Проконсультируйтесь с врачом. Проверьте свой уровень аммиака. Примите лактулозу. Уймите побочные эффекты.

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Most people that know they need to lower their ammonia levels find this out from their doctors. This problem is usually associated with another health problem, so controlling your ammonia levels will be part of an overall treatment plan. High ammonia levels are a common symptom of advanced liver disease, known as cirrhosis, Reye's syndrome, and severe cases of hepatitis. If you have one of these diseases, it is likely that you will need to work on reducing your ammonia levels. Before taking medication for high levels of ammonia, you need to verify the problem. Ammonia tests measure the amount of ammonia in the blood, so a blood sample will be required.  Normal ammonia levels range from 15 to 45 µ/dL (11 to 32 µmol/L).  Ammonia levels temporarily rise after exercise, especially strenuous and long-lasting exercise like long-distance running.  Because of this, you should avoid exercise of all kinds as well as smoking before the test. Lactulose is a constipation medication that is used to treat high levels of ammonia in the blood. Lactulose works by removing ammonia from the blood and moving it into the colon. Once in the colon, the ammonia is eliminated from the body when you go to the bathroom.  Follow your doctor's instructions for timing and dosage amount for ammonia removal. Typically, 2–3 tablespoons (30–45 mL) of Lactulose are taken 3 to 4 times a day.  Lactulose is a liquid typically taken by mouth. However, if you have extremely high levels of ammonia and are hospitalized, it may be administered with an enema directly into the digestive system.  Lactulose is the only medication used to lower ammonia levels in the body. However, it is sold under a variety of brand names, including  Duphalac, Enulose, Generlac, Constulose, and Kristalose. While Lactulose does reduce ammonia in the blood, it also causes several side effects, including diarrhea, gas, and nausea. It was developed to treat constipation, so it pulls water out of the body and into the stool. This causes loose stools and other digestive...


Проконсультируйтесь с врачом. Проконсультируйтесь с дерматологом. Проконсультируйтесь с фармацевтом.

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Dermatitis is the most common type of skin inflammation, and is also known as a rash. Rashes are a swelling or irritation of the skin, and can be itchy, blistered, or bumpy. A lot of times, you can treat rashes at home, but if your rash appears frequently or lasts more than two days, it is time to consult your physician. If your rash is so uncomfortable that you are constantly distracted, contact your doctor right away.  Dermatitis is not contagious. When you call your doctor's office be sure to describe your symptoms in detail, especially any vomiting or fever. Be sure to mention if you have been exposed to a new environment, new foods or new products, such as soaps or lotions. If your doctor cannot see you within a day or so, you can try going to a walk-in clinic. Many pharmacies offer in store clinics. A doctor or nurse practitioner can examine your skin and help you figure out a treatment plan. If you have a chronic (recurring or persistent) case of skin inflammation, it is probably time to visit a dermatologist. A dermatologist is a doctor specializing in treatment of the skin. They can help you figure out the underlying cause of your skin issue and prescribe any necessary medication.  Ask your primary care physician to recommend a dermatologist that they trust. Make sure your insurance plan covers the dermatologist that you choose. There are many over-the-counter medications that can help heal your skin inflammation; however, it can be overwhelming to try to select the product that will be most beneficial to your individual problem. Your local pharmacist is a great resource. They are familiar with the active ingredients in many products, so ask for advice on which one to purchase.  Remember that a pharmacist is a medical professional. Don't be afraid to describe your rash in detail and describe your symptoms. You can also ask the pharmacist to recommend a generic alternative to some of the name brand products. You'll get the same health benefits and save some money.


Проконсультируйтесь с врачом. Регулярные физические упражнения помогают снизить кровяное давление. Чтобы снизить давление, измените режим питания. Если у вас пониженное давление, вам необходимо внести другие изменения в режим питания.

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If you have any concerns about your blood pressure level, you should contact and consult your physician. Your physician will be able to make recommendations about how you can improve your blood pressure or treat high or low blood pressure.  If your blood pressure is high, your doctor will probably prescribe blood pressure lowering medication. Your doctor may recommend a diet or exercise routine. One of the best ways to improve your blood pressure is to exercise regularly. By exercising regularly, you’ll improve your cardiovascular system and get your heart in better shape.  Focus on cardio activities like cycling, running, or power walking. Make sure not to overexert yourself. Consult your doctor before adopting any serious exercise regimen, especially if you have blood pressure problems. If you struggle with high blood pressure, you can make certain modifications to your diet to help.  Lower your sodium intake. Make sure to keep your sodium intake below 2,300 milligrams a day. Eat six to eight servings a day of whole grains. Whole grains have a lot of fiber and can help lower your blood pressure. Eat four to five servings of fruits and vegetables a day to lower your blood pressure. Eliminate fatty meats and limit dairy consumption to lower your blood pressure. For lower blood pressure, limit your sugar intake to five servings a week or less. Make a few adjustments to your diet to help raise your blood pressure into a healthy range.  Increase your sodium intake, if your blood pressure is low. Try to consume at least 2,000 milligrams of sodium per day. Drink more water if your blood pressure is low.


Проконсультируйтесь с врачом. Реже смачивайте ногти. Ежедневно увлажняйте ногти. Реже используйте лак для ногтей и накладные ногти. Укрепляйте ногти

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Chronic split nails could be the result of an underlying medical condition like a fungus or vitamin deficiencies. If you experience chronic broken nails, let your doctor know. They can look for underlying problems and prescribe medical treatment as necessary. Going back and forth between wet and dry can make your nails extra brittle. Minimize the number of times you get your nails wet and then dry by making sure you wear waterproof foot gear on days with rain or snow. However, soaking nails for 15 minutes a day, patting them dry, then applying a moisturizer (e.g., an emollient such as organic lotion or petroleum jelly) can add moisture to the nail. Use foot cream, cuticle cream, or petroleum jelly on the area around your nails to keep them hydrated. Apply a treatment at least once a day and allow it to soak in completely to keep your nails from getting brittle and splitting. Keep your nails extra moist by keeping some foot cream by the sink and moisturizing them every time you get out of the shower. The process of applying and removing both nail cover such as polish, wraps, and decals, as well as fake nails can be harsh on your toes. Minimize how often you apply beauty products to your nails and allow them to grow naturally. naturally. Soak your nails in oil, like coconut, argan, or tea tree oil, for about 10 minutes once a week. This will add moisture and reduce brittleness. You can also take a supplement containing biotin to strengthen your nails. Avoid nail hardening agents. They may offer some benefits, but they often contain ingredients like formaldehyde that do more harm than good.


Проконсультируйтесь с врачом. Сдайте необходимые анализы и получите диагноз. Принимайте препараты. Используйте леденцы или спрей. Используйте капсаициновую мазь, чтобы успокоить язык. Используйте анестезирующую жидкость для полоскания рта.

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If you are experiencing a sore tongue and home remedies don’t help, consult your doctor. He/She will help identify the cause of your pain and the right kind of treatment for you.  A sore tongue can have many causes including fungal, viral, or bacterial infections of the mouth, nutritional deficiencies, ill-fitting dentures, teeth grinding or over brushing your tongue, allergies, stress, or anxiety. A sore tongue may also be the result of burning mouth syndrome.  You may not notice any physical changes to your tongue or mouth with a medical condition. Or, you may experience common signs of irritation or infection, such as the white plaque coating the tongue in oral thrush, bumps, ulcers, or a burning sensation. If you’re experiencing a sore tongue or the symptoms of burning tongue syndrome, your doctor may order tests to determine the cause of your pain. Tests often can’t determine the cause of a sore tongue, but your doctor will help develop the best treatment plan for you.  Your doctor may use different diagnostic tools to determine the cause of your sore tongue. These include blood tests, oral cultures, a biopsy, allergy tests, and stomach acid tests. She may also give you a psychological questionnaire to rule out whether your sore tongue is related to anxiety, depression or stress.  Your doctor may also tell you to discontinue certain medications to rule them out as a cause of your sore tongue. Depending on the outcome of your tests, your doctor may prescribe medication to help alleviate the condition causing your sore tongue. If the tests can’t find a cause, she may also prescribe medication or home treatments to relieve the pain and discomfort.  Three medications commonly prescribed for a sore tongue are amitriptyline, amisulpride, and olanzapine. These drugs work by blocking the action of gamma-butyric acid, which may be responsible for the pain or burning sensation in the tongue.  Your doctor may also advise that you take an over the counter pain reliever to help relieve the discomfort of a sore...


Проконсультируйтесь с врачом. Смазывайте прямую кишку небольшим количеством минерального масла. Принимайте препараты, размягчающие каловые массы. Принимайте слабительные осмотического действия. Принимайте стимулирующие слабительные. Сделайте необходимые процедуры для удаления каловых масс.

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Some prescription medications can cause constipation, such as opioid pain relievers. Your doctor may recommend changing your medication or adding a laxative to counter constipation. Your doctor may recommend either over-the-counter medicines or prescribe something stronger. See your doctor right away if you have:  Rectal bleeding Severe weight loss Fatigue Severe abdominal pain Consult your doctor to determine what the right dose is for you.  Wait at least two hours after eating because it may prevent you from fully absorbing the nutrients. It will work within the next six to eight hours. Do not take it while lying in bed, because if you accidentally inhale some of it, it can cause pneumonia in your lungs. For this reason, do not give it to children younger than seven. Do not take mineral oil if you are pregnant, as it may prevent the uptake of nutrients and cause bleeding in the newborn if taken for a long time. These medications take moisture out of the intestines and use it to make your stool wetter.  Common ones include Colace and Surfak. Drink an extra few glasses to water each day when you take them. These medications work by generating more liquid in your intestines. This will also stimulate your intestines to contract and move stool along, though it may take a few days. Common ones include:  Milk of magnesia Magnesium citrate Lactulose Polyethylene glycol (MiraLax) These are useful if your stool is soft enough to pass, but your intestines aren’t contracting to move it through. These medications stimulate contractions and should work within 12 hours. Common ones are:  Senna Bisacodyl Sodium Picosulphate If your rectum is blocked with hard, dry stool, you can get relief from a suppository, enema, or manual disimpaction.  A suppository is a capsule of medication that you put in your anus where it dissolves and is absorbed. An enema is a liquid medication that is introduced into the large intestine via the anus. This should be done by the doctor. Manual disimpaction requires your doctor or nurse to put on...


