Timbrt/Liver-Text-OA huggingface dataset:
Question: are there diet changes i can make to help lose weight without feeling deprived?
Answer: eat every 3-4 hours. don’t skip meals especially breakfast. end your eating with dinner preferably by 8pm. eat smaller balanced meals and snacks. get rid of refined sugars. refined or processed sugars will sabotage your best efforts to rein in runaway appetites. get them out of your house and any space you live and work in. stick with whole foods– fruits veggies grains and lean protein. vacuum in the veggies. you can eat endless portions of non-starchy veggies. they’ll fill you up and not out. eat them throughout the day. add them to brown rice as a side with beans and in soups. there are countless way to incorporate these life giving plants into your daily meals and snacks. try this trick to feel full. throughout the day combine lean protein with fiber. it takes the body much longer to digest carrots and hummus or chicken and veggies or peanut butter on an apple. you’ll feel full your appetite will be controlled and you can carry on with your day’s activities. shake it up. try a protein shake for a meal or a mid-afternoon snack. one scoop or whey or soy protein powder delivers about 20 grams of protein (equivalent to a chicken breast). add water or skim milk or plain yogurt along with fresh or frozen fruit and sip. it’s a simple and easy way to stay satisfied and well nourished. cut out the nocturnal feasting. too many calories consumed at night equal lots of extra body fat. top that with eating too much too late and you’ve got bulging bellies and sagging saddlebags popping up everywhere. make a commitment that during the work week you’ll cut off your eating by 8pm (if you eat after 8 you’ll gain a lot of weight) or earlier. you can play a little later on friday and saturday but don’t go whole hog. get to bed earlier as well. you can’t overeat and sleep at the same time.
Tags: diet
Question: what are liver enzymes?
Answer: four separate liver enzymes are included on most routine laboratory tests. they are -- aspartate aminotransferase (ast or sgot) and alanine aminotransferase (alt or sgpt) which are known together as transaminases; and alkaline phosphatase (ap) and gamma-glutamyl transferase (ggt) which are known together as cholestatic liver enzymes. elevations of these enzymes can indicate the presence of liver disease.
Question: what is a fibroscan?
Answer: a fibroscan is a non invasive imaging study that evaluates the degree of liver stiffness or scaring known as fibrosis. it does this by determining the speed of sound waves through the liver utilizing a sonogram. similar to blood tests such as fibrotest and fibrosure the fibroscan works well in determing the 2 extremes of liver disease - minimal or no scarring from cirrhosis. it does not work so well in evaluating moderately damaged livers and this scan is not yet approved in the u. s. liver biopsy while not perfect still remains the gold standard for determining the stage of liver disease.
Question: what affects drug metabolization from dose to dose?
Answer: drug metabolism is the process by which the body breaks down medications. the liver plays a major role in metabolism especially a group of enzymes known as cytochrome p-450. drug interactions can occur when two or more drugs inhibit or induce a p-450 reaction and the drugs do not metabolize as quickly as they should. nicotine is a "drug" also and is known to induce the p-450 system. individuals with liver disease may also have insufficient levels of p-450 enzymes. the result is that drug levels can remain high in the bloodstream and cause more side effects. genetic factors also play a role in drug metabolism. the metabolic rate can vary significantly from person to person and drug dosages that work quickly and effectively in one individual may not work well for another or cause build-up and more side effects. infants and elderly patients have a reduced abilty to metabolize certain drugs so we often adjust their med dosage. but we find that people with fm [fibromyalgia] seem to act like "geriatric patients" in terms of sensitivity to meds and side effects (and metabolism? ) and often require lower doses than the "normal" non-fm adult. certain foods such as grapefruit juice and certain meds taken on an occasional basis can inactivate or lessen the metabolic activity of p-450s and can cause apparent fluctuations in response/tolerence to regular prescribed meds. we with fibro always seem to develop tolerances and intolerances to meds that we previously did well with which is frustrating to say the least. so there are different metabolism tolerance and intolerance factors that can cause us to have "reactions" to our meds. .
Tags: drug
Question: can swelling be associated with fibromyalgia?
