Timbrt/Liver-Text-OA huggingface dataset:
Question: what foods should be eaten/avoided if you have fatty liver.
Answer: it is not really known what causes of fatty liver disease in some people but there are some lifestyle changes with diet that are suggested to improve fatty liver disease or avoid it. if overweight or obese lower weight slowly with proper nutrition and exercise. if diagnosed with diabetes and high lipids (cholesterol) practice good blood sugar control and a lower fat/cholesterol diet. a diet lower in fat and calories is recommended. avoid alcohol or other harmful substances like drugs. get regular exercise most days of the week. eat a well-balanced diet that is lower in saturated fats and high in fiber. minimize sugar consumption. reduce the intake of fried foods. foods high in sugar and salt.
Tags: food, fatty liver disease
Question: why are you a fan of chemical instead of laser peels?
Answer: i think the chemical skin peel is one of the greatest gifts of cosmetic surgery to patients because it takes old skin and makes it new. it fulfills ambition that human beings have had for thousands of years to not have wrinkles. it’s been around for 50 years in the united states but there’s basically only a limited number of practitioners have been interested enough to master it and perform it regularly. but when you pick the right patient meaning the patient with the right color skin the right thickness skin all the ingredients of safety you have a very happy patient a happy patient for many years. now about 10 or 15 years ago was delivered a new technology to hopefully erase wrinkles instead of this chemical process which is essentially just the application of an acid to the skin a laser an invisible beam of high powered light which would basically destroy the outer layer of skin with heating the cells and making them burst. the water would boil literally on a cellular level that’s what happens. it makes the skin the little individual cells pop and die as opposed to the chemical or acid that makes them die from the acid treatment. so in principle the same thing happens. the outer layer of skin is deliberately destroyed to a certain thickness forcing nature to send up brand new smooth tight fresh pink skin. great. the problems came with the laser when we realized that it took a very long time for doctors to master it and that led to some people being disappointed because of under treatment and some people having complications because of over treatment because it was a very powerful tool and the mastery took a little bit longer and there were too many difficulties in getting it just even not too superficial not too deep. and so it kind of fell out of favor. there’s some other less strong you know lower powered lasers that again are less prone to complications and problems. on the other hand don’t quite deliver the exotic results people want. people do want to have after having a significant procedure with the time and money outlay they would like to have quite a good result. the chemical delivers it so personally for me it’s been the gold standard and i think other experienced practitioners feel the same way. sometimes there is one process that just beats the others and i believe this is.
Question: what is your opinion of thermage?
Answer: well thermage is indeed an fda approved procedure that super heats the skin and specifically the collagen which is one of the main building blocks of skin and theoretically would form new younger and tighter collagen. now that process doesn’t take place over night. and so the manufacturer has advised physicians and secondarily patients that they will not see an immediate result. the hoped for result may take 4 or 5 or 6 months to achieve. that process is probably not achieved the success that we had hoped it might. again by observation because the patients have to accept that when they are employing a new technology. we are all learning about it so the first kid on the block may be satisfied and may be disappointed. i think to this point we’re a little bit disappointed. now that said there haven’t been any complications. i think most patients consider the significant complication to have hit their wallet because they didn’t get much for their money. and it’s not inexpensive. it can be several thousand dollars because it means a visit in the operating room the doctor’s time the technical the cost of the technology. so again not harmful but not really delivering the goods. certainly not a substitute for a surgical facelift. and many services technologies kind of position themselves as less invasive less traumatic less expensive less everything quote facelift but the answer is they can’t match the proven record of a surgical procedure. it’s just not possible by having the skin treated by a beam of light to get rid of a saggy chin and jowls and the product of many years of ages and perhaps even some dissipation.
Question: how can i be sure my cosmetic surgery will be safe?
Answer: i think the two most important safety questions that a patient can ask the doctor is one will there be a fully accredited anesthesia specialist in attendance anesthesia specialist being either a certified registered nurse anesthetist or a physician anesthesiologist. that’s number one. second is the facility accredited? now accreditation is kind of a broad term. for instance the facility could be licensed by the state. states do that. hospitals are licensed. the state will license a facility. the federal government does the same. in other words you cannot operate on a medicare patient and expect medicare to pay for it unless they’ve given it the stamp of approval. by the way the standards are almost identical. and some facilities for whatever reason will have both the state and the federal government come in do their evaluation and asked to be approved. but there are also private credentialing companies that do this and by the way most hospitals in the united states are accredited by essentially what is called the joint commission. it’s called the joint commission on accreditation of health facilities. this licenses hospitals outpatient surgery centers radiology x-ray clinics. so again very high standards so that there is no a or b it’s all a. if you get the right answers to those questions you’ll feel comfortable. and i would tell you also parenthetically most of the doctor anesthesiologists that i know will not work in an unaccredited unlicensed facility because they would be compromised in the performance of their work. for example if the facility didn’t have all the appropriate life support systems why would the anesthesiologist want to be in the situation where if anything goes wrong he doesn’t have the technical backup. he doesn’t want to be in that position. he wants to deliver to the patient when needed if needed as remote as that possibility is he wants to deliver the best he has.
