking, language, judgment, and behavior. A person with dementia may certainly feel anxious, though. ...Read moreSee 1 more doctor answer
Alzheimer, Dementia: Mental status examination including memory impairment, disorientation to time , place, and person, decline in intellectual functioning and impairment of attention and concentration helps in diagnosis of alzheimer, and dementia. At times blood tests and ct scan of brain help in the diagnosis. ...Read moreSee 1 more doctor answer
Let me explain: Vascular dementia is a general term describing problems caused by brain damage from impaired blood flow to your brain. Alzheimer's is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. ...Read more
Alzheimers: Mild cognitive impairment is a label for the earliest memory or cognitive loss. Memory loss may occur initially in alzheimer's, organizational skill loss may occur early in other dementias, such as lewy body, and these are varieties of mci. Prodromal alzheimer's is now preferred term. Still use mci to denote early symptoms which lead to diagnosis. ...Read more
My mom was diagnosed with ft dementia and is on Aricept and namenda (memantine). She is doing better, but do thesedrugs together slow down progression? There is conflicting information on the internet.
Do not slow disease: Aricept and Namenda (memantine) can slow functional decline in early alzheimer's. There is some evidence that Namenda (memantine) can help some of the language difficulties in ft dementia. There is some evidence that Aricept can worsen behaviors in those with ft dementia. There are no known treatments that slow or stop brain death in alzheimer's or ft dementia. Namenda (memantine) can help decrease anxiety, agitation and aggressio. ...Read moreSee 2 more doctor answers
Is estrogen replacement recommended fot those who are in early menapause 44 yrs old worry about osteo arthritis and heart disease?
Fleisher et al (Neurology, 2011) found Depakote accelerated brain atrophy in Alzheimer's. Should those with family history of Alz. avoid Depakote?
Controversial: For some drs. They are the same. Some neurologists make a difference based on the age of presentation ( the older most likely "senile" ) and probably other features. The term alzheimer's is reserved for most insidious earlier onset. For a detailed discussion... .http://www.alzinfo.org/08/about-alzheimers/senile-dementia. ...Read moreSee 2 more doctor answers
With zero estrogen after surgical menopause, and no HRT how can I protect myself against the potenial side effects such as altzeimers, lung cancer et?
How fast can Atherosclerosis progress? No Diabetes, thin, low chol., low bp, good health but have ICA Atherosclerosis. Mom, stroke 54, Dad HRT atk 54.
Genetic factors: Some people inherit tendency to develop atherosclerosis even in absence of "traditional" risk factors. Consider screening for unusual risk factors e.g. homocysteine, abnormal lipoproteins, other hematologic factors etc. Consider aggressive Rx with e.g. statins, B-vitamins, aspirin etc. Seek out an academic cardiologist-specialist in atherosclerosis. Check out cardiology depts at Emory &/or MCG. ...Read more