Answer: swelling can be associated with fm. swelling is also seen in many other conditions including thyroid disorders vascular problems venous insufficiency lymphedema heart/liver/renal disease and medicine side effects. swelling should always be evaluated by your doctor to determine its cause. in fm it's those darn dysfunctional sensory and autonomic nerves again that create the fm-related swelling problem. one of the many sensations the sensory nerves are capable of signaling is the sensation of swelling. we with fm often complain of feeling swollen even if there is no clinical evidence of swelling due to a dysfunctional misfiring of the sensory nerves. we with fm get actual swelling usually a fluctuating puffiness in the fingers and ankles/feet especially due to dysfunctional signals between the autonomic nerves and the small blood vessels causing more leakage. this can cause our rings to become so tight on our fingers for example. and if there's swelling there's more mechanical pressure/irritation of the small sensory nerves leading to increased pain. that's why it can be quite uncomfortable. because our nerves wax and wane in their dysfunctional behavior so can our painful swelling symptoms if they are due to fm.
Tags: fibromyalgia, swelling
Question: can you please provide some general information on intuniv?
Answer: intuniv is a newly approved medication for the treatment of adhd. it is the second non-stimulant approved for adhd with strattera being the first. although intuniv is a "new medication" it is actually a new delivery system for an old medication. intuniv is a long-acting formulation of guanfacine -- which was available in a short-acting form for decades as "tenex". i prescribed tenex in the 1980's! guanfacine was originally approved for the treatment of high blood pressure in adults and it was subesequently noted to help with adhd symptoms and tics. although tenex is not approved for treatment of adhd it has been used selectively in some patients for many many years. although it is not generally as effective a medication as the stimulants are it does have certain advantages. it doesn't cause insomnia or appetite loss and it is not a controlled substance prone to abuse. also since it is sometimes used in patients who also have tics you can sometimes get a "two-fer" out of the medication since it will improve both adhd and tics. whereas guanfacine is a very cheap medication in its short-acting form (but needs to be given typically 3x/day) intuniv is a more expensive medication; you pay a premium for the convenience of once-a-day dosing. the manuacturer would like clinicians to believe that once-a-day intuniv is clinically better than the short-acting guanfacine given repeatedly; however i am not aware of any studies to prove that whatsoever.
Question: is there a way to stop the stomach cramps and pains my daughter gets from taking adderall?
Answer: you can discuss changing her to a methylphenidate medication since these have lower risks of stomach ache. or you could explore vyvanse which is similar to adderall but has a different delivery system. if you are reluctant to change meds one alternative to discuss with your physician would be to split the adderall dose -- give half the capsule and then 20-30 minutes later give the other half. if you sprinkle the med into food do not let the second half of the dosage sit in the food for the 30 minutes since the beads will dissolve prematurely.
Tags: stomach, pain, cramps
Question: my brother was recently diagnosed with hiv and he also has high ferritin levels in his blood. is there a connection?
Answer: ferritin is a protein that helps to store iron and release it at key times. iron is essential for red blood cell production which gets oxygen to all your major tissues and organs. ferritin can be high in some infections and may be a response to your brother's body and immune system reacting to the hiv some other infection or it could represent a genetic predisposition to high ferritin. regardless high ferritin levels and hence high iron levels can cause problems with the liver and other organs in the body so best thing to do is make sure he goes to see a doctor for his hiv to follow up on this high test. i have high ferritine level in my blood and also high levels of iron what can i do to lower to lower these levels. thanks denise
Tags: hiv
Question: my 18-year-old son consumes 60 g of protein in drinks daily. is that too much? does he need a liver cleanser?
Answer: as a pharmacist i do not recommend supplements touted as "cleansers. " they have not been proven to be safe or effective and are not necessary. as far as the protein goes it depends on how much he weighs and how much protein he is eating on top of what he's drinking.
Tags: drinking, liver, protein
Question: i take bupropion and i want to take nyquil for my cold. is that safe?