Проконсультируйтесь с врачом. Составьте план питания. Посетите супермаркет. Приобретите соответствующий кухонный инвентарь.

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Your doctor will be able to provide you with specific information regarding what restrictions you have with foods and what texture foods you need to consume (soft and mushy vs pureed liquids).  Your doctor should also provide you with a timeline of how long you need to follow a modified diet.  Ask your doctor to specify exactly what you can and cannot eat.  It's better to be very clear and get too much information than eat something that could cause pain or further injury. Also ask if you're at risk for any nutrient deficiencies or if there are types of foods or groups of foods that you should be consuming daily or completely avoiding. It may also be beneficial to see a registered dietitian or nutritionist.  These nutrition experts will be able to tailor a diet specifically for your issue and give you examples of types of foods or create a meal plan that's appropriate for you. Ask your doctor for a recommendation. Having a meal plan to follow will be helpful while you're consuming a modified or restricted diet.  It can help take the guesswork out of daily meal planning and give you the frame work for an appropriate diet.  Write up a week's worth of meals and snacks that are appropriate for your situation.  You may need to get creative with different recipes — especially if you're going to be on a modified diet for longer periods of time. Sample meals for a soft diet can include:  oatmeal for breakfast, beef stew for lunch and meatloaf with gravy and well-steamed broccoli for dinner. Sample meals for a liquid or pureed diet can include:  yogurt with pureed peaches for breakfast, a green smoothie (with milk, frozen fruit, spinach, and protein powder) for lunch, and black bean soup for dinner. Your doctor may have a sample meal plan on hand.  Ask to see if you could have a copy to take home to mimic or start you off for a few days. After you write up your meal plan and talk to your doctor, take a trip to the grocery store to stock up on appropriate foods for your diet.  Having the right foods on hand will make...


Проконсультируйтесь с врачом. Ставьте реальные цели. Предусмотрите для себя поощрения. Предусмотрите изменения в образе жизни.

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Working with your doctor you can find out exactly how much weight you should be aiming to lose.  In addition, your doctor will review any medications or current health conditions you have and determine the safety of weight loss for you.  Your doctor can also help you determine whether you're physically capable of strenuous exercises and workouts. He may also be able to give you some basic tips on calorie counting and decide what will work best for you. Whenever you're starting any weight loss program (commercial or your own), it's important to start by setting realistic goals for yourself.  This will help you determine what type of diet, the length and whether or not you'll need to include physical activity. Goals that are too large or lofty usually lead to discouragement and may cause you to give up. Put a plan on your calendar to motivate you.  In general, it's not recommended to lose more than about one to two pounds per week.  This is considered safe, realistic, and sustainable weight loss. Diets that promise faster or more weight loss may not be safe and are generally not sustainable for long periods of time. Focus on smaller, more attainable goals. If you have a lot of weight to lose, you may want to set multiple goals for yourself.  You can have one long-term goal and a few little goals prior to it.  For example:  Lose 30 pounds in six months as a long-term goal.  Short term goals may include:  Lose five pounds in two weeks, 10 pounds in four to five weeks, etc. Buy or make your own calendar to track your goals.  Circle the day you plan to start and end your weight loss program. This way, you'll have a specific deadline to meet which will give you a path to follow. You can also denote what days you're going to exercise by marking it on your calendar as well. Post your calendar in a spot where you'll always see it and don't forget to do what it says. If it says you have to do cardio, do it. Setting up exciting rewards may help you stay motivated throughout your weight loss program. Ensure that these...


Проконсультируйтесь с врачом. Узнайте насчет средств от тошноты. Попросите врача назначить вам подходящие поливитамины.

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You need to work with your dialysis team regularly.  Those health professionals will be able to help you manage your health, diet and weight gain.  Typically, dialysis teams are made up of a qualified nephrologist, dietician, and social worker. Regarding matters of weight gain and diet, your dietitian is the most important person to consult. He or she has been educated about renal failure and can teach you more about the best foods to eat for your new dietary needs. Your nephrologist is the doctor who specializes in your kidney health. You will need to work closely with him or her throughout your treatment and consult him or her on every aspect of your disease and recovery, including your diet. A social worker who works at the dialysis center might be able to provide you with dialysis cookbooks and recipes. He or she can also get in touch with agencies that will help you get the food you need if finances are an issue for you. Dialysis can sometimes cause severe nausea.  Many times this is a big reason behind your weight loss and difficulty reaching or maintaining a healthy weight.  Consult your nephrologist and ask for a prescription anti-nausea medication.  Taking these regularly may help you eat more regular meals and feel more motivated to eat. If you're feeling nauseous make sure to tell your dialysis team.  Also try to keep something in your stomach.  Items like saltine crackers can help calm your stomach. Over-the-counter medications can be risky if you do not clear them with your doctor first. Metoclopramide and ondansetron are two different types of anti-emetic medications that may help with your nausea. Talk to your doctor about these medications. To help address your nutritional needs, your nephrologist might recommend the use of a special multivitamin for improved renal health.  This will be especially helpful if you're not eating well or have little appetite.  Renal vitamins are designed for patients with CKD, ESRD and/or are on dialysis.  They are a safe form that will not cause any harm to your...


Проконсультируйтесь с врачом. Узнайте у врача о возможных вариантах проведения операции. Обязательно узнайте все о рисках операции. Проанализируйте свое решение о хирургическом вмешательстве. Сама операция и период восстановления после операции.

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Before you commit to undergoing any type of surgery to make your boobs bigger, speak to your doctor or a plastic surgeon. She can inform you of the risks and benefits of surgical procedures.  Tell your doctor your goals for the surgery to help you develop realistic expectations for the procedure.  Ask questions you have about the surgery, risks, complications, and after-care.  Answer any questions the doctor has for you about your expectations and medical history. There are a couple of different types of surgical augmentation for boobs. Learning about them can help you and your doctor make the right decision for you. You can have the following types of breast augmentation:  Silicone implants, which are pre-filled and placed under the breast tissue and mimic the feel of human fat. Silicone implants are available to any woman over the age of 22 and any woman of any age for breast reconstruction.  Saline implants, which are also placed under the breast tissue but are not pre-filled. Once in place, they’re filled with sterile salt water. Saline implants are available to any woman over 18 and anyone for breast reconstruction.  Fat grafting, which takes fat from another part of the body such as the thigh, and then injected into your breasts. It can take 4-6 sessions to achieve the results you want with fat grafting. No surgery is risk-free, and breast augmentation can come with significant risk. Learning about these risks can help you decide if surgery is the right decision for you. Some of the risks include:  Development of scar tissue that can distort the shape of your implant and breast Pain Infection Changes in sensation to the nipples and breasts Leakage or rupture of the implant.  Reabsorption of injected fat cells and loss of breast volume over time Stimulation of dormant breast cancer cells by injecting fat cells Necrosis, or dying, of some of the breast tissue. After speaking to your doctor and learning about the risks, make a decision about having surgery. Read any documentation related to the surgery and...


Проконсультируйтесь с врачом. Употребляйте меньше углеводов. Увеличьте потребление белка. Создайте недостаток калорий. Снизьте потребление сахара. Откажитесь от спиртного

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Speak to your doctor prior to starting any new diet or physical activity plan.  They will be able to tell you if your plan is safe and appropriate for you. Typically, excess belly fat is associated with many chronic health conditions like diabetes or heart disease. This makes it even more important to inform your doctor of your plan and make sure it's safe for your specific health conditions. Studies have shown that carbohydrate-rich foods can cause an increase in belly fat and waist circumference. Reduce the amount of these foods in your diet to help you lose weight and decrease the amount of belly fat.Your diet should consist of mostly lean proteins, vegetables, fruits, and low-fat dairy.   Limit your intake of empty carbohydrates like bread, rice, crackers or pasta. These foods aren't necessarily unhealthy, especially if they're whole grain foods, however they are not considered nutrient-dense foods. If you're going to eat a carbohydrate-rich food, choose 100% whole grains. These foods are higher in fiber and some nutrients and are considered a healthier choice. Make sure, too, you pay attention to portions one portion of pasta or rice should be half a cup or 125 ml. Whole grain foods include: brown rice, 100% whole wheat bread and pasta, barley or quinoa. Protein-based foods can help men lose weight, reduce belly fat and maintain lean muscle mass.  Consuming adequate amounts of protein will also help keep you feeling satisfied longer.  To lose fat, protein should make up about 20 to 25% of your daily calories. For instance, if you're eating 1,600 calories a day you need 80 to 100 grams of protein; if you're eating 1,200 calories a day, you need 60 to 75 grams of protein per day.  Lean proteins include: lentils, skinless chicken, turkey, eggs, low-fat dairy, seafood, pork, lean beef and tofu. These provide you with the energy you need and help keep you full without piling on unnecessary calories. Lower your total daily calories to help you lose weight. You can do this in several ways. Try cutting down on...


