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Doctor insights on: Hrt And Alzheimer's

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Donepezil effectiveness for vascular and Lewy body dementia?

Donepezil  effectiveness for vascular and Lewy body dementia?

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 more

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Dr. Bryan Treacy
871 doctors shared insights

Hormone Replacement Therapy (Definition)

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


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Still confused about estrogen, hormone replacement therapy and cardiovascular disease?

Still confused about estrogen, hormone replacement therapy and cardiovascular disease?

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 more

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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.

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 more

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Why testestrone replacement has risk for heart attack and stroke?

Why testestrone replacement has risk for heart attack and stroke?

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

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70 yo female w/osteoporosis and family hx of BRCA breast cancer. Ok to Denosumab and Reloxifene therapy together??

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

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Do statins reduce the risk of getting dementia and alzheimer's disease?

Do statins reduce the risk of getting dementia and alzheimer's disease?

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 more

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Are anxiety and dementia symptoms identical?

Are anxiety and dementia symptoms identical?

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 more

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How is alzheimer's and dementia diagnosed?

How is alzheimer's and dementia diagnosed?

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 more

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How are altzeimers and vascular dementia different?

How are altzeimers and vascular dementia different?

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

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How are Alzheimer's and dementia different?

Dementia: Alzheimer's is one type of dementia. There are many other types of dementia. ...Read more

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What disease has mci and memory loss?

What disease has mci and memory loss?

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

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Can estrogen replacement help with anxiety and depression in menopause?

Can estrogen replacement help with anxiety and depression in menopause?

Possibly: If hormones are out of whack and estrogen depleted it may help but usually there is a relative estrogen dominance even in menopause and sometimes progesterone, like Prometrium (micronized progesterone) or a bioitentical cream, may be of more benefit. ...Read more

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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.

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 more

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Is estrogen replacement recommended fot those who are in early menapause 44 yrs old worry about osteo arthritis and heart disease?

Is estrogen replacement recommended fot those who are in early menapause  44 yrs old  worry about osteo arthritis and heart disease?

Depends: On your family history. Hrt can do wonders for women, but they are not indicated for women with a famiy history of first degree relatives with breast cancer and other conditions. See your doctor for an informed conversation on het. ...Read more

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Are senile dementia and alzheimer's nearly the same disease?

Are senile dementia and alzheimer's nearly the same disease?

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 more

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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?

Exercise: The best defense against chronic diseases (including cancer) is living a healthful lifestyle (i.e. Eating an anti-inflammatory diet, exercise, stress reduction, don't smoke, avoid toxins and carcinogens.). ...Read more

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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.

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

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My mom has Lewy body dementia, end stage ovarian cancer, now taking saraquil for anxiety and walking floors, not helping! how can we give her comfort?

My mom has Lewy body dementia, end stage ovarian cancer, now taking saraquil  for anxiety and walking floors, not helping! how can we give her comfort?

Hospice care: There are many meds useful for anxiety associated with your mom's diagnoses. A call to a hospice program can link you with a provider that is specialized in managing complex end of life issues focusing on comfort and quality of life. ...Read more

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