Tags: cosmetic surgery
Question: can herbs and supplements really help me sleep?
Answer: there are probably 40 or 50 different herbs on the market that advertise that they really do something for sleep. there are only 4 or 5 that actually have any significant scientific data behind them. valerian is a big one. kava is another one but people have to be pretty careful about kava-kava because it can have some pretty big effects on your liver and so if you have any problems with your liver whatsoever i would never recommend trying something like kava-kava. melatonin while it’s not an herb it is considered into the supplement range. you have to be very careful also i think there’s a general recommendation to be careful about herbs because they are not regulated by the fda. so that means that i can make that in my garage and i can sell it at the local health-food store and there’s no purity standards you never know how they are going to interact with other medications that you may be taking or they may progress another disease that you have. so if somebody is going to go and find a more holistic herbal supplement to take specifically for sleep they should always talk to their physician about it. make sure there aren’t any interactions with it. and actually i think there’s an entire section on webmd that talks about all the herbs and things like that so definitely go and check that out. other herbs are interesting. chamomile tea has actually has been shown to help people fall asleep. lavender in an essential oil or aromatherapy is the fifth herb that may help people sleep. at age 66 i use lemon balm along with 5 mg of melatonin which works very well for me. this is probably due in part to my age as the body produces less melatonin as we age. i used to use benedryl and melatonin which also helped but i suspect that lemon balm is safer and works even better in combination. being military i find that natural herbs give the best rest. after many years of use i found the best pre-formulated to be produced by puritan's pride by the name of super snooze you take 1-3 capsules i take 2-3 but i'm 265 lbs and trained to stay awake or not get into a deep sleep. i would say the average person could take 1. you can get around 500 capsules for about $25 bucks so they will last you a long time. <link> my husband and i (65 yrs old) swear by melatonin 6 mg a night taken 30 mins before bedtime. we started its use years ago to reset jet lag in our overseas travels. yes
Tags: herb
Question: are apple cider supplements effective in lowering blood sugar and ldl cholesterol?
Answer: i can tell you that these types of questions are hard for us because we do not have any scientific data or studies. the fda does not have strict oversight over these types of products like prescription medications. the only data i found was that it can be useful in constipation but there is no conclusive evidence of it helping blood sugar or ldl cholesterol. many people feel that these "supplements" are safe because you can buy them over the counter but that is not the case. we don't know if they really work nor do we know if they interact with other medications. i use 1 tbsp of apple cider vinegar (acv) in a shot glass with water and take it along with extra water in the mornings after i've eaten. it works like nothing else has. (the first 1-2 days i felt like it was cleaning out my system - so be prepared for that. ) within three months of taking the dose above and at my next drs. appt. all my numbers dropped (cholesterol sugar hbp liver enzymes) including my weight along with having extra energy during the day. my senses of smelling tasting and sight were better than usual too. i had never felt better at 54 y. o. the doctor even said "whatever you're doing keep doing it. " i like feeling well! yes apple cider can cut down bad cholesterol and keep other numbers within their targets hi there 5 teaspoons of apple cider vinegar in a glass of water is regarded as a blood cleanser by my grandmother. i drink this and even though my cholesterol is 5 my good oils are very high. yes
Tags: blood sugar, cholesterol
Question: i take excedrin for aches and pains. i average three tablets a day. is that a safe or can the amount cause liver damage?
Answer: this caught my attention because i would like to ask what types of aches and pains have you been experiencing that you need to take this medication as frequently as you do? have you spoken to a doctor or health care provider about your pain and has it been evaluated? there may be better options for you once you are evaluated.
Tags: injury, liver, pain
Question: why have experts recommended lowering levels of acetaminophen in prescription and over-the-counter drugs?