Answer: you can take nyquil occasionally for a cold while taking bupropion. there are no dangerous drug interactions between the two medications. i am answering based off of research i just did on drug interactions because of my own after effects. nyquil inhibits the liver enzyme that breaks down dextromethorphan. which means that this cough suppressant stays in your system for a long period of time. personally i am finding it unpleasant and consider myself illegal to drive. if nyquil as no effect on your sleepiness or balance you may be ok. i am basically dizzy for a prolonged period. bah i even proof read and missed it. *bupropion* inhibits the enzyme that breaks down the cough suppressant. only correction needed on my above statement.
Tags: cold, coldness
Question: why can't you give children baby aspirin?
Answer: basically there is no need for children to get aspirin now that acetaminophen and ibuprofen are available over-the-counter and approved for children. these are safer alternatives and it is best to just avoid giving aspirin to children entirely. aspirin has been linked to causing a rare but severe reaction called reye's syndrome in children who have certain viral illnesses. reye's syndrome can be fatal and causes damage to the liver and the brain.
Tags: aspirin
Question: what drugs or medications can interact with black licorice candy?
Answer: first you need to be sure the licorice contains licorice. many candies widely sold (like twizzlers and black jelly beans) do not contain any real licorice. real black licorice taken from the licorice plant contains a substance that can affect blood pressure and cause liver toxicity and cardiovascular problems if taken in high amounts. real black licorice candy is best avoided in people with heart disease but licorice-flavored candies will not be a problem.
Tags: drug
Question: can i get a list of foods that can help lower my cholesterol levels please?
Answer: adjusting your diet is usually the first step in lower cholesterol. the tlc diet or therapeutic lifestyle changes diet is recommended by the national institute of health and it recommends lower the fat in your diet. the following are guidelines to follow to lower cholesterol: avoid saturated fat and oils such as butter bacon drippings lard palm oil and coconut oil. instead use soft tub margarine or vegetable oils such as olive or canola oil. limit trans fatty acids or partially hydrogenated vegetable oils. these oils go through a process that makes them solid. they're found in hard margarines snack crackers cookies chips and shortenings. limit fatty meats such as corned beef pastrami ribs steak ground meat hot dogs sausage bacon and processed meats like bologna. also limit egg yolks and organ meats like liver and kidney. replace with skinless chicken or turkey lean beef veal pork lamb and fish. try some meatless main dishes like beans peas pasta or rice. limit meat poultry and fish to no more than two servings or 5 oz (140 g) a day. remember that a serving is about the size of a deck of playing cards. limit milk products that contain more than 1% milk fat. this includes cream most cheeses and nondairy coffee creamers or whipped toppings (which often contain coconut or palm oils). instead try nonfat or low-fat milk (0% to 1% fat) and low-fat cheeses. limit snack crackers muffins quick breads croissants and cakes made with saturated or hydrogenated fat whole eggs or whole milk. try low-fat baked goods and use any spreads or toppings lightly. dip bread in olive oil instead of spreading butter or margarine on your bread. avoid fast foods like hamburgers fries fried chicken and tacos. they are high in both total fat and saturated fat. when you eat out choose broiled sandwiches or chicken without skin salads with low-fat dressing and foods that aren't fried. ask the server to leave off the cheese and high-fat dressings like mayonnaise. this link also includes a sample meal plan.
Tags: cholesterol, food
Question: do eating raisins good for heart? . my dad has to take a medicine dapsone for eye. taking dapsone reduces hemoglobin. i looked for iron rich food. we are from india. what i could look for is raisins green vegetables beans and lentils. he also takes medicine for heart and hypertension. he also suffers from osteoarthritis. please tell me what should be his diet? . regards . rashmi
Answer: the foods mentioned (green vegetables beans and lentils) are good sources of iron. here are some other sources: chicken liver clams mollusks mussels cooked beef and turkey breakfast cereals enriched with iron 1 cup cooked beans 1 cup spinach 1 ounce nuts (peanuts almonds walnuts etc. ) 1 cup of rice there are also foods that can hinder iron absorption. to absorb the most iron from foods avoid drinking coffee or tea or consuming calcium-rich foods (milk cheese and yogurt) with meals containing iron-rich foods. to improve absorption eat iron-rich foods along with a good source of vitamin c. for example orange juice broccoli or strawberries are rich in vitamin c. for more foods that are rich in iron follow this link.
