laomobai/llama3-1 huggingface dataset:
system: Can I take dulaglutide (Trulicity) to treat my diabetes?
output: You take it in combination with metformin or a sulfonylurea drug. Who can take it: Adults with type 2 diabetes who have not had success with other diabetes treatment. If you're planning to get pregnant, tell your doctor, since researchers haven't studied this drug in pregnant women.
system: What is exenatide (Bydureon, Byetta)?
output: You take it as a shot twice daily. Bydureon is the newer, extended-release version, which you inject once a week. You can't take both drugs. What it is: This is another GLP-1 drug.
system: What are the side effects of exenatide (Bydureon, Byetta) when treating my diabetes?
output: Side effects: The most common ones include nausea, vomiting, diarrhea, feeling jittery, dizziness, headache, acid stomach, constipation, and weakness. These usually go away after the first month of treatment. Inflammation of the pancreas (pancreatitis), which may be severe, is another side effect. The FDA has also received reports of kidney failure in people taking this drug. All GLP-1 drugs, including both types of exenatide, have a boxed warning noting that in animal studies, this type of drug has been linked to thyroid cancer in some rats and mice. Experts don't know whether it has the same effect in people. It's possible to have an allergic reaction to liraglutide, or to get low blood sugar while you're taking it.
system: Can I take pramlintide (Symlin) to treat my diabetes?
output: Who can take it: It's approved for people with type 1 diabetes who are taking mealtime insulin. If you're planning to get pregnant, tell your doctor, since researchers haven't studied this drug in pregnant women.
system: Can I take exenatide (Bydureon, Byetta) to treat my diabetes?
output: Who can take it: Adults who have type 2 diabetes and haven't had success with other treatment. If you think you might get pregnant, talk to your doctor. Researchers haven't studied this drug in pregnant women.
system: Are there too many rules in a diabetes diet?
output: You'll want to keep your blood sugar levels as close to normal as possible. Choose foods that work along with your activities and any medications you take. Will you need to make adjustments to what you eat? Probably. But your new way of eating may not require as many changes as you think.
system: Are carbohydrates bad for diabetes?
output: Carbs are the foundation of a healthy diet whether you have diabetes or not. They do affect your blood sugar levels, which is why you'll need to keep up with how many you eat each day. Some carbs have vitamins, minerals, and fiber. So choose those ones, such as whole grains, fruits, and vegetables. Starchy, sugary carbs are not a great choice because they have less to offer. They're more like a flash in the pan than fuel your body can rely on.
system: Do I have to stop using low- and no-calorie sweeteners if I have diabetes?
output: Most of these sweeteners are much sweeter than the same amount of sugar, so you can use less. Opinions about them are conflicting, but the American Diabetes Association approves of the use of: Saccharin ( Sweet' N Low, Sweet Twin, Sugar Twin) Aspartame ( Nutra Sweet, Equal) Acesulfame potassium ( Sunett, Sweet One) Sucralose ( Splenda) Stevia/ Rebaudioside A ( Sweet Leaf, Sun Crystals, Steviva, truvia, Pure Via) You can ask a dietitian which ones are best for which uses, whether you're drinking coffee, baking, or cooking.
system: Can you adjust your diabetes drugs to cover what you eat?
output: If you use insulin for your diabetes, you may learn how to adjust the amount and type you take to match the amount of food you eat. But this doesn't mean you can eat as much as you want and then just use additional drugs to stabilize your blood sugar level. If you use other types of diabetes drugs, don't try to adjust your dose to match varying levels of carbohydrates in your meals unless your doctor tells you to. Most diabetes medications work best when you take them as directed. When in doubt, ask your doctor or pharmacist.
system: Do you have to give up desserts if you have diabetes?
output: You could: Cut back. Instead of two scoops of ice cream, have one. Or share a dessert with a friend. Consider using low-calorie sweeteners. Keep in mind, there might be a few carbs in these. Expand your horizons. Instead of ice cream, pie, or cake, try fruit, a whole wheat oatmeal-raisin cookie, or yogurt. Tweak the recipe. For instance, you can often use less sugar than a recipe calls for without sacrificing taste or consistency.
system: Do I need to give up my favorite foods if I have diabetes?
output: There's no reason to stop eating what you love. Instead, try: A change in the way your favorite foods are prepared. Can you bake it instead of deep-frying it? A change in the other foods you usually eat along with your favorites. Maybe have a sweet potato instead of mashed potatoes? Smaller servings of your favorite foods. A little bit goes a long way. Not using your favorite foods as a reward when you stick to your meal plan. Do reward yourself, but with something other than food. A dietitian can help you find ways to include your favorites in your diabetes meal plan.
