anand-s/m_qalm huggingface dataset:
Question: Does alcohol trigger migraine headaches?
Answer: Drinking a small amount of alcohol may be good for you. This may lower the chance of bringing on a migraine.
Question: How can you tell if alcohol triggers your migraine headaches?
Answer: Alcohol can cause two different types of migraine headaches. Each time you drink, write down the type of alcohol you have, the amount, and if and when you had a migraine. Include how you felt the prior 48 hours as well as any stress or anxiety you were under at the time. Over time, you should be able to see a pattern. A migraine each time you have a night out should be good reason to abstain. You can also try to: Have alcohol with a meal.
Question: What chemical in alcohol can trigger migraine?
Answer: And for about one-third of people who have these headaches, alcohol is also a trigger. Once it gets into your system, it is converted into a chemical that triggers migraine. Ethanol is also a natural diuretic. That means it makes you pee more than normal. All of these things can set you up for a migraine. You might have heard that red wine is most likely to cause problems. But other drinks like sparkling wine, beer, and hard liquor may be just as likely, if not more, to cause problems.
Question: How can alcohol trigger a migraine?
Answer: But if you're prone to migraine headaches, drinking even a small amount of alcohol can bring on an attack. And for about one-third of people who have these headaches, alcohol is also a trigger. Many things are probably at play. For instance, alcohol byproducts called congeners have been linked to headaches. Dark-colored alcohols like red wine, brandy, and whiskey may contain more of them. Once it gets into your system, it is converted into a chemical that triggers migraine.
Question: What are the cons of gastric banding surgery?
Answer: The Cons: Your weight loss may be less dramatic than with gastric bypass. The average loss is 40% to 50% of your excess weight -- although not in everybody. You may regain some of the weight over the years. This type of surgery has a higher rate of re-operation.
Question: How much weight will I lose after gastric banding or bypass surgery?
Answer: Blood clots in the legs, called deep vein thrombosis, or DVT Pneumonia After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.
Question: What are complications that may develop from weight loss surgery?
Answer: Complications that may develop following weight loss surgery include: Hernia Gallstones Ulcerations Gastric prolapse Severe scarring of the new stomach pouch Excess skin that may need to be removed in an additional surgery Dehydration Hair loss Kidney stones Hypoglycemia Rare but serious complications include: Bleeding in the stool, or black stools Leaks in new connections made by weight loss surgery; these usually occur within five days of surgery.
Question: What are rare but serious complications that may develop from weight loss surgery?
Answer: Complications that may develop following weight loss surgery include: Hernia Gallstones Ulcerations Gastric prolapse Severe scarring of the new stomach pouch Excess skin that may need to be removed in an additional surgery Dehydration Hair loss Kidney stones Hypoglycemia Rare but serious complications include: Bleeding in the stool, or black stools Leaks in new connections made by weight loss surgery; these usually occur within five days of surgery. Blood clots in the lungs, called pulmonary emboli, rarely occur, but if they do, they are the most common cause of death after weight loss surgery. Blood clots can be usually prevented with blood thinning medicines and frequent activity. Blood clots in the legs, called deep vein thrombosis, or DVT Pneumonia After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight.
Question: When should I decide to get weight loss surgery?
Answer: Don't rush into weight loss surgery. Talk to family and friends. Talk to surgeons and to people at the hospital centers. Prepare yourself mentally and physically. Make sure you are committed to changing your lifestyle and to keeping the weight off forever.
Question: What are the pros of gastric bypass surgery?
Answer: Gastric Bypass Surgery The Pros: Weight loss is quick and dramatic. People lose an average of 60% to 80% of their excess body weight. Because weight loss is quick, weight-related health problems such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn improve quickly. Most people are able to keep at least 50% of the excess weight off long term. Loss of stomach tissue results in a drop in the so-called "hunger hormone" (ghrelin), which helps control appetite.
Question: Who should consider having weight loss surgery?
Answer: Weight loss surgery is not for everyone. Doctors generally recommend it only for people who: Have a body mass index ( BMI) of 40 or more -- about 100 pounds overweight for men and 80 for women Have a lower BMI (35 to 40), but also have serious health problems related to obesity such as heart disease, type 2 diabetes, high cholesterol, or severe sleep apnea Have tried and failed to lose weight by nonsurgical means such as diet and exercise Fully understand the risks associated with weight loss surgery and are motivated There are two basic types of weight loss surgery -- restrictive surgeries and malabsorptive surgeries.
Question: Can you regain weight after weight loss surgery?
Answer: Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.
Question: What is the cost of weight loss surgery and will insurance cover it?
