Doctor insights on:
Primary Secondary Tertiary Prevention Of Obesity
Healthy lifestyle: It isn't easy because of all the junk food and minimization of physical activity relative to screen time. However, keeping kids active and instilling in them healthy eating by example is the best way to go. Emphasize the importance of a healthy lifestyle by example and your kids will do better. ...Read more
See below: Obese child is very likely to become an obese adult. Morbidities associated with obesity in children include: metabolic syndrome (hyperglycemic, hyperlipidemic, higher blood pressure); fatty liver; hip joint problem (slipped femoral capital epiphysis); bowing of lower legs; and more. ...Read more
See below: Obesity results in increased incidence of several non communicable chronic illnesses such as type ii dm, htn, high cholesterol, heart disease, strokes, circulation problems, kidney disease, arthritis, cancers, gout, acid refux, liver problems. At least 25 conditions are caused by it. ...Read more
Male 55 been on 325 aspirin daily for years for primary prevention. Want to reduce to 81 as I understand that is optimal dose. Is it safe to do so?
Discuss with MD?: I think the key question is -have you had a coronary event? If so I would NOT decrease aspirin. Data for PRIMARY prevention is a little less compelling. 81mg would be sufficient to achieve your goals with less risk of ulcer if you are dedicated to doing this without any personal history of event. Note that aspirin may have more compelling preventive effectiveness for colon cancer. Be well ...Read more
Lifestyle: There are risk factors you can't control, like family history and diseases you've had that put you at risk. Most of the risk factors are within your control, such as diet and exercise to keep you LDL low and your HDL high. Discuss preventive measures with your doctor as everyone can benefit from this, get regular checkups and blood tests to help plan prevention. Do not smoke or take drugs. ...Read more
Yes: Yes. Other important factors are BP & cholesterol control. ...Read more
Is there a gyno-oncologist in my area that will work with an obese female? My primary dr diagnosed me with ovarian cancer. He is a medical oncologist and cannot do surgery. He sent me to gyno-oncologist in hawthorne and he said he could not do anything w
I: I agree with dr doherty's response and encourage you to seek another opinion. Many gynecologic oncologists are quite comfortable operating on obese women. That being said, it may be possible that Megace (megestrol) treatment is the best option for you at this point. ...Read more
How to treat if cirrhosis have spontaneous bacterial peritonitis? How many days for secondary prevention?
See doctor: Cirrhosis is not a do it yourself issue. Spontaneous bacterial peritonitis is a serious complication. ...Read more
Can a person who was taking statins for secondary prevention have a stroke or heart attack 7 days after stopping the statins cold turkey?
Stroke after statins:
Yes but need more details. Let's do 2nd opinion
What is the primary mechanism associated with the role of fluoride in prevention of dental caries?
Flouride: Flouride by itself is toxic to the bacteria. The other way it works is on the molecular level. The flourine atom inserts itself into the matrix of the tooth, it either replaces an oh group or goes into void. This action pulls all the molecules closer together to make them more resistant to acid attack. ...Read more
Rapid heartbeat and skipped beats happening often ER, primary dr & cardiologist say not to worry norm lab and ekg, what should I do? Obese/F/24
Chronic obese pain patient. Medicare and Medicaid. Trying to have gastric sleeve bypass need primary for physician supervised diet. ADrive? Thanks
Gastric sleeve: Hi. We don't have all the information on you (BMI, obesity comorbidities), but you may very well meet criteria for sleeve gastrectomy surgery. It can help a lot with weight loss, and doesn't alter the anatomy of the small intestine, so there is generally not a problem with nutrient malabsorption. And depending on the nature of your chronic pain, it may help with that. What does "ADrive" mean? ...Read more
Boil/hair bump on the lip of my vagina & I often itch I'm unable 2 c my primary doctor/gyn cuz im obese & in a wheelchair don't have lift 2 put me?