Проконсультируйтесь с врачом. Учтите все обстоятельства. Не прокалывайте волдырь, который возник в результате солнечного или другого ожога. Не трогайте волдырь.

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Doctors usually caution against popping a blister because that blister is technically padding an area of damaged skin underneath and covering a sterile environment. Popping the blister opens up your skin to infection. Ask yourself if you should pop this blister in this circumstance.  Where is your blister located? Popping a blister on your foot is generally safer than popping a cold sore on your lip or inside your mouth. Cold sores and blisters inside your mouth should be evaluated by a doctor. Does it look infected? If your blister has yellowish pus oozing from it, it is likely infected and you should see a doctor.  Is the blister interfering with your daily life, such as preventing you from walking? If the answer is yes, and you can safely pop it, this might be the right circumstance. If you have sunburn blisters, this is a second-degree burn and is severe enough that you should see a doctor. Do not pop sunburn blisters – they are protecting the skin underneath as it regenerates after the burn. See a doctor for treatment and protect your skin from the sun while it heals. Second degree burns such as those that result in blisters are to be treated gently, with a prescription burn cream. See your doctor for the prescription and to learn how to care for the sunburn blisters. A blood blister, sometimes called black heel or black palm, is a reddish-purple-black discolouration under the skin from broken blood vessels below the epidermis in the dermal layer of skin. Friction over bony prominences, such as the back of the heel, lead to shearing of the blood vessels and the release of blood into the skin. Blood blisters indicate a deeper level of injury. They generally resolve on their own but some people mistake them for melanoma so, if you are unsure, consult your doctor.


Проконсультируйтесь с дерматологом относительно выбора лекарственных препаратов для кожи. Узнайте о лазерной терапии, которая способна уменьшить родимое пятно и предотвратить его распространение. Попробуйте избавиться от родимых пятен при помощи криохирургии. Подумайте о том, чтобы удалить родимое пятно хирургическим путем. Поинтересуйтесь насчет хирургического выскабливания.

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Oftentimes, you can get rid of a vascular birthmark (such as hemangiomas) by taking corticosteroids. Corticosteroids slow down the development of birthmarks and reduce their size but they do not actually remove the mark.  Corticosteroids can be taken orally, injected into the birthmark, or used topically. Other medications used for birthmarks include propranolol and vincristine, which are used for hemangiomas (see the last section below for more details). Laser therapy can help to reduce the size and halt the development of vascular birthmarks. Laser therapy involves the application of focused, short laser light bursts to the birthmark and can be used to lessen the color, reduce the size, and even stop certain birthmarks from growing.  Laser therapy can be used to remove port-wine stains and café au lait spots but is not always successful, causing the spots to return.  Although total removal of birthmarks may be impossible, they can be lightened considerably after several sessions of laser therapy. Laser therapy can be an effective treatment method, but it can also be very expensive. Cryosurgery uses liquid nitrogen to freeze and fade spots, causing them to peel off.  During the procedure, liquid nitrogen is applied on the mark to freeze the skin on and under the spot. Then, the skin is scraped off using an instrument known as curette. Complications of cryosurgery include scarring and lightened skin color. Skin surgery can be done as an outpatient procedure and only involves a removal of very limited amounts of outer skin. Although surgical removal of skin is considered a minor procedure, it is still invasive and a preoperative assessment of the patient should be done by the doctor.  Surgery can be done to remove moles and hemangiomas Depending on the size of the birthmark, surgery may leave a permanent scar. During the procedure, your doctor will provide a local anesthesia to numb the area and then removes the birthmark with a scalpel. The skin is then stitched together using dissolving suture. Surgical...


Проконсультируйтесь с дерматологом по поводу использования гиалуроновой кислоты для лечения кожи. Выберите лицензированного врача. Узнайте о рисках кожных филлеров.

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If you’re looking to heal lines or scars, ask a medical professional about hyaluronic acid dermal filler injections. Since this allows the hyaluronic acid to penetrate beneath the first layers of skin, it is a more effective way to heal skin on a molecular level. Do your research beforehand and ask about their experience with dermal injections, and discuss treatment options before going ahead with hyaluronic acid filler treatments. Ensure they are using approved substances, depending on your region’s laws. Side effects of hyaluronic acid fillers include redness, swelling, itching and pain at the injection site. In rare instances, you may experience more serious side effects, so it is important to discuss this with your healthcare provider and understand the risks.


Проконсультируйтесь с дерматологом. Узнайте о возможности лазерного лечения. Подумайте о возможности сделать перманентный макияж. Используйте рецептурные кремы. Спросите о фотодинамической терапии. Подумайте о лечении изотретиноином. Спросите о криотерапии. Узнайте об электродесикации/катеризации. Соблюдение гигиены.

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If you notice little bumps on your genitals or around the borders of your lips that aren't going away or are bothering you, get a referral from your family doctor to a dermatologist, who are skin specialists. The dermatologist will be able to diagnose your condition and put your mind at ease, because Fordyce spots can sometimes look like small warts or the initial stages of a herpes outbreak.  Fordyce spots are a very common phenomenon and appear in about 85% of the population at some time in their lives— males are a little more likely to develop them than females are.  It's important to realize that Fordyce spots are harmless, painless, not infectious and do not require treatment. Their removal should be for cosmetic reasons only. Fordyce spots are much more noticeable when the skin is stretched, and may only be seen during an erection (in males) or during pubic hair management (bikini wax) for females. If you decide to remove some Fordyce spots for cosmetic reasons, talk to your dermatologist about available laser treatments, which are the most common method of getting rid of them and certain other skin conditions. Vaporizing laser treatments, such as carbon dioxide (CO2) lasers, have been used with some success on Fordyce spots, but so have pulsed dye lasers. Ask your doctor which may be most appropriate for your condition and budget.  CO2 lasers were the earliest gas lasers developed and remains the highest-power continuous wave laser treatment currently available for various skin conditions. However, CO2 laser ablation can leave scars afterwards, so it may not be appropriate for Fordyce spots on the face. In contrast, treatment with pulsed dye lasers is more expensive than CO2 lasers, but may be less likely to leave scars. Micro-punch surgery is a procedure that involves using a pen-like device to punch a small hole in the skin and remove tissue. It's often used in hair transplant surgery, but research indicates in can be very effective for removing Fordyce spots also, especially on the genitalia. The...


Проконсультируйтесь с доктором. Изучите типы операций. Назначьте и пройдите операцию.

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While getting surgery isn't recommended in the face of so many potentially effective alternatives, it remains an option for someone wanting fuller lips. Most surgeries take the form of injecting material into the lips, and usually work on a semi-permanent basis, subsiding after a period of several months. As everyone's lips are a unique case, it is important to first consult a trusted doctor about a surgery if it's something you're looking into. The doctor will be able to offer specific advice relating to your situation, as well as details relating to the chosen surgical procedure. Make absolutely sure that the doctor is trusted and well-reputed. Operations like collagen injections have gone famously wrong in the past, and it's important to enlist a doctor who knows what they're doing. Look into hyaluronic acid filler (HAF) injections. Compared to some of the longer-used methods for lip augmentation, hyaluronic acid is the safest and best-recommended type of filler for your lips. The filler in these injections approximates natural compounds found in the body, and unlike fat grafts, require no liposuction. HAF injections are used to improve the shape, structure and volume of your lips. Although fairly expensive (running between 500-2000 dollars) and uncovered by most insurance plans, reception to these injections is generally very positive.  Collagen is a less common lip filler now than it used to be, but it still plays a significant role in the world of lip augmentation. Take some time to look into collagen if you're exploring surgical options. Another widely used method of lip augmentation is fat grafting. This procedure transplants fat from another part of your body (extracted via liposuction) and injects it into your lips. While this means you won't have any foreign matter in your body, the process is longer, more uncomfortable, and carries greater risks than a HAF injection. Although the word implies a high level of severity, most lip augmentation surgeries actually happen fairly quickly. Despite any...


Проконсультируйтесь с инструктором по фитнесу и/или врачом. Составьте план силовых тренировок. Не занимайтесь слишком много кардио-упражнениями. Отдыхайте, отдыхайте и еще раз отдыхайте. Научитесь правильно выполнять упражнения и помните о рисках.

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Before you start your muscle-building workout season, consult a doctor. Muscle-building exercises are highly demanding to your body, and people with some chronic illnesses (such as cardiac conditions, high blood pressure, or stroke) may not be candidates for this type of workout. If you have high blood pressure (hypertension) you should not do heavy weightlifting without consulting your doctor. If your blood pressure is above 180/110 mm Hg, do not lift weights until you have normalized your blood pressure with medications. Strength training engages the muscles in your body and makes them work against a resistance. When you make your muscles work against a resistance, you are forcing your muscle fibers to respond to the added stress which leads to enhanced muscle size and definition. In order to build muscle, you need to add strength (also called resistance) training to your weekly routine.  Typical strength training programs use free weights (dumbbells, barbells), exercise machines, elastic tubing, or even just the body weight (pushups, pull-ups, crunches). Plan a balanced, total body  strength training program to build the muscles in your body (see third section). Muscle building is not fat burning. The best way to add muscle mass is weight training, while the way to get rid of muscles is extended cardio (you've never seen a Marathon runner with big muscles, have you?).  However, you should not forget cardio exercises entirely as these strengthen your cardiorespiratory system and have numerous other health benefits, including improving bone strength, reducing blood pressure, reducing risk of chronic illnesses (diabetes, cancer, cardiovascular conditions), and improved mood. Also keep in mind that reducing overall body fat with cardio can cause muscles to "pop," and your body can look leaner and stronger. The key when planning cardio routine during muscle-building season is to do shorter sprints instead of long, aerobic workouts. Focus on 20 minute high-intensity exercises with 30 to 60 second high-intensity...