Tags: heart, eyes, hemoglobin, iron, food
Question: are there dietary restrictions when on coumadin? if so can you be precise what they are.
Answer: the main dietary restriction for someone taking coumadin is paying attention to the vitamin k intake. most people can eat normally but be sure to not suddenly eat a lot more or a lot less of foods that are high in vitamin k than usual. vitamin k helps blood to clot so wounds do not bleed too much and sudden changes in vitamin k could keep coumadin from working well. here is a list of foods that are medium-high to high in vitamin k leafy green vegetables such as kale cabbage spinach turnip greens collard greens swiss chard mustard greens seaweed beet greens lettuce and endive canola and soybean oils brussels sprouts cauliflower broccoli asparagus liver (beef chicken or pork) parsley for more information read this article.
Question: why should i be careful ordering a hamburger?
Answer: where did all the quarter-pounders go? suddenly half-pound hamburgers are all you see on restaurant menus anymore. how is this a good thing? sure you could split the burger with someone but what are the odds that your meal companion is also going to want a burger? the other option is to cut it in half and take the other half home but you aren’t always going to be able to safely deliver the leftovers to your refrigerator within two hours. plus you probably don’t want to eat a hamburger two days in a row. sounds a little nutty but we actually played this out this scenario at the table a few weeks ago when my daughter wanted to order a hamburger in a restaurant that only offered half-pounders. we ended up telling the servers to make a quarter-pounder patty instead for her (still paid for the half pounder though). over the next few weeks we noticed that several other restaurants only offered half-pound burgers as well. i was hoping we were going in the opposite direction and eating smaller burgers not larger ones. share the monster burger and you would still be getting around 400 calories 23 grams of fat and 10 grams of saturated fat. perhaps it’s simply better to look for a more healthful menu option.
Tags: hamburger
Question: why is vitamin d good for me?
Answer: vitamin d is getting a lot of good press lately as a vitamin that benefits the body in ways we didn’t imagine 10 years ago. well add boosting brain function to that list of benefits according to research from the jean mayer usda human nutrition research center on aging at tufts university. how might vitamin d be related to brain function and the thought process? metabolic pathways for vitamin d have been found in the hippocampus and cerebellum areas of the brain — involved in planning processing and forming new memories. what happened in the tufts study? more than 1 000 participants ages 65 to 99 years were grouped by whether their vitamin d status was deficient insufficient or sufficient. the 35% of participants that had sufficient vitamin d levels had higher cognitive performance on the brain function tests compared to those in the deficient and insufficient categories — even after considering other variables that could also affect cognitive performance. where do you get vitamin d (other than sunlight exposure and supplements)? natural food sources: cod liver oil 1 tb—1360 iu oysters pacific 3. 5 oz—640 iu mackerel 3. 5 oz—360 iu fish (most types) 3. 5 oz—88 iu (average) eggs 1—26 iu beef chicken turkey pork 3. 5 oz—12 iu butter 1 tablespoon—8 iu cheese 2 ounces—8 iu yogurt 1 cup (if fortified milk is used)—4 iu fortified foods (various brands of each): milk soy milk breakfast cereals yogurt yogurt smoothies and drinks margarine no more than 10 000 iu each day is considered the maximum presently advised by professionals for the reason that quantity not to go over unless your doctor approved. the food and nutrition board's maximum of 2 000 iu every day is not really quite enough for some people to see the maximum benefit from vitamin d neither is it sufficient to maintain enough vitamin d amounts mainly in the wintertime since there is a lot less sunlight. using vitamin d supplements will help you get rid of vitamin d deficit.
Tags: vitamin d
Question: if an 8-year-old has a cold can she get the flumist vaccine?
