Doctor insights on:
What Is A Good Diet When Receiving Vancomycin Therapy
If you have fatigue: Its common for radiation departments to tell patients to eat higher protein diets. However many patients are not malnourished or have any fatigue. If a patient has been losing weight we offer this suggestion and supplements (i tell them to eat anything they like to keep weight on tempered by if the patient is diabetic who has to watch sugar intake). ...Read moreSee 1 more doctor answer
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Depends on diagnosis: Pancytopenia is a descriptive diagnosis, that says a patient has low levels of red cells, white cell, and platelets. It doesn't indicate the cause, which can include leukemia, nutritional deficiency, aplastic anemia, other bone marrow cancers, myelodysplastic syndromes, ... It is a long list, and it is usually not something for which a particular diet is recommended, but it can be. ...Read moreSee 1 more doctor answer
No such thing: According to the national institutes of health there are no proven anti-aging vitamins or any supplements for that matter. Your best approach is a full diet of fruits, vegetables, beans, nuts, whole grains, and wild salmon. Spend your money on real foods not hype. ...Read moreSee 1 more doctor answer
What chemotherapy protocol is effective for recurrent PCNSL? Is ESHAP and/or ICE a good option is MTX cannot be tolerated and WBRT already done?
PCNSL: The initial treatment for primary central nervous system lymphoma is methotexate and whole brain irradiation. The optimal treatment for this disease is unknown. There is much variation in clinical practice. Other agents used include Rituximab, procarbazine, vincristine, cytarabine, iosfamide in various combinations. All have some effect but all have toxicity. You need an oncology center. ...Read more
Classical MS diet: Developed years prior to ms dmt's, and is a low fat diet, which pays attention to gluten, and other potential toxins. Two nutritional studies did suggest some reduction of relapses in many. Although out of favor these days, many of my patients follow anyway, and most of these also use a low salt approach also. The idea is to blunt inflammation, and there is some evidence to confirm. ...Read more
Started a regimen of probiotics 10B CFUs/day. Are they really important for your health, or just a fad? If not a fad, what is a good dosage?
Fad, already present: Most of the genes, estimated over a million, within out body are not within out cells. Only about 30,000 are estimated to be within out cells. The rest are within all the microscopic bacteria & fungus which we carry with us called the microbiome. However, this remains complex, the control mechanisms, pros & cons remain poorly understood. Research the microbiome yourself for some background. ...Read more
Consult your surgeon: Many surgeons have slightly different protocols as the technique and grafts vary. In general, you will start with range of motion exercises and continue with strengthening and balance. Core strength is very important to prevent a tear of the other acl. There is no special diet that I am aware of, but good nutritional balanced diet is always a good advise. ...Read more
Dialysis diet: Patients on dialysis need to have diet that are special to them. If they are not diabetic, the usual diet is a two gram sodium, 2 gram potassium and 80 gram protein diet. If they are diabetic, they may be on a 1800-2200 calorie ADA diet, as another restriction. Speak to the dietitian at the patient's dialysis center for more specific information. Good luck. ...Read more
Fever : You should contact your fever. Patients with cirrhosis can get sick quickly if the fever is related to a systemic infection. So a good history and exam is needed. In the interim measure your temp and keep a record. Diet is a complex and can't be answered in this format. Seek help for your fever. ...Read moreSee 1 more doctor answer
It depends: In such situations it depends on how well the patient's tumor is responding to the chemo. The side effects are critical, and the patients level of function. If the tumor is shrinking, but the person is disabled by the treatment it may not be good to continue. If the treatment will cure the disease it might be worth it. If the person has other severe illness you may stop. Talk to the oncologist. ...Read more
Can't answer: It all depends on where the cellulitis was, what caused it, what the cultures grew out, and what your medical history is. For example, sometimes cellulitis grows out the MRSA bacteria which requires a completely different treatment than a usual infection in a healthy person. Also, a cellulitis in the groin may require a different treatment than one in the neck. ...Read more
Is this necessary to ask internist before starting what I think is good diet and exercise routine?
Depends: It depends on if you have any medical problems or not. If you have not seen a doctor in a while it is usually a good idea. Also, it depends on the exercise program and type of diet you intend to start. Fad diets and some of the extreme diets that are around can be harmful. Moderation is usually the key. ...Read more
NO: Here's a great reference: https://umm.edu/health/medical/altmed/supplement/lysineGet a more detailed answer ›
Does anyone have experience with chelation therapy for coronary calcification? Rice bran extract for the same purpose? What is the dose and how ofte
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