Doctor insights on:
12mins intense jogging having 5min break then 5 minutes as effective as 17 minutes in one go? Aiming for cardiovascular wellness fitness maintained weight
Low k last week (3.0 mmol/l). Taking chlorthalidon 25mg and added Klor-Con m20 20 meq 2tid. Lost 6 lbs fluid. Will BP improve? Run 3x/wk hot weather.
I take one dose per day of 250 mg Glucophage (metformin) and homeopathic med Agnus Castus thrice a day (10 drops per dose) for PCOS. Will the 2 interact ???
Probably not: I ran a drug interaction program for Metformin and chasteberry (Vitex agnus-castus) and there are zero interactions. However make sure you are taking the drugs as prescribed. For Polycystic Ovarian Syndrome Metformin is precribed as 500mg (immediate-release). 1 pill oral 3 times per day. or 850-1000 mg oral (immediate release) twice daily. Or 1500-2000mg (extended release) once daily. ...Read more
Which is the average lithobid (lithium carbonate) daily intake in men for reaching therapeutic levels? i'm on 1200mg daily and in my last check my levels were 3,9mEq/L
No average dose: There is not an "average" dose. That is why blood work needs to be drawn to make sure the dose is correct. There are numerous reasons that the dose can be different including age, other medications, kidney function, etc. ...Read more
Improving stamina: Your top five proven supplements? (Assuming normal blood tests, strict diet macros & daily cardio/resistance training at pro level)
No supplements: No supplements are needed nor would do you any good. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more
Taking approx 8 tramacet tablets per day. 37.5/325mg. Also on Zoloft (sertraline) 100mg per day. Both ok together ?
Depression: Based on what you have shared, it looks like you may be dealing with significant chronic depression without an organic diagnosis for your pain. Whom ever prescribed the narcotic and neurontin should be made aware that you are on zoloft (sertraline) and tramadol to determine the appropriateness and safety of the combination. I would also strongly recommend speaking with your mental health professional. ...Read more
Dear MDs: Although my daily diet is > 5000 mg of K rich food/fruits, my K is <3.4. By how much would 12.5 mg diuretic (hctz) decrease potassium level?
Can be significant: HCTZ (hydrochlorothiazide) can certainly do this! Also contributing can be subtle things like diuretic effects of alcohol or caffeine, even large amounts of licorice! Some forms of hypertension are associated with low K to begin with ("hyper aldosterone states") and are very sensitive to even low doses of HCTZ (hydrochlorothiazide). ...Read moreSee 1 more doctor answer
2 patients are taking 50mg zoloft (sertraline). One for 8 months, one for 8 yrs. Who has the higher level of serotonin in the brain/body?
According to current thinking, is one 81 mg. Aspirin advised over two 81 mg. Aspirins to maintain heart health in the "average" healthy person?
One is ok : Risk vs benefits vary for each person. Consult your physician. But, the actual data to prevent heart attack and stroke point toward the use of low dose Aspirin and 81 is enough. Aspirin, as an anti inflammatory agent, seem to have other benefits. A study show that low dose may reduced chances of dying from cancer 20%. American cancer society is not recommending asa as prevention measure, still. ...Read more
Is 0.91 magnesium level test range in UK a good level?If not supplements of Magnesium Citrate 300mcg a day
helpful for migraine aura with 5 a month?
Responses vary: Typically, magnesium supplements are only modestly helpful if a patient has sufficient blood levels, but other OTC approaches can be valuable, such as butterbur, feverfew, CoQ-10, and riboflavin. We can help get you situated via a Concierge visit at HealthTap. ...Read moreSee 1 more doctor answer
Is 25 mg metoprolol daily considered a high dose?Also 12,5 mg daily makes my hr go down to 50 sitting resting. Is that common on such a low dose?
Are 50 mg 2x a day of Zoloft (sertraline) and 20 mg of ritalin 3x a day a safe combination? So a total of 100 mg Zoloft (sertraline) + 60 mg ritalin a day. Safe ?
Unclear: Nothing is certain in medicine. You are young and i presume otherwise healthy so it is probably ok. However, i would make sure the diagnoses are correct! have a good battery of psychological testing and perhaps neurologic testing to confirm adhd. Check geisinger or temple or u of penn or jefferson or univ of pitt. Or john hopkins. Ekg should be done. Most importantly are they helping? Any side eff. ...Read more
Can an ace-inhibitor 20 mg. Tab be cut in half and taken twice daily, instead of one time, since it reduces (it's working) side effects in a patient?
Depends: I agree that twice daily dosing in clinical trials has somewhat better effects on the neuroendocrine system, however many pills are not safe to split--especially extended release formulations. It depends on the manufacturer. Aceon, mavik, (trandolapril) and univasc may be splittable ace inhibitors if you are trying to save money, but please consult your doctor first! don't split non-scored pills! ...Read more