Проконсультируйтесь с квалифицированным диетологом. Продолжайте вести свой пищевой дневник. Употребляйте пищу, не содержащую лактозу. Употребляйте пищу, не содержащую глютен. Принимайте пищевые добавки.

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Living with food allergies or sensitivities can be difficult.  This is especially true if you have an issue with more than one food.  Restrictive diets or fear of foods may cause you not to eat a balanced diet.  A dietitian can help you find a diet that's appropriate for you.  Cutting out or eliminating the offending food is one of the only ways to deal with sensitivities.  However, an overly restrictive diet may not provide your body with the recommended amount of a variety of essential nutrients. Review your medical history, thoughts on what your offending foods are and your food and symptom journal with your dietitian.  They are nutrition experts and will be able to provide you with a meal plan and food substitutes that will not cause a reaction. Although you may have figured out which food has been causing symptoms, it's still wise to continue with your journal.  This will help other health professionals and yourself as you continue to modify and change your diet.  Food and symptom journals are also incredibly helpful to allergists, dietitians and other health professionals.  They may see patterns or trends in your journal that you do not. If you have a flare up of symptoms again, you'll be able to return to your journal to see what the offending food was and how to replace that or avoid it in the future. The best way to treat lactose intolerance is to avoid lactose containing products. Avoiding most or all foods with lactose will be the primary way you will avoid symptoms long-term.  However, it's important to replace nutrients commonly found in lactose containing foods.  Lactose containing foods are generally high in calcium, vitamin D and phosphorus.  You can get these nutrients from other foods like:  broccoli, canned salmon, fortified juices, pinto beans and spinach. There are many lactose free and lactose reduced milks, yogurt and cheese. These types of products may not be easy to find and have a slightly different taste than the original, but work great as substitutes.   All vegan products, like...


Проконсультируйтесь с медиками. Проверьте уровень железа в крови. Доверьтесь фармацевтам.

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Iron needs vary during different stages of life and for men and women. Young children, adolescents experiencing growth spurts, menstruating women, and pregnant women often have elevated iron needs. Many infants are given iron supplements or fed iron-fortified formula to achieve adequate iron levels. Anemic individuals or people taking antacids also may require iron supplements to ensure adequate intake. Your doctor can help you decide whether you need additional iron supplements.  In most cases, adequate iron intake can be achieved through the diet or through a standard multi-vitamin. Pregnant women taking prenatal vitamins may already be receiving iron supplementation. In many cases, a simple blood test can give immediate feedback on your current iron levels and alert you to a potential deficiency.  To confirm an actual deficiency or anemia, additional blood tests must be conducted. These can help determine whether the deficiency is caused by inadequate intake or another medical condition. The people most at risk of iron deficiency are pregnant women, infants and young children, women with heavy menstrual bleeding, frequent blood donors, and people with cancer, gastrointestinal disorders, or heart failure. People who live in developing countries are also at higher risk. Many iron supplements are available for purchase without a prescription.  Depending on your needs, a single low-dose supplement each day may help you achieve adequate intake. Remember that supplements are only necessary to make up the difference between your dietary intake and your iron needs. Infant iron supplement drops and other specialty supplements often require a prescription from a physician or nurse practitioner.


Проконсультируйтесь с опытным и квалифицированным дерматологом. Поговорите с профессионалом на тему удаления акне (шрамов). Устраните хронические проблемы с кожей, чтобы они вас больше не беспокоили.

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The main reason for going to a dermatologist is that they can tailor products and skincare routines specifically to you and your concerns.  Research in to potential dermatologists you want to see. Read reviews and articles on the company and actual doctors to see if they are legitimate, and suited for your needs. Professional help on stubborn skin is help you may not be equipped to provide on your own. Consider seeing a dermatologist as a last resort. Try using home remedies and changing your diet for at least two months to see if your skin clears or improves in ways you want it to. If this fails, then find help. Scar removal can be a priority for those who want healthier looking skin. These procedures can be expensive so make sure to look in to local professionals who can administer them at a price reasonable for you.  This is a quick fix for visibly different looking skin. It can be done on your own with at-home with bleaching creams, or scrubbing brushes. Look for microdermabrasion or dermabrasion procedures to remove top layers of damaged skin. Removing scars can also even out the pigmentation of your skin. If you suffer from stubborn acne or other issues, a dermatologist can either recommend the perfect product(s) or procedures to get your skin back to its healthy looking self.  A dermatologist can help you understand your own skin, why it is the way it is, and how you are perpetuating the problem or starting new ones. Even if you don't have a chronic skin issue and you notice something isn't quite right about your skin, it doesn't hurt to go in for a consultation with a dermatologist just to see what's happening.


Проконсультируйтесь с парикмахером. Подождите, пока ваши волосы восстановятся. Сократите использование нагревательных инструментов за неделю до осветления. Перестаньте мыть голову. Используйте только качественные средства.

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Talk to a professional about your treatment plan. Every head of hair has its own history and its own needs. If you plan to bleach in a salon, the stylist who will bleach your hair may agree to see you for a quick consultation free of charge.  You may need multiple visits before your hair is bleached to the right shade. Talking to your stylist beforehand will help you decide. Some questions you can ask include: "Will this damage my hair badly? What products should I be using before and after I bleach it? Will it take more than one appointment to get to the color I want?" Have your stylist test bleach on a strand of your hair. If you are planning to bleach your hair at home, test the bleach on your hair a few days before you bleach. If you are unsatisfied with the color or texture of the strand, take yourself in and consult with a stylist. Ask the stylist if the salon sells any Olaplex treatment products. These salon-grade products are designed to protect and rebuild hair before, during, and after intense chemical treatments like bleaching. If you recently treated your hair with any chemicals, wait to bleach. If you have recently dyed, highlighted, permed, or relaxed your hair, wait a minimum of two weeks before bleaching. For best hair health, wait a month or longer before you bleach. Wait even longer if your hair reacted strongly to the treatment.  Hair that is already suffering (brittle, dry, breaking) should not be bleached. Keep in mind that the darker your hair is, the more damage it will sustain in the bleaching process. People with darker hair tend to have more trouble both getting their hair to the desired shade (because there's so much difference between the starting and finishing shades). Long term bleaching can also cause thinning and irreparable damage. Because the bleaching process is less arduous on lighter coloured hair, these effects are not as common though the risks are still there, because less bleach is used and often less frequently. Reduce or stop using a curling iron, hot rollers, flat...


Проконсультируйтесь с педиатром. Занимайтесь силовыми тренировками. Начните с легких весов и увеличивайте их по мере того, как ваша сила будет возрастать. Не занимайтесь пауэрлифтингом и не участвуйте в соревнованиях по тяжелой атлетике. Добавьте к еженедельным тренировкам аэробные упражнения. Учтите возможные риски. Не тренируйтесь слишком много.

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Before your child or adolescent participates in any form of strength training it’s important they consult their doctor. Muscle building routines are slightly different for this age group as their body is still developing and growing. Too much and too hard exercises can cause injury that have lasting effects to a young body. Receiving a medical evaluation beforehand, can help you and your child identify:  Training goals. Understanding the proper techniques. Risk factors, such as injuries and the use of steroids or other supplements. Please note that since the overall goal of strength training is to enhance muscle size, a discussion with a pediatrician about steroid use is highly important, especially if your child is involved in a competitive training program. This type of training mainly focuses on weight lifting but exercises using your own body weight (such as sit-ups and push-ups) as well as endurance and agility exercises can also be included to increase muscle strength and size.  Weight lifting is the most common strength training technique used in sports and basic workouts. To get started, consult a fitness trainer who can help you or your child learn each exercise and how to perform it correctly. Always warm up to reduce risk of injury by doing at least 5 to 10 minutes of cardio. Stretch lightly before each exercise and after the workout to increase muscle flexibility. Using weights that are too heavy can lead to an injury. Also, it is essential you learn to do each exercise correctly before adding extra weight.   Maintain your body mechanics during each move: move slowly, breathe, and understand the complete range of motion. If you do exercises hastily or using the wrong range of motion, you can risk injury. Listen to your body. The intensity of your workout depends on the number of repetitions, the weight, and how long you rest before sets. Don’t over exert yourself. However, you should still be pushing yourself. If you don't challenge your muscles and start moving on to heavier weights, your muscles...


Проконсультируйтесь с профессиональным диетологом. Готовьте пищу из не содержащих глютен продуктов. Продолжайте употреблять достаточное количество фруктов и овощей. Старайтесь, чтобы каждый основной прием пищи включал в себя источник белков. Выберите альтернативные источники злаковых. Принимайте витамины и пищевые добавки. Выбирайте в ресторанах блюда, не содержащие глютен.