system: Do you need to eat special diabetic meals if you have diabetes?
output: The foods that are good for people with diabetes are also healthy choices for the rest of your family. With diabetes, you do need to keep a closer watch on things like calories and the amounts and types of carbohydrates, fats, and protein you eat. A diabetes educator or dietitian can show you how to keep good records.
system: Do you need to give up your favorite foods if you have diabetes?
output: There's no reason to stop eating what you love. Instead, try: A change in the way your favorite foods are prepared. Can you bake it instead of deep-frying it? A change in the other foods you usually eat along with your favorites. Maybe have a sweet potato instead of mashed potatoes? Smaller servings of your favorite foods. A little bit goes a long way. Not using your favorite foods as a reward when you stick to your meal plan. Do reward yourself, but with something other than food. A dietitian can help you find ways to include your favorites in your diabetes meal plan.
system: Does eating too much sugar caused diabetes?
output: If you use insulin for your diabetes, you may learn how to adjust the amount and type you take to match the amount of food you eat.
system: Do people with diabetes have to eat special diabetic meals?
output: The foods that are good for people with diabetes are also healthy choices for the rest of your family. With diabetes, you do need to keep a closer watch on things like calories and the amounts and types of carbohydrates, fats, and protein you eat. A diabetes educator or dietitian can show you how to keep good records.
system: Can I adjust my insulin to be able to eat whatever I want?
output: If you use insulin for your diabetes, you may learn how to adjust the amount and type you take to match the amount of food you eat. But this doesn't mean you can eat as much as you want and then just use additional drugs to stabilize your blood sugar level. If you use other types of diabetes drugs, don't try to adjust your dose to match varying levels of carbohydrates in your meals unless your doctor tells you to. Most diabetes medications work best when you take them as directed. When in doubt, ask your doctor or pharmacist.
system: Is protein better than carbohydrates for diabetes?
output: Have you heard that eating too much sugar causes diabetes? Choose foods that work along with your activities and any medications you take. They do affect your blood sugar levels, which is why you'll need to keep up with how many you eat each day. Keep an eye on your portion size too. Talk to your dietitian or doctor about how much protein is right for you.
system: Does too much sugar cause diabetes?
output: Have you heard that eating too much sugar causes diabetes? The truth is that diabetes begins when something disrupts your body's ability to turn the food you eat into energy.
system: Are all carbohydrates bad for diabetes?
output: Carbs are the foundation of a healthy diet whether you have diabetes or not. They do affect your blood sugar levels, which is why you'll need to keep up with how many you eat each day. Some carbs have vitamins, minerals, and fiber. So choose those ones, such as whole grains, fruits, and vegetables. Starchy, sugary carbs are not a great choice because they have less to offer. They're more like a flash in the pan than fuel your body can rely on. The foods that are good for people with diabetes are also healthy choices for the rest of your family.
system: Are diet foods the best choice for diabetes?
output: Keep in mind, there might be a few carbs in these. Read the labels to find out if the ingredients and number of calories are good choices for you. When in doubt, ask your doctor, diabetes educator, or a dietitian for advice.
system: What chemicals can help with rheumatoid arthritis and where can you get it?
output: Certain nutrients can help repair and protect it: Vitamin B5:potatoes, beans, bananas, turkey, fish, and liver Vitamin B6:chickpeas, chicken, pork, trout, sunflower seeds, spinach, tomatoes Copper: oysters, squid, and other seafood; beef liver; cashews and other nuts; soybeans; lentils; cocoa Zinc: lobster, chicken, beans, raisins, chickpeas, yogurt, cheese Some chemicals found in plants called flavonoids may help make your joints feel better. Apples, green and white tea, grapes, and red wine are rich in them.
system: What is the paleo autoimmune protocol?
output: Paleo "friendly" foods include: Eggs Fermented vegetables and fruits Fish and seafood Fruits and veggies (most of your plate should be plant-based) Grass-fed meat (including organ meat) Nuts and seeds Paleo "unfriendly" foods include: Dairy products Grains (including corn, wheat, pasta) Refined and processed foods (like sugar, soda, pizza, packaged foods) Legumes (like beans and lentils) Vegetable oils One large study showed that a " Western" diet heavy on red and processed meat, refined grains, fried foods, and sugars raised the risk of getting RA. People who ate a diet filled with fruits, veggies, and lean proteins were less likely to have it. But the AIP takes Paleo a step further. It works on the theory that certain foods can bother your gut and cause inflammation (swelling), which also happens with autoimmune diseases like RA. With AIP, you follow the Paleo diet. But you also stop eating the following for a while: Alcohol Eggs Fruit juices and many sweeteners Nightshade veggies (tomatoes, eggplant, potatoes, peppers, tomatillos, etc.) Nuts Seed-based spices (fennel, dill, sesame seeds, and others) Seeds (including cocoa and coffee) If you start feeling better after 3 or 4 weeks, you bring back these foods one at a time. Watch for a reaction for a few days before adding another one to your diet. Stop eating the food if: Your RA comes back or gets worse Your stomach hurts or you have bowel changes, heartburn, or other intestinal distress You're low energy or tired You have headaches or dizziness You have a runny nose You notice skin changes (rashes, acne, etc.)