Answer: this is a hot topic right now. i think what a lot of consumers and patients didn't realize is that acetaminophen is also known as tylenol over-the-counter or apap. in prescription medications it's also included. so we had a lot of people taking two medications that contained a lot of tylenol and exceeding what we call the daily dose. if you are a healthy adult. you don't want to exceed more than 4000 milligrams a day. in the elderly we recommend 2000 milligrams a day. we also found out that a lot of people were taking it too many times a day not following the directions on the box. so we really want to make sure that people understand it's important to take it as directed as per the instructions on the box. if you ever have any questions about the dosing come and talk to the pharmacist we will be more than happy to help you with that. we also want to make sure that you don't drink any alcohol while taking these products. and that you also want to avoid alcohol containing products. some cough syrups still contain alcohol and it's usually just enough that with the tylenol in the alcohol it actually causes an elevation in your liver enzymes. we see this a lot sometimes with people who have the flu. they tend to not feel well they are taking a lot of cold medicines on top of tylenol for their fever and there has been some emergency room admissions where people’s liver enzymes were elevated just from a few days of doing this. so that is the reason why it's a hot topic right now.
Tags: acetaminophen, over the counter, drug
Question: i was wondering how long do pain medications like percocet and hydrocodone stay in your system?
Answer: this does depend on the patient. some of my elderly patients they may last a little longer because they are slowing down a little bit. so their body systems like their kidney and their liver are not working as well. so they may have an effect that's a little bit longer as compared to you or me.
Tags: pain, hydrocodone, drug
Question: is melatonin safe to give a five year old?
Answer: melatonin actually has some data in regards to children dosing. anywhere from 2-5 milligrams could be used in a child but once again we want to find out why is the child not sleeping. pediatrician should always be consulted first before even starting any types of medications like this. it could be related to possibly they are starting school they are anxious maybe they are not sleeping at night because their room is noisy. so we have to find out really what are the root causes of the problems rather than go right ahead to medicating them. so as a pharmacist i would say to patients you know what let's talk to the pediatrician first and let's see what's going on before we start a child on melatonin. you know with most of these products once again we don't really have a lot of data to go by. so we don't know long-term use in some of these products how it's going to affect the child. children are not little adults. a lot of people i think are confused by that. their livers and their kidneys are not developed like yours and mine. so when they get a drug or they get any type of product in them they are going to react a lot differently than we are. so we want to make sure that people exercise caution.
Tags: melatonin
Question: i was on aceon and due to the expense my doctor changed me to lisinopril. does it protect the liver and kidney?
Answer: aceon (perindopril) and lisinopril are related and belong in a class called angiotensin-converting enzyme (ace) inhibitors. there are studies that show ace inhibitors play a role in providing protection against the progression of kidney disease in patients with diabetes. thanks for the question. know
Tags: kidney, liver
Question: i can’t breastfeed because of medications i’m taking. is it safe to accept frozen breast milk from a family member?
Answer: there are breastmilk banks across the country if you are interested in obtaining breastmilk for your baby. breastmilk is a bodily fluid and can contain harmful viruses such as hepatitis b/c hiv etc. i would not recommend using frozen milk that someone offers you. at least the milk from the milk bank has been screened. your baby will grow and develop normally whether you use donated milk from the milk bank or formula. the most important thing is for you to follow your doctors' advice and get back on the medications that are so important to your health. ultimately taking care of your needs is more important than offering breastmilk to your infant. .
Tags: breast, milk, breastfeed, drug, family
Question: what causes female sexual problems?
Answer: sexual dysfunction can be a result of a physical or psychological problem. physical causes: many physical and/or medical conditions can cause sexual problems. these conditions include diabetes heart disease neurological diseases hormonal imbalances menopause chronic diseases such as kidney disease or liver failure and alcoholism and drug abuse. in addition the side effects of certain medications including some antidepressant drugs can affect sexual desire and function. psychological causes: these include work-related stress and anxiety concern about sexual performance marital or relationship problems depression feelings of guilt and the effects of a past sexual trauma.
Tags: sexual problem
Question: what kinds of foods will boost my immune system?