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Following a gluten-free diet can be difficult at first.  Gluten is surprisingly present in many foods.  This can make following a gluten-free diet a little overwhelming at first.  Talking to a registered dietitian who is a health and nutrition expert is a smart option to start with.  Many dietitians are specialized in the areas of Celiac's disease and other food allergies. Search for a local RD online or ask your doctor (especially the doctor who has diagnosed you with either Celiac's disease or a gluten sensitivity) to refer you to a local or specialized RD. Talk with the dietitian about your current diet, your worries regarding switching to a gluten-free diet and to help give you tips for meal planning, cooking and eating out. After being diagnosed with a condition that requires you to be gluten-free, you'll need to re-learn how to cook and prep your meals without gluten-containing foods.  Sometimes this might be very easy, while other times it can be more difficult.  Swap out your typical pasta, bread or wraps for gluten-free items.  Make sure you read every label to ensure you're purchasing a gluten-free item.  However, it should be very easy to find these items gluten-free. Many food manufacturers use corn, quinoa, bean or rice flours to make gluten-free versions of items like bread, wraps, pasta, muffins or bagels. Bake with gluten-free flour mixes.  If you want to avoid the overly processed gluten-free substitutes on the market, you may consider making your own.  Many grocery stores sell specific flour mixes that are gluten-free and make baking very easy to do at home. Although you will be restricting many items from your diet, there are still plenty of foods that you can and should eat on a regular basis.  Most importantly is fruits and vegetables.  Both of these food groups are naturally gluten-free.  In addition, they are also naturally low in calories, but high in a fiber, vitamins and minerals.  Include a fruit or vegetable at each meal to help balance out your diet.  Measure yourself:  1 cup of...


Проконсультируйтесь с профессиональным диетологом. Следите, сколько калорий вы потребляете. Старайтесь употреблять сложные углеводы. Употребляйте достаточное количество полезных жиров. Включите в свой рацион больше овощей и фруктов. Придерживайтесь средиземноморской диеты Пейте больше воды. Не пропускайте приемы пищи.

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There is a lot of literature available about how to manage PCOS with diet.  Meeting with a registered dietitian can help you sort out which advice to follow, which foods to eat and how much to eat.  These nutrition professionals are a great resource to those with PCOS who want to manage symptoms and/or lose weight.  Speak to your dietitian about your medical history, symptoms and what your goals are. It might also be helpful to bring copies of your medical records, weight history, list of medications and supplements so that your dietitian will have a full background on your health. Some dietitians may focus only in women's health or clients with PCOS.  You may be able to ask your physician for a referral or search for a specialized dietitian. Although not all people that have PCOS also have weight problems, a high percentage are overweight or obese.  It's helpful to moderate calories to prevent weight gain and induce weight loss if needed.  PCOS affects your body's ability to produce insulin and use it effectively which can cause weight gain.  This same problem may also make it difficult to lose weight.  If you need to lose weight, aim to do so safely.  That means, losing only 1-2 pounds per week.  This slow and steady rate of weight loss has been shown to be safe and more sustainable long-term.  To lose 1-2 pounds a week, you'll need to cut out about 500 calories daily from your diet.  You can also "cut" calories by burning them through exercise.  If you want to maintain your weight and/or prevent weight gain, you'll need to consume adequate calories daily.  This amount will differ for everyone based on age, weight and activity level. If you search online for calorie calculators you'll be able to figure out about how many calories you need to eat daily to maintain your weight. Since insulin resistance is highly associated with PCOS, it's important for all people with PCOS to be mindful of their carbohydrate intake.  All types of carbohydrates increase blood sugar levels.  Foods that are high in carbohydrates...


Проконсультируйтесь с психологом или психиатром. Обсудите со специалистом, нужно ли вам принимать антидепрессанты. Подумайте об альтернативных методах лечения.

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If you find that you cannot overcome your sadness on your own, talk with a mental health professional. A trained therapist or psychologist can work with you to learn new ways of thinking and coping. Cognitive-behavioral therapy is an approach that has been shown to give people to the tools to handle depression.  This practice focuses on using techniques to help people focus on the present, rather than getting carried away with negative thoughts. It can be used in conjunction with medication as well. In some cases, people suffering from sadness or depression begin to feel better by taking medication. Antidepressants can help alleviate chronic feelings of sadness or depression.  Your doctor may prescribe a selective serotonin reuptake inhibitor (SSRIs), such as fluoxetine, paroxetine, sertraline, citalopram, and escitalopram. SSRIs generally cause fewer side effects than other antidepressant drugs.  Your doctor may prescribe serotonin-norepinephrine reuptake inhibitors (SNRIs) such as duloxetine, venlafaxine , desvenlafaxine, and levomilnacipran.  Norepinephrine-dopamine reuptake inhibitors (NDRIs), such as bupropion, are not generally associated with the sexual side effects of other anti-depressants.  Tricyclic antidepressants are generally prescribed when other anti-depressants haven’t worked. These drugs-- including imipramine, nortriptyline, amitriptyline, doxepin, trimipramine, desipramine, and protriptyline—can have significant side effects.  Monoamine oxidase inhibitors (MAOIs) are a last resort antidepressant. MAOIs, such tranylcypromine, phenelzine, and isocarboxazid, are also generally prescribed when nothing else works. Be aware these drugs can have serious side effects. You and your care providers may want to consider other treatment options if medications and lifestyle remedies are not working. From hospital stays to transcranial magnetic stimulation, these alternative treatment options may help you stop feeling sad.  If you are not able to properly care for yourself, you and your doctor may want...


Проконсультируйтесь с психологом. Исключите вероятность других заболеваний. Запаситесь терпением.

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The only surefire way to find out if you have DID is to get a psychological evaluation. People with Dissociative Identity Disorder do not always remember when they experience a certain state of consciousness.  Due to this, people with DID may not be aware of their alters so self-diagnosing can be particularly challenging.  Don't try to self-diagnose. You must see a professional to determine whether or not you have DID. Only trained psychologists or psychiatrists are qualified to diagnose the illness. Find a psychologist or therapist who specializes in assessing and treating the disorder.  If you have been diagnosed with DID, you can consider whether you want to take medication for it. Ask your psychologist for a referral to a psychiatrist. Sometimes people with DID experience memory issues and agitation, which can also be caused by certain medical conditions. It is important that you are also evaluated by your doctor (primary general practitioner) to eliminate any of the possibilities.  Also, rule out any substance use issues. DID is not caused by blackouts due to alcohol consumption or other substance intoxication. If you experience seizures of any kind, consult with your doctor immediately. This is a medical condition and not directly associated with DID. Know that it can take time to diagnose DID. People with DID are sometimes misdiagnosed. The primary reason for this is that many sufferers of DID also have other mental health diagnoses such as: depression, post-traumatic stress disorder, eating disorder, sleep disorder, panic disorder, or a substance abuse disorder. The combination of these illnesses present themselves in a way that the symptoms of DID overlap with the other disorders. As a result, the doctor may need some time to get to know the patient before making a clear diagnosis.  Don’t expect an immediate diagnosis on the first day you meet with a mental health professional. These assessments can take several sessions. Make sure you tell the mental health professional that you are worried you...


Проконсультируйтесь с терапевтом. Пройдите осмотр носовой полости. Пройдите прик-тест. Анализ крови на аллергию. Пройдите компьютерную томографию.

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Tell your doctor what is bothering you in detail. Have you always had sinus issues or is this a new problem for you? Do you find that you feel better or worse at a certain time of the day? How are you currently finding relief? Be specific about your symptoms because the more details you provide your doctor, the better equipped they will be to help your particular condition.  Other questions your doctor may ask: Do you have drainage? If so, how much and how frequent? What is the color and consistency? Do you feel facial pain or fullness? Reduction or loss of smell? If any of the following are present, you may have a condition more serious conditions than sinus congestion that needs immediate treatment: high fever, double or reduced vision, swelling around the eyes, pain when moving eyes, severe headache, stiff neck that is painful to move, or significant or recurrent nosebleeds. Before your doctor suggests medications or other procedures, they will likely perform a visual test. Looking into your nasal passages with a lighted scope will let your doctor see any irritation or surface level problems with your nasal passages. If necessary, your doctor may refer you to an ENT (ear, nose, and throat) doctor. If your doctor recommends this test, they will prick your skin with small needles containing various allergens. If you show an allergic reaction to any of the prick points, then that will let your doctor know that you are sensitive to that particular allergen. This is helpful because it will let you know that you need to avoid pollen, for example, while you might be able to tolerate other kinds of potential allergens. For an allergy blood test, the idea is similar to that of a skin prick test. If your doctor recommends this test, know that the key difference is that rather than pricking your skin, your doctor will draw vials of blood to test for allergen sensitivities. This test is less accurate than skin prick tests, but it is still useful and widely used. Allergy blood tests are often used in children and...


Проконсультируйтесь с фармацевтом. Займитесь лечением основных симптомов. Принимайте болеутоляющие средства. Знайте, когда следует обратиться к врачу.

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Trying to find the best over the counter cold medicine can be a frustrating experience. There are so many varieties that it can be difficult to know which is best for you, especially when your head is stuffed up. Ask your pharmacist to recommend a medication that is safe and effective. Be very clear when describing your symptoms to the pharmacist. Make sure to let him know if you're feeling very drowsy, or if you are having trouble sleeping. You should also tell him if you have any allergies or sensitivities. You don't want to take too many over the counter medications. That can lead to drowsiness and potentially cause other health issues. However, you can safely take one medication when fighting your cold. Choose one that targets your worst symptoms. If your cold is causing you to stay awake at night coughing, look for an over the counter medication that contains dextromethorphan. This substance in one of the most effective in reducing nasal congestion. Colds come with various aches and pains and sometimes even a fever. Your muscles and joints might be sore, which just adds to your general misery. Try taking an over the counter painkiller to ease these symptoms.  Aspirin and ibuprofen are effective at helping you get over your cold. Just remember to carefully follow the dosage guidelines on the bottle. Use caution when giving a child aspirin, as it has been linked to Reye's syndrome. Never give aspirin to a child under the age of two. Children who have recently recovered from the chicken pox or the flu should never be given aspirin. Consult your doctor before giving any child aspirin. If you have a basic cold, your doctor can't really do much to help you. Antibiotics have proven to be ineffective against the common cold. Save yourself a trip and don't make a doctor's appointment if you know you are suffering from a cold. If your symptoms are persistent or especially severe, then you should call your doctor. You'll want medical advice particularly if you are having significant trouble breathing.