system: What are key antioxidants for rheumatoid arthritis and where can you find them?
output: These are the key antioxidants and where you can find them: Vitamin A:green leafy veggies, chicken, turkey, carrots, pumpkin, sweet potatoes Vitamin C:citrus fruits, plums, Brussels sprouts, red peppers Vitamin E:peanut butter, sunflower seeds and oil, avocados, milk, whole grains Selenium: Brazil nuts, cottage cheese, tuna, beef RA can break down cartilage.
system: What are paleo "friendly" foods?
output: Paleo "friendly" foods include: Eggs Fermented vegetables and fruits Fish and seafood Fruits and veggies (most of your plate should be plant-based) Grass-fed meat (including organ meat) Nuts and seeds Paleo "unfriendly" foods include: Dairy products Grains (including corn, wheat, pasta) Refined and processed foods (like sugar, soda, pizza, packaged foods) Legumes (like beans and lentils) Vegetable oils One large study showed that a " Western" diet heavy on red and processed meat, refined grains, fried foods, and sugars raised the risk of getting RA.
system: What else matters in a paleo autoimmune protocol for rheumatoid arthritis?
output: AIP isn't just about food. Your lifestyle choices also matter. Getting the sleep you need, managing stress, exercising, and staying socially active are all important.
system: What other diets can help with rheumatoid arthritis?
output: A Mediterranean-style diet may help with your RA because it also fights inflammation. You mainly eat foods from that region such as fish, poultry, unsaturated fats like olive oil, fruits, veggies, and whole grains. Omega-3 fatty acid, mostly found in fish but also in walnuts and green leafy vegetables, can ease inflammation and make swollen painful joints feel better. Adding olive oil to foods rich in omega 3's may be even more helpful, according to some studies. Antioxidant vitamins found mainly in fruits, veggies, and some nuts also may prevent tissue damage.
system: What nutrients can help with rheumatoid arthritis and where can you get it?
output: Could eating like a caveman help with your rheumatoid arthritis? The idea is to flood your body with nutrient-rich foods and stay away from ones that might make your condition worse. Certain nutrients can help repair and protect it: Vitamin B5:potatoes, beans, bananas, turkey, fish, and liver Vitamin B6:chickpeas, chicken, pork, trout, sunflower seeds, spinach, tomatoes Copper: oysters, squid, and other seafood; beef liver; cashews and other nuts; soybeans; lentils; cocoa Zinc: lobster, chicken, beans, raisins, chickpeas, yogurt, cheese Some chemicals found in plants called flavonoids may help make your joints feel better.
system: How does exercise help osteoarthritis?
output: Exercise is important to improve joint movement and to strengthen the muscles that surround the joints. Gentle exercises, such as swimming or walking on flat surfaces, are recommended, because they are less stressful on your joints. Avoid activities that increase joint pain, such as jogging or high impact aerobics.
system: Do you need surgery for osteoarthritis?
output: When osteoarthritis pain is not controlled with other treatments, or when the pain prevents you from participating in your normal activities, you may want to consider surgery.
system: How can devices help with osteoarthritis?
output: Supportive or assistive devices can help to decrease pressure on the joints with osteoarthritis. Knee supports may be helpful for some people to stabilize the ligaments and tendons and decrease pain. Canes or crutches may be helpful to take pressure off certain joints. In addition to pain relief, assistive devices improve function and prevent falls. A licensed physical therapist or other health care professional is needed to recommend what devices are best for you. There are also many available devices to help you perform routine daily activities that may be difficult, such as housework or cooking. Ask your doctor about talking to an occupational therapist to give you ideas about which devices may help.
system: What are symptoms of osteoarthritis?
output: Symptoms of osteoarthritis most often develop gradually and include: Joint aching and soreness, especially with movement Pain after overuse or after long periods of inactivity Stiffness after periods of rest Bony enlargements in the middle and end joints of the fingers (which may or may not be painful) Joint swelling There are several factors that increase a person's chances of developing osteoarthritis.
