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I've been taking advicor for five years and now my doctor is switching me to zocor (simvastatin). How long does the niacin stay in your body.. Flushing?

I've been taking advicor for five years and now my doctor is switching me to zocor (simvastatin).  How long does the niacin stay in your body..  Flushing?

Good question: I researched your question: the half life of extended release Niacin in Advicor (lovastatin and niacin) is very variable, & depends on gender, dose, & individual characteristics. It peaks 5 hours after a single dose. Following years of treatment, it's probably safe to assume that it will take days (3-5) to wear off completely. Possibly longer depending on dose. ...Read more

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Cholesterol medicine advicor (lovastatin and niacin) side effects.?

Cholesterol medicine advicor (lovastatin and niacin) side effects.?

Med side effects: Advicor (lovastatin and niacin) contains a statin as well as niacin. Side-effects include muscular aches (statins), inflammation (both), lft elevation (both), and flushing (niacin). Dangerous toxicity is rare, but muscle aches can occur in 10% patients. ...Read more

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Is it legal for the nurses to give unsolicited medical advice or speak on behalf of the m.D. And intentionally mislead the patient?

Is it legal for the nurses to give unsolicited medical advice or speak on behalf of the m.D. And intentionally mislead the patient?

No: Nurses can relay the md's answers and obtain and gather info from the patient to relay back to md. They can give answers if it fits with established protocols (such as for upper resp infections or urinary tract infections). But seems unprofessional to offer unsolicited advice especially if not conveying the md's advice. ...Read more

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I recently sent my question about Mr. Daloul and I need advice only for which kind of treatment would be recommended only no need to video chat ?

I recently sent my question about Mr. Daloul and I need advice only for 
which kind of treatment would be recommended only no need to video chat  
?

What is the question: We are unable to offer diagnosis or treatment recommendations on this question/answer board. For that you will need to schedule an appointment with a clinician. If you don't want to do video chat you can send your question by email to the clinician of your choice. This forum is only for medical education. ...Read more

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Well I took another at home pregnancy test was no doubt negative but I am still having symptoms, Do I have to be 18 to ask for advice and or vid chat?

Well I took another at home pregnancy test was no doubt negative but I am still having symptoms, Do I have to be 18 to ask for advice and or vid chat?

Parental permission: Yes ma'am you will need a parent or guardian to have an account on this network and then, they can ask questions on your behalf due to your age. If that can happen then, I am happy to help you with medical questions or concerns by writing to me at: www.healthtap.com/drsaghafi All the best to you. ...Read more

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A friend of mine has a 7year old son and up till now his missing the first syllable if every word that he speak. Pls advice?

A friend of mine has a 7year old son and up till now his missing the first syllable if every word that he speak. Pls advice?

Needs some help: Most public school systems within the us have speech therapists on contract to provide services to those with speech and language disorders. Drill work on word attack skills will help this kid progress.This is facilitated by the kids acquiring some understanding of written words and learning to sound out words with phonic interpretation.Toddler speech is based on mimicry & often ends up garbled. ...Read more

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Sexually molested. I need help and advice. Who to talk to?

Sexually molested. I need help and advice. Who to talk to?

Sexual molestation: I am sorry you had this experience -- i'm guessing it was in childhood? You are not alone. First, you can look for support groups in your area. National info: http://www.Ascasupport.Org/ it's important to connect with others who understand and can empathize with you about such things. You may also benefit from individual psychotherapy to deal with the aftermath, so that you can heal. Be well. ...Read more

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Why is it such a taboo to talk openly about mental health? I need some advice.

Why is it such a taboo to talk openly about mental health? I need some advice.

It's not taboo here!: Depending on the culture, just about anything that's not a 'light, breezy, it's just fine' attitude can be 'taboo'. I think it's fear. Humans are easily threatened and don't like having that exposed. So, when we mention troubling feelings, thoughts and behaviors - many get scared and react badly. Now, let's move on. Healthtap is a wonderful place to 'talk' openly about all health issues. Shoot. ...Read more

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I talk to a lady in a romantic way then i get a sperm flow in my pants am really feeling bad please advice me what to ?

See below: There are some medications, specifically antidepressants, that have a side effect of delayed orgasm; these may help in your situation at low doses. See your doctor for evaluation. Good luck! ...Read more

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Any advice? I have had my braces on for a month and a half and i still can't talk, my speech or very bad , is that normal?

Any advice? I have had my braces on for a month and a half and i still can't talk, my speech or very bad , is that normal?