Проконсультируйтесь с фармацевтом. Следите за своим здоровьем в период снижения дозировки. Избегайте кофеина, табака и спиртного. Не принимайте безрецептурные препараты, предварительно не проконсультировавшись с врачом. Ведите дневник. Ходите время от времени на приемы к своему лечащему врачу. Спросите своего врача о других препаратах. Сходите на прием к психотерапевту. Обдумайте запись в программу по реабилитации «12 шагов».

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One of your best friends while tapering is your pharmacist. Her knowledge is paramount in your tapering success. She will offer solutions such as: compounding your prescriptions, over-the-counter drugs to avoid and other insightful pharmacological issues. If your doctor prescribed other drugs instead of alprazolam, the taper plan will take that into account as well. At times, your withdrawal symptoms may make it difficult for you to function normally. But it is important that you take care of yourself while you taper. This will help your body through the detox process. Although there are no studies directly indicating this, physical activity and health may benefit you and minimize withdrawal symptoms.  Drink plenty of fluids. Eat plenty of healthy foods, such as fresh fruits and vegetables. Stay away from processed and refined foods. Get as much quality sleep as you can. Get regular exercise. While you are tapering, limit your caffeine intake as well as tobacco and alcohol use. Alcohol, for example, creates toxins in your body that can hinder the recovery process. Avoid using any over-the-counter (OTC) drugs without talking to a pharmacist or doctor first. Many OTC drugs can add stress to your central nervous system as you taper. These include antihistamines and sleep aids. Tapering schedules are based on how long you have been taking the alprazolam, and at what dosage. Track your dosage reductions by keeping an eye on when you take your dosage and how much the dosage is. You can keep track of when you have had good or bad days and adjust your taper accordingly. Keep in mind that you will make minor tweaks and adjustments as you move forward.  A journal entry example in a spreadsheet form might look like this:  1) January 1, 2015 2) 12:00 PM 3) Current dose: 2 mgs 4) Dose reduction: .02 mgs 5) Total reduction level: 1.88 mgs   You may add several daily entries for a multiple daily dosages. Include any withdrawal symptoms or change of mood you notice. During your tapering process, you should be seeing your...


Проконсультируйтесь с хорошим разводчиком. Проконсультируйтесь с организацией по разведению бенгальских кошек. Попросите совета у ветеринара.

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Well-respected Bengal breeders will be able to provide you with a guaranteed Bengal kitten with documented Bengal ancestry. They may even be able to advise you about a cat you already have to determine whether or not it is a true Bengal cat.  To find a reputable breeder, you should consider looking for recommendations from Bengal breed organizations. The International Cat Association has a list of approved Bengal breeders.  Most Bengal cats that are available for sale are at least 5 generations down from the original wild Asian Leopard Cat ancestor. This is because of limitations on breeding Bengal cats. The first generation Bengal is called an F1 Bengal. It will be closer in personality to its wild ancestry. However, most Bengals offered for sale will be bred through several generations of domestic cats to give them the traits we expect from house cats. Your cat will still be wild and exotic, but it won't be a wild animal. For almost every breed of cat, there are breed-specific organizations that regulate the standards of the breed and provide information about the breed to interested parties. Find a Bengal organization near you and ask them for more information about the breed. Try the International Bengal Cat Society or the Bengal Cat Association. When all else fails, take your cat to your vet’s office and ask for their advice. Your vet will be able to help you analyze the cat’s physical features and personality traits in order to arrive at a conclusion about the cat’s breed.


Проконсультируйтесь с эндокринологом, перед тем как начать принимать какие-либо пищевые добавки. Пейте мятный чай 2–3 раза в день. Попробуйте такие антиандрогенные травы, как лакрица, пион и пальма Сереноа. Принимайте добавки из гриба рейши, чтобы снизить уровень андрогенов. Попробуйте экстракт из листьев розмарина. Убедитесь, что добавки можно принимать.

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Plant-based supplements are often suggested as an additional treatment with medication and lifestyle changes. Speak to your doctor before you take supplements and continue taking any medication you have already been prescribed for high androgen while you are on supplements. Do not depend solely on supplements to treat high androgen levels, as they may not work on their own. Spearmint can help to decrease your testosterone levels and increase your luteinizing hormones, a hormone commonly found in women with normal levels of androgen. Have organic spearmint tea with your meals in the morning or at night to reap the benefits of this natural herb. These herbs can keep your testosterone levels low. Look for these herbs in pill or powder form at your local health food store or online. Have these herbs with a small meal. Swallow tablets whole. Dissolve powdered herbs in a glass of water to drink them. Reishi mushroom contains anti-androgenic properties and can help to block your body from producing too much androgen. This plant can be found as a supplement in pill or powder form. Put powdered reishi mushroom supplements in a glass of water so it dissolves and then drink it. This is a good topical therapy for reducing your androgen levels. You can find rosemary leaf extract at your local health food store or online. Start by checking the label to ensure the herb or plant is the first ingredient listed. Make sure there are no preservatives, additives, dyes, or chemicals listed in the ingredients. Look up the manufacturer online to ensure they provide contact information and have high ratings by consumers.  You can also contact the manufacturer directly to confirm the supplements have been tested by a third party. Keep in mind the Federal Drug Administration does not monitor supplements, so you will need to make sure the supplements are safe to take before having them. The best way to ensure the supplements are safe is to bring them to your doctor's office and discuss them with your doctor.


Проконсультируйтесь со врачом. Не принимайте “Виагру”, если вы уже принимаете нитратные препараты. Не принимайте “Виагру”, если вы уже принимаете альфа-блокираторы.

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You may be a good candidate for Viagra (sildenafil) if you are suffering from erectile dysfunction, or the inability to hold an erection long enough to engage in sexual activity. It's important to discuss the medication with your doctor to make sure the drug is a healthy choice for you.  Inform your doctor if you're allergic to any drugs so that he or she can determine whether you may be allergic to Viagra.  Let your doctor know what other medications you're taking, including herbal supplements. Nitroglycerin and other long-acting nitrates used to treat chest pain are contraindicated with Viagra, which can cause the blood pressure to drop to dangerously low levels and lead to a heart attack or stroke. These drugs, which are prescribed for blood pressure and prostate problems, can also cause the blood pressure to drop too low when they are mixed with Viagra.


Проконсультируйтесь со своим врачом или стоматологом. Установите причину. Узнайте о повышающих слюноотделение препаратах.

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If you have a persistent dry throat that worsens or doesn't go away with home treatment, you may need to schedule an appointment with your physician or dentist. Your condition might warrant professional attention.  Untreated chronic dry throat can lead to some noteworthy complications. For instance, you may eventually find it difficult to swallow food. When accompanied by dry mouth, a dry throat can also make it difficult to chew or taste food, and you may experience more tooth decay if you are unable to produce enough saliva to protect your teeth and gums. Moreover, dry throats that develop into sore throats might be caused by viral or bacterial infections. When left untreated, these conditions can develop into more serious health problems. Certain medical conditions can cause a chronically dry throat, and if one of them is to blame for your current difficulties, your doctor will need to diagnose and treat that condition to improve the dry throat itself. Some illnesses, like Sjogren's syndrome, directly impact your saliva glands and cause saliva production to decrease. Other conditions, like oral yeast infections, colds, allergies, and diabetes, may increase throat dryness indirectly. If your dry throat is caused by immune disease or saliva gland damage, your doctor may choose to prescribe pilocarpine, a drug that increases natural saliva production by stimulating associated nerves. Alternatively, if your dry throat is caused by Sjogren's syndrome, your doctor may prescribe cevimeline to help treat it and other associated symptoms.


Проконсультируйтесь со специалистом по сну – сомнологом. Пройдите необходимое обследование. Следуйте рекомендациям специалиста.

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If the person continues to have difficulty falling asleep, you may suggest that he or she visit a sleep specialist. People who visit sleep specialists are those who are complain about lack of sleep quality and/or quantity. Their are 88 different types of sleep disorders, and a specialist will be able to help your friend or loved one tackle their specific sleeping problem.  A primary care physician may refer someone to a sleep specialist based upon symptoms, so their doctor can be their first stop. The sleep specialist will ask a number of questions to determine if the patient needs further testing. The test, called a polysomnogram, measures activity during sleep through electrodes attached to the body. The polysomnogram will measure heart rate, brainwaves, eye movement, muscle tension, air flow, and more. There are a number of possible suggestions that a specialist will make. It may be that they suggest behavioral therapy, for instance changing lifestyle and habits (as mentioned above). It is also possible they will suggest medication to help with sleeplessness, or suggest devices that will make it easier to breath at night. Whatever the suggestions of the specialist, make sure your friend or loved one follows the directions exactly.


Проконсультируйтесь со стоматологом, если у вас хронический неприятный запах изо рта. Посетите стоматолога, если вы заметили белые пятна на миндалинах. Проконсультируйтесь со стоматологом или терапевтом, если вы страдаете от хронической сухости во рту и имеете неприятный запах изо рта.