Answer: A typical weight loss surgery can run from $15,000 to $25,000 -- so insurance coverage is critical for most people. Every insurance company is different, but before agreeing to cover the surgery, most insurance companies want documentation of the patient's struggle with obesity. They want a primary care doctor's records indicating that the patient has tried to lose weight through diet, exercise, and psychological counseling. Also, medical causes of obesity must be ruled out. It pays to ensure that your doctor documents your efforts early on, so surgery is an option later.
Question: What are questions to consider when choosing a bariatric surgeon?
Answer: Here are some questions to consider when choosing a bariatric surgeon: Is the specialist board certified by the American Board of Surgery? Is the specialist a member of the American Society of Bariatric Surgeons? How many weight loss surgeries has the surgeon performed? (100 or more is ideal.) How many of the surgeon's patients have died from weight loss surgery? ( Less than 1% is the average.) How often do patients have complications? What side effects are most common? What is the surgeon's success rate?
Question: Will I feel like myself after I lose weight?
Answer: You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.
Question: Are there educational seminars for people considering weight loss surgery?
Answer: Check into centers and hospitals offering educational seminars for people considering weight loss surgery. You can learn more about the actual procedure, the benefits and the risks. You may also get names of specialists who perform these surgeries. Go to these seminars and ask questions.
Question: What are the cons of gastric bypass surgery?
Answer: The Cons: Your weight loss may be less dramatic than with gastric bypass. The surgery may result in vitamin and mineral deficiencies. The surgery may result in dumping syndrome, which occurs when food moves too quickly through the stomach and intestines. Dumping syndrome can cause shaking, sweating, dizziness, nausea, and severe diarrhea. Gastric bypass is generally considered irreversible. The surgery permanently changes how your body digests food.
Question: How can you make nutrition a priority after weight loss surgery?
Answer: Should this occur, additional surgery may be necessary. You must make the foods you eat count. You must also take the right supplements, as recommended by your health care provider, because serious malnutrition occurs easily following weight loss surgery. A dietitian can create a diet and nutrition plan designed to meet your needs.
Question: What are malabsorptive surgeries for weight loss?
Answer: Restrictive surgeries (like adjustable gastric banding) work by physically restricting the stomach's size, limiting the amount of solid food you can eat. The surgeon removes parts of your intestine, creating a shortcut for the food to be digested. This means that fewer calories get absorbed into the body. The combined malabsorptive/restrictive surgery also creates a smaller stomach pouch, which restricts the amount of food you can eat.
Question: How should you eat after weight loss surgery?
Answer: Most people are able to keep at least 50% of the excess weight off long term. Eat small amounts of food slowly, chew well, and eat lots of protein.
Question: How will my physical appearance change after weight loss surgery?
Answer: However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin. People will notice, and ask you about your appearance.
Question: What are restrictive surgeries for weight loss?
Answer: After weight loss surgery, a stomach may only hold one ounce of food, although over time it may be able to hold two or three ounces of food. The combined malabsorptive/restrictive surgery also creates a smaller stomach pouch, which restricts the amount of food you can eat.
Question: Will my social life and relationships change after weight loss surgery?
Answer: For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food. Also, as you lose weight, the results will be obvious. People will notice, and ask you about your appearance. Prepare for these questions ahead of time -- and consider how you want to answer them. Talk to family and friends.
Question: What are the pros of gastric banding surgery?
Answer: Gastric Banding Surgery The Pros: Gastric banding is often a minimally invasive surgery performed with small incisions, a laparoscope (a tiny camera), and special instruments. There is no need to cut into the stomach or intestine, and recovery is usually faster than with gastric bypass surgery. The surgery can be reversed by surgically removing the band. The band can be tightened or loosened in the doctor's office to control weight loss and nutritional needs. Serious complications are uncommon. But gastric bands can slip out of place, become too loose, or leak. Should this occur, additional surgery may be necessary.
Question: How does weight loss surgery affect overall health?
Answer: Because weight loss is quick, weight-related health problems such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn improve quickly. These include: Obstructive sleep apnea Type 2 diabetes Gastroesophageal reflux disease ( GERD) High cholesterol Degenerative joint disease or orthopedic problems High blood pressure Asthma Urinary incontinence After weight loss surgery, the body has difficulty absorbing certain important nutrients, including: Iron Vitamin B-12 Folate Calcium Vitamin D However, taking a daily multivitamin, plus other supplements, can prevent or reduce these deficiencies.
Question: What is Simponi and how does it treat rheumatoid arthritis?
Answer: They should check you for infections while you're taking it, too, Golimumab ( Simponi, Simponi Aria): These biologics target tumor necrosis factor ( TNF). You'll take Simponi as a monthly shot and Simponi Aria every 8 weeks by IV.