Answer: flumist is a live intranasal vaccine for the flu. it is recommended for healthy individuals 2-49 years of age. flumist is a nice option for children as it avoids giving a shot but instead delivers the vaccine in a nasal spray format. a child can still receive flumist if she has a mild illness such as a cold. if the child has a moderate or severe illness where she really should be in the hospital then we would wait to give the vaccine until she feels better. it is so important for children 6 months of age and older to get a flu shot each year.
Question: what is the difference between oxycodone and hydrocodone?
Answer: oxycodone and hydrocodone are both opioid pain relievers. they are both extremely potent and are used for moderate to severe pain. oxycodone is stronger than hydrocodone. oxycodone is a c-ii controlled substance while hydrocodone is a c-iii controlled substance. a c-ii medication typically has more addictive potential than a c-iii medication. order / buy 100% safe pain relief pills medical marijuana cbd oils dabs numbutal more. for more info text (505) 807-7504 lisanblakeretailshop@gmail. com medical marijuana is good for your health top medical strains for all patients suffering from depression glaucoma anxiety and tension headaches chronic pain and nausea mental and physical fatigue and for calming aromatherapy then you are in the right place to look in our meds all top grade aa+ with high level of cbd and thc contact for your supply and good health. pain killers medical marijuana act. lean ***(( no prescribtion is needed))) bud seeds harsh oils dabs & other m. m treatments. we also sefely and securely deliver all sorts of generic medication and syrup nationwide at very good prices. no prescribtions needed. legit verified and reputed plug. available in the u. s canada australia and the uk and more. for more info text (505) 807-7504 lisanblakeretailshop@gmail. com. thank you. v
Question: why don’t men take better care of themselves?
Answer: the problem is when men are young they’re going to live forever nothing’s going to get in their way that’s why young guys do stupid things. because it’s not going to hurt them. why are teenagers promiscuous in the face of hiv hepatitis c and all those other diseases because it will happen to somebody else but it won’t happen to them and then as men get older they get into this pattern of reactive care. they don’t understand about proactive health care they don’t understand that that’s their body for life that they have to be in tune with their body and take care of it and if they do the quality of their life experience will be dramatically improved. but when they do these abusive things when they drink too much drugs overweight then that impacts on them. they don’t realize that that “never happening to me ” it will happen and then it’s just around the corner. and then it’s often too late. why is it too late? because they’ve had years of abusive behaviors. they’ve eaten the wrong foods they’ve had too much to drink they smoke hypertension diabetes liver disorders cholesterol problems. and those are the guys you know you read about people in their 40s and 50s who suddenly get a heart attack and die or have a massive stroke. it doesn’t make sense. sometimes it’s random bad luck but sometimes it’s things they’ve been doing all these years. unlike women who mentally society programs them to be into preventative health. they go to the ob-gyn young in life. they go to the doctor for checkups. women are the leaders in health care in this country almost all of the health care decisions are driven by women. i’m sure on webmd a lot of the women in fact on the men’s health message board a lot of times it’s women asking the questions. you want to wonder if it’s about blood in the semen or erection disorders or pain or lumps or bumps how come the guy isn’t there asking the question himself? and it’s because that’s not what guys do. guys will comment on it but i don’t know whether it’s fear or denial or maybe they don’t value themselves enough but the wives are the ones that go online and ask the questions. even on your message board. even on the men’s health message board. women are the ones asking the questions.
Question: a friend recommended taking ibuprofen and an acetaminophen together for my back pain. is it ok to mix them?
Answer: ibuprofen and acetaminophen are both pain relievers but they work in different ways. ibuprofen helps to relieve pain and inflammation but acetaminophen only relieves pain (it doesn’t help with inflammation). it is possible to use both medications together particularly in the short term to help relieve pain but you may not see too much of a benefit. there are also some potential risks with these medications. when taken in high doses and for a long period of time ibuprofen may cause stomach or kidney problems. acetaminophen has a risk for liver injury if too much is taken. if you find that you need both medications for a long time to relieve your pain then you should talk with your health care provider as you may need a stronger prescription medication to manage your pain. <link> try this if you have problems with pain in the joints back legs or neck this is the recipe for you! stop with the fake medications! they are making you addicted try natural remedies like this one that helped me the most!