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If you’ve tried many of the steps listed here and you still experience bad breath, it is time to see a dentist. Bad breath is one of the most obvious signs of gum disease and plaque buildup. Your dental hygienist and dentist will be able to highlight any missing steps in your dental hygiene routine and help you combat any dental issues you might be having. Maybe you’ve been looking in your mouth, trying to figure out what is causing your bad breath. If you’ve noticed little white flecks stuck to the back of your mouth on either side of your uvula (the dangling ball in the back of your mouth), you should go visit a dentist. These white specks are known as tonsil stones. They are calcified food, mucus, and bacteria clumps. While they are not uncommon, they need to be removed with care. French researchers discovered that around six percent of people have some degree of tonsil stone buildup. There are several causes of dry mouth induced bad breath. While dehydration is the primary cause, certain conditions, medications, and other systemic issues can cause dry mouth. Stuffy noses, diabetes, side-effects from antidepressants, antihistamines, and diuretics, radiotherapy, and Sjögren’s syndrome can all cause dry mouth. Your dentist will point you in the direction of a physician for many of these tests, but can help identify possible causes of your dry mouth.


Проконсультируйтесь у ветеринара. Выберите подходящее место для проведения процедуры. Приготовьте все необходимое. Обездвижьте птицу. Найдите первостепенные маховые перья.

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If you've never clipped a bird's wings before, this is vital. A veterinarian or veterinary technician should guide you through the process.  A bird's first wing clipping should always be conducted by a veterinarian. Take your bird to a local avian vet and have them show you the correct clipping process. After the initial clipping, you may be able to clip your bird's wings again. However, if you feel uncomfortable or uncertain, have a vet clip your bird's wings. It's not worth the risk of injuring your bird. To trim your bird's feathers, you need to be able to see what you're doing. You also need a quiet room to keep your bird calm. Find a room in your home that's both well-lit and quiet. This is best for your bird's safety and comfort. You should also choose a room that you can close off, without any open windows or doors. You do not want your bird to get out during the clipping process. Have all your supplies ready before you begin clipping. The process will be stressful for your bird, and you do not want to prolong it by scrambling for materials. You will need the following:  A pair of small and sharp scissors A thick towel If possible, find someone else to assist you with the clipping process. Birds will resist having their wings clipped. You will need to wrap your bird in the towel to keep it still during the clipping process.  You will use the towel like a baseball mitt to grab the bird. Do not put pressure on a bird's chest. Birds do not have diaphragms, so any pressure on the chest could prevent breathing. If someone else is holding the bird, have that person use one hand to hold the bird's body. The person should use their other hand to gently hold the bird's head between their thumb and forefinger. This will prevent biting. It is very important you know which feathers to clip. When clipping a bird's wings, you should only clip the primary flight feathers. Gently spread the bird's wing apart and locate these feathers.  Your bird should have two sets of overlapping feathers on its wings. The smaller...


Проконсультируйтесь у хорошего парикмахера. Выберите оттенок обесцвеченных волос. Процесс осветления волос займет немало времени. Заботьтесь о ваших волосах.

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Most hairstylists are trained in how to properly bleach hair, but some may be more skilled at it than others. Schedule a brief consultation with your hairstylist so you can strategize how you might want to bleach your hair. Ask your hairstylist how often they've bleached hair, how they've handled different types of hair, etc. Also ask for their recommendations on how to handle your hair and how they think your hair will react to the bleaching process. You should also ask if your hair is healthy enough to bleach. Some colorists won't bleach hair that has already been color-treated, because it is such a damaging process. Bleached hair does still have variety in terms of hues. You can choose white hair, white blond, platinum blond, or a few other hues. Bring in a picture of someone with the same shade of hair that you'd like. This will help your hairstylist figure out the best approach to bleaching your hair. The bleaching process is a slow process and does not happen instantly. The hairstylist needs time to wash your hair, mix up the bleach solution, and apply it to your hair. It needs to sit in your hair for a while (30 minutes or so). Then your hairstylist needs to wash it out and dry your hair.  You may need to schedule a second session with your hairstylist if you have very dark hair and you want to go white blond.  Your hairstylist is also skilled at bleaching highlights into your hair. It is also much easier for another person to do this process, rather than trying to do it yourself. They can see your head from above and can apply bleaching solution evenly over your head. Your hair will be brittle and dry after this treatment and will need deep conditioning to restore some moisture and elasticity. Use a deep conditioner (store-bought or natural) at least once a week, leaving it in your hair for 20-30 minutes and then rinsing it out. Results can be improved by heating up your hair with a hair dryer while the deep conditioner is in place. If you have made your own deep conditioner with food items, check to...


Прокопайте внешний край воронки. Смешайте цемент с водой. Вылейте в воронку бетонную пробку.

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The sinkhole may be larger underground than it appears on the surface. To determine the true extent of the sinkhole, use a shovel to expand the size of the sinkhole. Remove the sod around the edges of the sinkhole and make sure the surrounding ground is solid. Continue to remove the edges of the hole until you reach a point at which the topsoil and sediment are supported by solid rock. Also remove any loose debris that may be in the sinkhole: tree branches, pinecones, etc. Start out by pouring about a third of the concrete mix into a large basin, such as a wheelbarrow. Pour in about 1 US-quart (946 ml)  of water, and mix thoroughly with a hoe, shovel, or paddle mixer. Continue to add water until the concrete is wet throughout and a heavy putty consistency. Add gravel for increase the strength of the concrete.  You can buy 80-pound (36 kg) bags of quick-mixing concrete at your local hardware store or home-supply store. The size and depth of the sinkhole will determine how much concrete you need to mix. Using the wheelbarrow and the shovel, pour wet concrete into the bottom of the sinkhole. This will prevent the sinkhole from deepening further, and will give a solid base to the subsequent materials you use to fill the hole. Aim to fill at least a quarter of the hole with concrete. So, if the sinkhole is 4 feet (1.2 m) deep, fill it with 1 foot (0.3 m) of concrete.  You do not need to let the concrete dry before you move on to filling the hole with sand and soil. A “plug” simply means that you’ll fully fill the bottom of the sinkhole with concrete.


Прокрутите вниз и коснитесь Настройки. Прокрутите вниз и коснитесь Удалить сайт внизу страницы Настроек. Коснитесь Удалить сайт (iPhone) или Да (Android). Введите адрес своего сайта в ответ на запрос. Коснитесь Окончательно удалить сайт.

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This gear-shaped icon is near the bottom of the page. It's at the bottom of the Settings page. Doing so takes you to the confirmation page. Type in the full address for your blog as indicated by the text at the top of the pop-up menu. For example, if your blog was named "pickledcucumbers.wordpress.com", you would type pickledcucumbers.wordpress.com into the text field. It's the red text below the text field. Tapping this option permanently deletes your blog from WordPress.  On Android, you'll just tap DELETE here. It may take several days for the blog to disappear from Google archive pages.


Прокрутите вниз и нажмите на область в самом низу последней страницы. Перейдите на вкладку Вставка на панели инструментов вверху окна. Нажмите на кнопку Разрыв страницы на панели инструментов. Перейдите на вкладку Ссылки на панели инструментов MS Word вверху. Нажмите на Предметный указатель рядом с кнопкой «Пометить элемент» на панели инструментов «Ссылки». Выберите тип указателя (с отступом или без отступа). Выберите стиль указателя в поле «Форматы». Измените число столбцов. Нажмите на OK.

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This button is on the MS Word toolbar at the top of your screen. This button looks like the bottom half of a page above the top half of another page. It will end your previous page and start a new one. It’s on the MS Word toolbar at the top of your screen. This button is located next to the Mark Entry button on the References toolbar. It will open a dialogue box titled Index. You will choose from Indented and Run-in. An indented index will be easier to navigate for readers, whereas a run-in index will take up much less space on the page. You will be able to preview all different types and formats in the Print Preview box as you customize your index. You can customize your index by selecting a design from the available format presets.  You can also create your own design by selecting From template, and clicking the Modify button. This will let you customize fonts, spacing, and style for all entries and subentries to create your own design format. You can preview different format designs in the Preview box before you decide. You can increase the number of columns in the Columns box to take up less space, or you can set the number of columns to Auto. This will create an index page with all of your marked entries and their corresponding page numbers. You can use this index to look up the pages where important terms and concepts are mentioned throughout your document.


Прокрутите домашнюю страницу. Просмотрите последние секреты или секреты расположенных ближе всего к вам людей. Нажмите кнопку ”Discover” (обнаружить) для поиска секретов.

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Right when you open the app, Whisper will display the most popular whispers or secrets throughout the Internet. You can scroll infinitely and read other people's whispers. Aside from scrolling through secrets on the homepage or Popular feed, you can also browse Featured, Nearby and Latest secrets and your school's secrets. Tap the different options located on the white bar at the top of your screen to select the category of secrets to view.   School: This category displays secrets posted by people who have gone or go to the same school as you. You can browse Hot or popular whispers and New whispers. If you have chosen not to join a school group, this option will show Featured whispers instead.  Nearby: You can adjust how near or far you want to browse for secrets by tapping the different distances at the top of the page.  Latest: You can browse the newest whispers being posted. Located at the bottom of your screen, "Discover" allows you to search for keywords or browse through categories like Confessions, LGBTQ secrets, and Q&A. You can also search keywords and other cities and locations to view their secrets.


Пролечите бактериальную инфекцию. Если у вас инфекция, передаваемая половым путем, пройдите курс антибиотикотерапии. При травме яичка действуйте быстро.