Answer: i can’t count how many people around me are coming down with a winter cold/flu. i’m in the process of trying to boost up my immune system and fight the good fight and not end up in bed for a few days. the odds are stacked against me. half of the people at my restaurant have been sick as well as the kids at my daughters’ school and i’ve been on six flights in the past 10 days. i can feel the colds lurking around and waiting to pounce. i usually remember to amp up my vitamin c intake when this season starts to come around. (i add 1 000 mg of the powdered form to water with fresh lemon juice two to three times a day). there are things we can do to try to up our chances for staying healthy: getting enough rest keeping our hands washed and drinking plenty of water are the top three. the good news is there are many foods in our kitchens that are beneficial to keeping our immune system strong and in fighting condition. at the top of the list are: 100 percent orange juice (preferably fresh squeezed). avocado. tomatoes. bell peppers. broccoli. garlic. grapefruit. lean meat. yogurt or kefir (not one too high in sugar). the great thing is you can use these foods throughout your day: a glass of fresh orange juice and yogurt is a healthy start to the day. you can add avocado tomatoes and turkey to a salad or a sandwich on whole-grain bread for lunch. for dinner i love to make a broth with lots of slivered garlic when i feel a cold coming on. i’ll use already made organic chicken broth and sliver about 3-4 cloves or garlic and add a lot of lime or lemon to the broth. if i have fresh ginger i will grate this into the heating broth as well. finely chopped up broccoli is perfect tossed in at the end. add a couple of cups of baby spinach (to 4 cups of broth) as well or thinly cut up kale or chard. this will give an additional boost of vitamin c. another use for grapefruit is in a salad. you can toss avocado and grapefruit segments with mixed lettuces. add extra virgin olive oil and fresh lemon juice salt and cracked pepper for a healthy delicious salad that will be on your side in a fight against a cold.
Tags: immune system, food
Question: i had a new crown put on with a lot of trauma to my gums. they are swollen gray & without feeling. should i be worried?
Answer: you must call your dentist! i deliver new crowns every day and there should be no pain after the cementation. at most a very mild soreness after the cement is removed. by the next day all should be back to normal. having severe gum pain after delivery of a crown is not normal. please call your dentist.
Tags: swelling, grayness, trauma
Question: what is the timetable for a dental implant?
Answer: when a tooth is properly extracted a graft is mostly not necessary. the healing time is: six to 8 weeks after extraction the implant can be placed. the implant (depending on the brand type bone etc. ) will integrate in 2-4 months. at that point a crown restoration can be fabricated in 1-2 weeks (from impression to finish). usually an uncomplicated implant placement will take about 4-6 months from extraction to delivery of the final crown. complications such as bone deficiencies are common enough but not the norm.
Tags: dental
Question: what's the difference between a composite and amalgam filling? does a composite allow smaller holes to be drilled?
Answer: the size of the restoration is actually determined by the extent of caries (decay) which has to be removed. the composite restoration is a suitable restoration for a small cavity preparation. if the extent of the caries is small to medium size leaving most of the original tooth intact the composite could serve very well and for many years. however it is a technique-sensitive procedure that requires careful isolation and slow incremental filling of the cavity. if you are going to a place that works very fast and sees many patients you might want to reconsider this type of restoration. if done in a rushed fashion the composite restoration will not last long. this is also why most dentists will charge you more for the composite over the amalgam. the amalgam restoration has proven itself over the years and is a material which is not so technique-sensitive. the least-skilled operator can deliver a decent amalgam with good predictability over time. the material is very forgiving and can handle medium-sized restorations quite well. it is the restoration of choice if you are going to a volume-based office such as a union/insurance dentist. they do have to see many patients in a day and might find it difficult to allocate the extra time in the schedule that is required for a proper composite restoration. the most important either way is good oral hygiene and care after the restoration is placed. as long as good x-rays and cleaning schedule is observed either restoration will last you over time. the best advice is on which restoration to choose is from your dentist. he/she has the x-rays and the clinical examination to advise you properly. . and as usual a second opinion from a prosthodontist is always a good option.
Question: is goldenseal good for children. can i give small doses to my grandchildren aged 3-10?
Answer: most pediatricians advise against supplements in children. here's why. there is relatively little research done on most supplements and the research is usually just in adults. for adults goldenseal appears to be safe at least for short-term use. for children at least infants it may be unsafe because it may cause an increase in bilirubin causing jaundice. there has been little to no research in children so we really just don't know. if you're interested in giving it to your kids i would definitely ask your pediatrician first. also keep in mind that there is very little research that goldenseal has any health benefit. there is some very preliminary research that it may help fever but it's based on very little research. not enough to warrant giving it to kids in my opinion but ask your doctor.
Question: i had my gallbladder removed 2 years ago. ive been having the same pains i had before it was removed. can it grow back? . if it isnt possible for it to grow back. what are the pains ive been having?
Answer: i'm sorry to hear you're in pain. the good news is once the gallbladder's been removed it can never cause you a problem again. the gallbladder cannot grow back. the pain you are experiencing might feel a lot like the old gallbladder pain but it's definitely something else. the thing is the body isn't all that great about pinpointing the source of pain. this means your pain could be coming from anywhere in the same region as your gallbladder used to be. i suggest you see a doctor for further evaluation. he or she might want to check your liver your pancreas or even your intestines. any of these structures (and many others) could cause pain similar to that of gallstones. the only way you'll know for sure is with a physical examination. wishing you well!
Tags: gallbladder, pain