Talk Practice: Get a book, magazine, newspaper - stand or sit in front of a mirror and slowly read aloud allowing your speech and cheeks and tongue to exaggerate each syllable sound; soon you will find that your face and mouth will accommodate to the braces being in place. ...Read more

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Dr, my daughter is 22 months old. She could not walk and talk. I had checked with many dr's, they have differant opinions. Please give me your advice?

Dr, my daughter is 22 months old. She could not walk and talk. I had checked  with many dr's, they have differant opinions. Please give me your advice?

Complex case: If your 22 month old is not walking and does not utter words, she is classified as developmentally delayed. This type of case is complex and requires an extensive evaluation and complex therapy. Advice on this forum is not possible with such little information. She should be evaluated by a developmental pediatrician. ...Read more

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Any advice? I have been depressed and living in isolation all for years. Anyone to talk to?

Any advice? I have been depressed and living in isolation all for years. Anyone to talk to?

Work Therapy: You are too much concentrating on yourself. Get out among people and go to work. The more you spend time at working, the more you will get your mind off of yourself. If you cannot find a job, then work at anything where you have to concentrate on what you are doing like cutting logs, farming, intense gardening, working with your hands involved. The more you think on the work is better. ...Read more

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15 months old baby still not talk who was suffered 3 times epilepsy at her 3 months age.When she will possibly start to talk? Pls advice..

15 months old baby still not talk who was suffered 3 times epilepsy at her 3 months age.When she will possibly start to talk? Pls advice..

Some thalassemias : are associated with seizures. Has she seen a pediatric hematologist, neurologist & developmental/behavioral pediatrician to define the cause of her seizures & developmental delays? See http://www.hsmdghs-bd.org/SBK.html to contact Chittagong MCH''s physician, psychologist & therapist Shishu Bikash Kendra team for developmental assessment & therapy, as Early Intervention makes a difference. ...Read more

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15 months old baby still not talk.She suffered epilepsy 3 times at her age 1-3 months.Whats the solution?Will she delay ?How she will talk?Pls advice

15 months old baby still not talk.She suffered epilepsy 3 times at her age 1-3 months.Whats the solution?Will she delay ?How she will talk?Pls advice

More info needed: Some normal children may not talk until 18 months but usually there is at least baby talk (babbling) even if words are not understandable. Are other developmental milestones being achieved? A 15-month-old should wave bye, walk, feed self, scribble, etc. Sometimes epilepsy can be associated with developmental delay. A pediatric exam can help determine if there is a problem, and refer if needed. ...Read more

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My 18.5 months baby was suffered from seizure at age 3/4 months.Now talk only mum mum, do many sounds and sing when she wish.No specific word.Advice.

My 18.5 months baby was suffered from seizure at age 3/4 months.Now talk only mum mum, do many sounds and sing when she wish.No specific word.Advice.

See ped neurologist: Make sure you see a pediatric neurologist. You may also need to see an audiologist to make sure hearing is normal. What caused the seizure? Was there an infection? Hope everything will improve! ...Read more

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I don't like talking to strangers. It's hard and scary. I only like talking to people I know. But, I'll need to talk to people at first job. Advice?

I don't like talking to strangers. It's hard and scary.  I only like talking to people I know. But, I'll need to talk to people at first job. Advice?

Social anxiety: You may be suffering from social anxiety disorder. Many people feel some anxiety talking to strangers but some feel quite intense anxiety and stress, so much so that they avoid strangers at all costs. You should talk to your primary care doctor about this and he/she may be able to refer you to a therapist that specializes in this and can work with you to develop strategies to help you with this. ...Read more

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Daughter is 15. Anorexic BMI 13.8. Took her to counseling.. Won't talk or listen to anything. Yells I should give up b/c she won't gain weight. Advice?

Daughter is 15. Anorexic BMI 13.8. Took her to counseling.. Won't talk or listen to anything. Yells I should give up b/c she won't gain weight. Advice?

Do not give up: Your daughter needs to be hospitalized in a facility that can treat her anorexia. She is in a serious state and will not agree to treatment on her own so hospitalization will have to be involuntary. Do not hesitate to get her into proper care. ...Read more

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If your looking to address an eating disorder who do you talk too? I'm morbid obessed, i eat a lot when i'm under stress, i'm trying to address this problem but needing a direction i talk to my pcp but still no advice only medication..

If your looking to address an eating disorder who do you talk too? I'm morbid obessed, i eat a lot when i'm under stress, i'm trying to address this problem but needing a direction i talk to my pcp but still no advice only medication..

A therapist: You may need a new pcm, some aren't familiar enough or comfortable treating eating disorders to help. A counselor will, especially if you choose one who has expertise in treating eating disorders. I don't think medications are the mainstay of treatment. Counseling is a critical component of treatment. ...Read more

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