Question: What is Erelzi and how is it used to treat rheumatoid arthritis?
Answer: Etanercept ( Enbrel), etanercept-szzs ( Erelzi): This medication targets tumor necrosis factor ( TNF).
Question: Can different biologic therapies be taken together at the same time?
Answer: As a general rule, you shouldn't take different biologic therapies at the same time.
Question: What are the side effects of Enbrel used to treat rheumatoid arthritis?
Answer: The most common are pain and rash at the injection site.
Question: What are the most common side effects of rheumatoid arthritis?
Answer: The most common side effects are a cold, sinus infection, a headache, high blood pressure, or liver problems.
Question: How is Erelzi used to treat rheumatoid arthritis (RA)?
Answer: Etanercept ( Enbrel), etanercept-szzs ( Erelzi): This medication targets tumor necrosis factor ( TNF).
Question: Are biologics used before surgery for rheumatoid arthritis?
Answer: You can start again when your wounds have healed and your chance of getting an infection has passed.
Question: What is Remicade?
Answer: Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF).
Question: Are biologics more expensive than other treatments for rheumatoid arthritis?
Answer: Drugmakers have to prove they're just as safe and effective as the original and that they work the same way.
Question: What are the side effects of Kineret?
Answer: The most common are pain and rash at the injection site.
Question: What are the most common side effects of Humira?
Answer: The most common are pain and rash at the injection site.
Question: What is the general rule for taking biologics for rheumatoid arthritis (RA)?
Answer: As a general rule, you shouldn't take different biologic therapies at the same time.
Question: What are the most common side effects of Remicade?
Answer: The most common side effects are colds, a sinus infection, headache, and rash.
Question: What is Actemra and how does it treat rheumatoid arthritis?
Answer: Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). Tocilizumab ( Actemra): This medication targets interleukin-6 ( IL-6). Or you can get shots every week or every other week.
Question: What is Enbrel and how is it used to treat rheumatoid arthritis?
Answer: You get it in a shot every week or by IV once a month. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). You take it as an infusion by IV.
Question: What is Humira and how is it used to treat rheumatoid arthritis?
Answer: You get them as a shot once every 2 weeks. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). You take it as an infusion by IV.
Question: How is Inflectra used to treat rheumatoid arthritis (RA)?
Answer: Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). You take it as a shot every 2-4 weeks. You take it as an infusion by IV. Your first two infusions will be 2 weeks apart.
Question: How do biologics treat rheumatoid arthritis (RA)?
Answer: Biologics are genetically engineered proteins made from human genes. Unlike other RA medications that affect your entire immune system, biologics zero in on specific parts that control the inflammation process. Aggressive treatment can help prevent long-term disability from rheumatoid arthritis. You might take it alone or along with other rheumatoid arthritis medications. The FDA has approved these medications to treat rheumatoid arthritis. You can start again when your wounds have healed and your chance of getting an infection has passed.
Question: What are the side effects of biologics?
Answer: Like generic medications, they cost less than the original. Before you start taking it, your doctor should test you for infections like tuberculosis and hepatitis. They should check you for infections while you're taking it, too. The most common are pain and rash at the injection site. Biologics can cause allergic reactions. Reaction symptoms include flu-like illness, fever, chills, nausea, and headache. As with any drugs that suppress your immune system, biologics can make you more likely to get infections and other diseases. See the doctor ASAP if you have a fever or unexplained symptoms. You may need to get vaccinations to prevent infections before you start a biologic. Biologics may cause some dormant chronic diseases (like tuberculosis) to flare.
Question: How is Humira used to treat rheumatoid arthritis (RA)?
Answer: You get them as a shot once every 2 weeks. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). The most common are pain and rash at the injection site. Your doctor will give you a skin or blood test for tuberculosis before you start a biologic.
Question: How are biologic medications given to patients with rheumatoid arthritis?
Answer: You take it by IV. You take it as an infusion by IV.
Question: What is Amjevita and how does it treat rheumatoid arthritis?
Answer: You might take it alone or along with other rheumatoid arthritis medications. Adalimumab ( Humira), adalimumab-adbm ( Cyltezo), adalimumab-atto ( Amjevita): These medications target tumor necrosis factor ( TNF). The most common side effects are reactions to the infusion, chills, infections, body aches, tiredness, and a low white blood cell count.
Question: How is Simponi or Simponi Aria used to treat rheumatoid arthritis (RA)?
Answer: They should check you for infections while you're taking it, too, Golimumab ( Simponi, Simponi Aria): These biologics target tumor necrosis factor ( TNF). You'll take Simponi as a monthly shot and Simponi Aria every 8 weeks by IV. The most common side effects are a cold, sinus infection, headache, high blood pressure, and liver problems.