Obesity: Call ambulance directly, not through 911 and ask them, how they can help. They will cooperate with firefighters to get you downstairs. Social worker from your primary care also can help. ...Read more
Cavovarus feet: High arched feet with heels that tend to be tilted medially (varus heel with cavus foot) puts the foot in a position that makes it much easier to roll the ankle inward on the lateral side, which is the most common form of ankle sprain/ they make cvus foot orthotics which may help but some people need surg to re align the heel which can be very helpful/ also high heel are a risk. ...Read more
FASTING: Its hard to exercise if you have obesity, try water walking in a local community pool (shallow), try TIMED EATING which is NO FOOD from 6 PM to 8 AM. Eat only cooked foods at home. No fast or junk or processed foods. Drink Organic Apple cider vinegar (BRAGGS) 10 min before a heavy meal or a meal full of carbs. Drink water but never with food, always drink 1 hour before or 2 hours after a meal.Sleep @ 10 PM ...Read more
Unclear: Obesity runs with many illnesses related to a sedentary, overindulgent lifestyle (hypertension, atherosclerosis, liver damage, diabetes), yet japan's sumo wrestlers, who are obese but are elite exercises clearly suffer no adverse effects. Bashing 'obesity' as a 'killer' is good politics but the truth may be deeper -- a marker for other risky life choices. ...Read more
Diabetes: For one thing-it can lead to diabetes at an early age- NO CHILD SHOULD BECOME DIABETIC FROM EATING THE WRONG FOOD or eating too much. It can also lead to hypertension, hip problems, sleep apnea, and fatty liver. NO CHILD SHOULD EVER LOSE HIS LIVER because he didn't eat right or in the right portions. ...Read more
I am obese n jus started excersicing. What should I avoid n what should I consume? It gets deprrssing when I don't see changes. Tq
Don't give up: First, this is a marathon, not a sprint. Changes will come with time. Keep exercising at least 30 minutes per day to the point it is difficult to sing. Eat mostly a plant based diet, such as fruits, vegetables, beans, nuts, seeds, and whole grains and wild fish like salmon. Avoid processed foods like bread, pasta, cheeses, ice cream fried foods and good things will happen. Be patient but persistent. ...Read more
A Lot: Estimated, currently, 30-35% are obese or in the high risk category. ...Read more
1600 calories a day: It is hard to give an answer without knowing more about the individual patient's weight, height, and activity levels. In our research trials, we advise men to eat a 1600 calorie diet and then adjust the diet based on weight loss and exercise. This should cause weight loss of about 2-3 lb per week. ...Read more
Inactivity in part: Multiple factors, I think. Easy access to cheap, unhealthy food. Massive portion sizes. Marketing of junk food directly to kids. Too much sugar in multiple forms. Too many sedentary distractions-tv, internet, video games to name a few. Too few safe places to play and exercise. I think all these things contribute to some degree. ...Read more
I'm 19 female n obesed 85kg 5.2ft height am I in danger? Have not any problem with heath right now? 34.3 bmi
Some problems: The biggest problem now, might be injury to your knees and ankles. Your joints are not made to support the extra weight and they will be damaged over time. Other things that might happen in the near future, include high blood pressure and type ii diabetes. Most problems from being overweight happen over years. ...Read more
THE Cause...: Obesity is a major global problem and contributes to numerous other chronic health problems such as diabetes, heart disease, stroke, hypertension, and cancer. Obesity for many is due to the combination of poor food choices/excess calories (mostly carbs) and a sedentary lifestyle. Here is a fact sheet on obesity: http://bit. Ly/lp2qiw. ...Read more
Obesity is common: First of all obesity isn't contagious. Obesity is a true medical condition resulting from behavioral, environmental and genetic factors. More than 1/3 of americans are obese. When you include those that are overweight along with individuals that are obese and morbidly obese, this represents about 65% of americans. This is a true epidemic that has actually doubled over the past 20 years. ...Read more
Mo food, less active:
First wt (lb) x 10 = calories used
4000 calories net in or out is a pound gained/lost.
In fat folk, our normal hormonal regulation of appetities is broke/gone and never coming back.
We eat on the basis of triggers (sloth, wrath, pride/habit, etc)
https://www. Kickstarter. Com/projects/1775472781/1708440999? token=378a5145 details this and gives ways to overcome it. ...Read more
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