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Men of any age can suffer from infections that cause testicle pain, which can be caused by E. Coli or other bacteria. For older men, benign enlarged prostates can play a major role in developing these infections. The bacteria accumulates when the enlarged prostate prevents the bladder from draining properly. Because of this, E.coli or other gastrointestinal bacterial can back up and cause infection.  Medical treatment for this includes Bactrim DS or a quinolone antibiotic. The course of treatment is around 10 days, unless the prostate is involved, which may be treated longer. Often, the Prehn’s sign will ease symptoms. Ice packs are also helpful. You can reduce pain with Tylenol, Motrin, or even stronger narcotic pain medication for the first few days. Treatment for STIs is antibiotics. Your doctor may prescribe Rocephin followed by a course of zithromax or doxycycline. Improvement in pain should begin in 24 to 48 hours. Ice packs as well as testicular elevation can bring relief while you wait for the antibiotics to work. You can also take over the counter pain medications to help as well, especially during the first few days. Testicular trauma is caused by a twisted testicle not getting enough blood. This typically occurs after many different kinds of trauma, such as slipping off of a bicycle and hitting the groin. Extreme testicular trauma can twist the spermatic cord, which calls for surgical intervention. This condition affects 3.8% of every 100,000 males under the age of 18 every year.  Early recognition of a high-riding testicle and no Cremasteric reflex is sufficient to warrant surgical exploration. This can help prevent an orchiectomy, which is the surgical removal of the testicle. Even trauma that is not severe can cause swelling, tenderness, high fevers, and frequent and urgent need to urinate. The window from injury to surgery is approximately four to eight hours. This will prevent too much damage to the spermatic cord, which has to be untwisted quickly to avoid removal. Despite this rush to take...


Пролечите зараженного человека. Сначала попросите человека надеть старую одежду. Следуйте инструкции по применению препарата. Проведите повторную обработку, если вши будут по-прежнему активно двигаться. В случае, если требуется повторная обработка, следуйте инструкциям по применению препарата. Проведите обработку помещения. Замочите расчески и щетки. Пропылесосьте пол и мебель. Постирайте одежду и замочите расчески. Старайтесь не пользоваться чужими вещами. Продолжайте внимательно осматривать волосы зараженного вшами человека. Разрешите своему ребенку снова ходить в школу.

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You can treat head lice using products available without a prescription. Follow the directions closely, including any measures recommended for safety. This helps just in case the ingredients contained in the treatment damage the clothing. Also be sure the person has washed their hair, but has not applied conditioner. Your doctor or pharmacist can help guide you to best product choices. Once the person has been treated following the directions of the product, examine their hair again in about eight to 12 hours. If you still see lice, but they are moving slowly, then the treatment is still working. Continue with the process of removing as many dead lice and nits as possible by the combing technique. As you examine the hair, notice if the lice are still as active as they were, prior to treatment. If this occurs, follow the package directions to re-treat the person infested. Usually, you should re-treat the person’s scalp after one week. Most available products outline how to proceed with a second treatment. Your doctor or pharmacist can help with advice on re-treatment, as well as treating additional family members. Unfortunately, lice have become more resistant to the usual treatments — even some prescription treatments. Your doctor may have to prescribe stronger medications (sometimes to be taken orally) to get rid of the lice. Wash and dry all bedding, towels, and clothing that the person came in contact going back 2 days prior to treatment. Use hot water, and set the dryer temperature to a high heat setting. Items that cannot be washed can be dry cleaned, or put in a tightly sealed plastic bag for two weeks. Each time a comb or brush is used to remove lice and nits, soak the items for 5 to 10 minutes in hot water that is at least 130°F. Head lice only live for about two days once they are not on a person. Nits are not able to hatch if they are removed from the normal temperature of a human body, and die within a week. Make sure you don’t accidentally cause re-infestation. Wash all clothing and bedding in hot...


Пролечите не кардиологические состояния, которые вызывают учащенное сердцебиение. Встретьтесь с врачом, если вы испытываете учащенное сердцебиение, вызванное кардиологическими состояниями. Следуйте рекомендациям вашего врача.

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Some conditions that are not related to the heart (noncardiac) can cause heart palpitations. If you think you may have a condition that is causing your palpitations, it is important to talk to your doctor about what you can do to treat the condition. Noncardiac conditions that can lead to palpitations include:  Anemia. Anxiety. Beta-blocker withdrawal. Pregnancy. Hypoglycemia. Mastocytosis. Some medications. Cardiac conditions are conditions that involve your heart. Your doctor will create a prescribed plan for you to follow to treat or manage these conditions. The next step will describe some of the recommendations or requirements your doctor may prescribe for you so that you can keep your palpitations to a minimum. As mentioned above, if you have a cardiac condition that can cause palpitations, you will have to create a management plan with your doctor. This management plan may involve things like:  Avoid substances and drugs that cause palpitations, like caffeine, alcohol or cocaine. If you have tachycardia, your doctor may advise you to take rate controlling drugs like beta-blockers and calcium channel blockers. Your doctor may advise you to take anti-arrhythmic medications to control arrhythmias (irregular heartbeats) and to prevent their occurrence in future. Depending on your diagnosis, your doctor may advise you to use ‘Pill in the pocket strategy’. This means that he or she may prescribe you drugs that are supposed to be kept in your pocket always, and taken once you feel palpitations. Some arrhythmias are due to structural problems in the electrical pathways of heart (called accessory pathways). In such cases, your doctor may advise you to get these structural problems corrected by advanced medical techniques like catheter ablation.


Пролистайте первые несколько страниц. Создайте пароль MySQL. Добавьте учетную запись администратора. Щелкните по Next (Далее). Нажмите Next (Далее). Активируйте MySQL в качестве хранилища документов. Нажмите Execute (Выполнить). Нажмите Finish (Завершить). Настройте следующий атрибут. Введите пароль суперпользователя (root-пароль). Щелкните по Check (Проверить). Нажмите Next (Далее). Щелкните по Execute (Выполнить). Закончите настраивать продукт.

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The first five pages of the MySQL setup are optimized for most Windows computers, so you can just click through them:  Click Next when the installation completes. Click Next on the configuration page. Click Next on the "Group Replication" page. Click Next on the "Type and Networking" page. Click Next on the "Authentication Method" page. Type your preferred password into the "MySQL Root Password" text box, then re-enter the password in the "Repeat Password" text box. This will be the non-root account that you can use to do things like add users, change passwords, and so on:  Click Add User in the lower-right side of the page. Type in your preferred username in the "Username" field. Make sure that the "Role" field has DB Admin selected; if it doesn't, click the "Role" drop-down box and then click DB Admin  Enter a unique password for the user in the "Password" and "Confirm Password" boxes. Click OK This is at the bottom of the page. Doing so confirms your password and user account. It's at the bottom of the "Windows Service" page. You can skip this step by clicking Next if you like. Otherwise, do the following:  Check the "Enable X Protocol / MySQL as a Document Store" box. Change the port number if necessary. Make sure that the "Open Windows Firewall port for network access" box is checked. Click Next It's at the bottom of the window. Your MySQL installation will begin configuring itself. This option will become available when the configuration is complete. Click Next at the bottom of the window, then click Finish. This will bring you to the final part of MySQL's setup, which is connecting to the server itself. In the "Password" box near the bottom of the window, type in the password that you created at the beginning of this part. It's at the bottom of the page. This will check your password and, if the password is correct, allow you to proceed. This option is at the bottom of the page. Doing so will configure this part of your installation. Click Finish, click Next at the bottom of the "Product Configuration"...


Проложите опорные планки каркаса старой одеждой. Используйте пробковый уплотнитель, чтобы заполнить лишние зазоры в кровати с деревянным каркасом. Подсуньте полотенце под неровные ножки кроватного каркаса. Подложите книгу под матрас рядом с источником скрипа.

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Use old socks or shirts that you don't wear anymore. The fabric will prevent the box spring or mattress from rubbing against the bed frame and squeaking. Check the bed frame for any spaces where the mattress or box spring could potentially move and rub against the frame. Stick cork into the gaps so every component of the bed is firmly in place. A leg is uneven if it doesn't touch the floor. Put a towel in the space between the leg and the floor so the bed frame doesn't wobble and make noise. If the squeak is coming from one of the slats, remove the mattress and box spring and place a book on the squeaking slat. Move the mattress and box spring back onto the bed frame.


Проложите прямую строчку вдоль необработанного края ткани. Подверните ткань и загладьте подворот. Проложите строчку по подвороту. Подрежьте необработанный срез ткани. Выполните подворот по линии строчки. Проложите строчку по центру подворота. Отгладьте шов.

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Use your sewing machine to sew an even line 1/4 inch (6 mm) in from the raw edge of your chiffon.  This line will give you a guide, making the hem easier to fold. It also eases the edge in a bit, making it tighter and easier to fold under later on. Consider increasing the thread tension by one place further than necessary for this basting line. Restore the setting to normal once this line is complete. Turn the raw edge in toward the wrong side of the material, folding it along the basting line. Press it in place with a hot iron.  Holding the fabric somewhat taut along the basting line can help you fold the edge while pressing it in place. Move the iron up and down, rather than moving it side to side, to prevent the material from stretching or shifting as you press it. Use plenty of steam as you press the fold in place. Use your sewing machine to sew another line around the edge of the chiffon. This one should be 1/8 inch (3 mm) in from the folded edge. This line of stitches will act as another guide, making it easier to fold in the hem once more. Use sharp scissors to trim back the raw edge as close to the new sewing line you just created in the previous step. Make sure that you do not cut beneath or into the stitches as you complete this step. Turn the material in toward the wrong side again, just enough to fold the raw edge under. Press this fold in place with an iron. The second line of stitching you made should be folded in during this step. Your initial line of stitching will still be visible. Slowly stitch around the hem, working along the edge of your hemline, until you reach the end of the hem.  You should have to visible lines of stitches from the back and one visible line from the front. You can either use a straight stitch or an edgestitch for this step. Do not back tack your hem in place. Leave enough thread at the beginning and end of the seam to knot it by hand. Iron the hem one last time to flatten it out as much as possible. This step completes the process.