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
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
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