Question: How is Amjevita used to treat rheumatoid arthritis (RA)?
Answer: You might take it alone or along with other rheumatoid arthritis medications. The most common side effects include headache, a cold, a sore throat, and nausea. Adalimumab ( Humira), adalimumab-adbm ( Cyltezo), adalimumab-atto ( Amjevita): These medications target tumor necrosis factor ( TNF). The most common are pain and rash at the injection site.
Question: What should you consider when using biologics to treat rheumatoid arthritis (RA)?
Answer: As with any drugs that suppress your immune system, biologics can make you more likely to get infections and other diseases. Your doctor will tell you to stop your biologic before surgery.
Question: How is Enbrel used to treat rheumatoid arthritis (RA)?
Answer: You get it in a shot every week or by IV once a month. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). The most common are pain and rash at the injection site.
Question: What biologics are approved to treat rheumatoid arthritis?
Answer: Abatacept ( Orencia) Adalimumab ( Humira), Adalimumab-adbm ( Cyltezo), Adalimumab-atto ( Amjevita) Anakinra ( Kineret) Certolizumab ( Cimzia) Etanercept ( Enbrel), Etanercept-szzs ( Erelzi) Golimumab ( Simponi, Simponi Aria) Infliximab ( Remicade), Infliximab-abda ( Renflexis), Infliximab-dyyb ( Inflectra) Rituximab ( Rituxan) Tocilizumab ( Actemra) Tofacitinib ( Xeljanz) There are several. The FDA has approved these medications to treat rheumatoid arthritis.
Question: How is Actemra used to treat rheumatoid arthritis (RA)?
Answer: The FDA has approved these medications to treat rheumatoid arthritis. You'll take Simponi as a monthly shot and Simponi Aria every 8 weeks by IV. Your first two infusions will be 2 weeks apart. Tocilizumab ( Actemra): This medication targets interleukin-6 ( IL-6). The most common side effects are a cold, sinus infection, a headache, high blood pressure, or liver problems.
Question: Is it important to meet with my doctor regularly if I have rheumatoid arthritis?
Answer: As with any drugs that suppress your immune system, biologics can make you more likely to get infections and other diseases. Your doctor will tell you to stop your biologic before surgery.
Question: What are the side effects of biologics for treating rheumatoid arthritis (RA)?
Answer: Like generic medications, they cost less than the original. Before you start taking it, your doctor should test you for infections like tuberculosis and hepatitis. They should check you for infections while you're taking it, too. The most common are pain and rash at the injection site. Biologics can cause allergic reactions. Reaction symptoms include flu-like illness, fever, chills, nausea, and headache. As with any drugs that suppress your immune system, biologics can make you more likely to get infections and other diseases. See the doctor ASAP if you have a fever or unexplained symptoms. You may need to get vaccinations to prevent infections before you start a biologic. Biologics may cause some dormant chronic diseases (like tuberculosis) to flare.
Question: How is Orencia used to treat rheumatoid arthritis (RA)?
Answer: They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The most common side effects are respiratory infections (like sinus infections and a sore throat), headache, coughing, and stomach pain. You take it as an infusion by IV.
Question: What is Orencia and how is it used to treat rheumatoid arthritis?
Answer: They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The most common side effects are respiratory infections (like sinus infections and a sore throat), headache, coughing, and stomach pain. You take it as an infusion by IV.
Question: What are the most common side effects of Amjevita?
Answer: The most common side effects include headache, a cold, a sore throat, and nausea. The most common are pain and rash at the injection site.
Question: What is Rituxan and how is it used to treat rheumatoid arthritis?
Answer: They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The FDA has approved these medications to treat rheumatoid arthritis. Your first two infusions will be 2 weeks apart. You can repeat the infusions every 6 months.
Question: Do biologics slow the progression of rheumatoid arthritis?
Answer: Aggressive treatment can help prevent long-term disability from rheumatoid arthritis. You can start again when your wounds have healed and your chance of getting an infection has passed.
Question: What is Cimzia and how is it used to treat rheumatoid arthritis?
Answer: Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). Your doctor will decide on the dose and how often you should take it. You can take it by IV once a month.
Question: How is Rituxan used to treat rheumatoid arthritis (RA)?
Answer: They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The FDA has approved these medications to treat rheumatoid arthritis. Your first two infusions will be 2 weeks apart. You can repeat the infusions every 6 months. The most common side effects are reactions to the infusion, chills, infections, body aches, tiredness, and a low white blood cell count.
Question: What is Kineret and how is it used to treat rheumatoid arthritis?
Answer: You might take a biologic alone or with another arthritis drug. Anakinra ( Kineret): This medicine targets interleukin-1 ( IL-1).