system: Can supplements help osteoarthritis?
output: While recent research has questioned their usefulness, some medical research has shown that the supplements glucosamine and chondroitin may relieve pain in some people with osteoarthritis, especially in the knee. There is no evidence that glucosamine can help rebuild cartilage. SAMe is another supplement with potential benefits for osteoarthritis. In fact, some research has shown it may be as effective an anti-inflammatory drugs. Remember to always let your doctor know about any supplements you're taking, because they can have side effects and interact with medications.
system: What medications treat osteoarthritis?
output: The first step with medication is often over-the-counter pain relievers as needed. If over-the-counter treatments aren't effective, your doctor may decide to prescribe a stronger anti-inflammatory drug or other medication to help ease the pain. Some medications in the form of creams, rubs, or sprays may be applied over the skin of affected areas to relieve pain. For some people with persistent pain despite these pills or creams, steroids can be injected directly into the joint. Injections of hyaluronic acid directly into the knee joint can relieve pain in some people with osteoarthritis. Unfortunately, none of these will reverse or slow the progression of joint damage caused by osteoarthritis.
system: What type of surgery do you get for osteoarthritis?
output: They include: Arthroscopy to clean out the damaged cartilage or repair tissues. Recent evidence has questioned its effectiveness for osteoarthritis. Joint replacement surgery to replace the damaged joint with an artificial one. The two joints most often replaced are the hip and the knee. Joint fusion to remove the damaged joint and fuse the two bones on each side of the joint.
system: How do you treat osteoarthritis?
output: Osteoarthritis usually is treated by a combination of treatments, including exercise, weight loss if needed, medications, physical therapy with muscle strengthening exercises, hot and cold compresses to the painful joint, removal of joint fluid, injection of medications into the joint, and use of supportive devices such as crutches or canes. Surgery may be helpful to relieve pain when other treatment options have not been effective. The type of treatment will depend on several factors, including your age, activities and occupation, overall health, medical history, location of your osteoarthritis, and severity of the condition. Acupuncture has also been shown to provide significant and immediate pain relief in some people with osteoarthritis.
system: How is osteoarthritis diagnosed?
output: The diagnosis of osteoarthritis is based on a combination of the following factors: Your description of symptoms The location and pattern of pain Physical exam X-rays Your doctor may use X-rays to help confirm the diagnosis and make sure you don't have another type of arthritis. Sometimes, blood tests will be performed to determine if you have a different type of arthritis. If fluid has accumulated in the joints, your doctor may remove some of the fluid (called joint aspiration) for examination under a microscope to rule out other diseases.
system: If you have eczema, why is it important to shower after you exercise?
output: You want to get sweat, chlorine, and other irritants off your body as soon as possible. Just remember to: Keep showers and baths short, and use lukewarm, not hot, water Use a gentle, hydrating, nonfragranced cleanser, not soap Pat your skin dry with a soft towel Put on your usual lotion and any prescription treatments you have No matter how careful you are, your eczema may flare up sometimes.
system: How can you guard against sweat as you work out when you have eczema?
output: The salt and acidity in perspiration can dry out your skin and make it sting. You can take steps to minimize it. Wipe off sweat as you work out. Always keep a towel with you. But don't use your shirt! If you do, all that sweat will still be touching your skin. When you work out indoors, use a fan. It helps sweat evaporate.
system: How can wearing the right clothing as you exercise help when you have eczema?
output: Your workout gear needs to be light and breathable so sweat can evaporate off your body, and loose so it lets out heat and doesn't rub against your skin.
system: How can you keep cool during a workout when you have eczema?
output: When you exercise, your body heats up, and heat can make your eczema worse. Split up your workouts. Stop and give your body a chance to cool down. Then start again. Drink lots of water. Always have a bottle handy. Some have a mister that allows you to spray your skin, too. Don't overdo it. If it's hot out, stay in an air-conditioned spot indoors. Stick to less strenuous workouts and do it before 11 a.m. or after 5 when it's cooler. But take some precautions. Not all of these tips will apply to you.
system: What precautions should you take if you swim when you have eczema?
output: In general, swimming is good exercise if you have eczema. Slather on lotion before you swim. It will help act as a barrier to prevent dryness. Follow with a sunscreen if you're outside. Before you spend an hour in a new pool, take a quick dip and see how your skin does. Some people have a bad reaction to chlorine and other pool chemicals. Swim in clean pools. You're less likely to have a flare-up if the water's p H levels are neutral.
system: How do SSRIs help with depression?
output: This process of replacing the neurotransmitter is called âreuptake.â If you're struggling with depression, the areas of your brain that regulate mood and send messages using serotonin might not function properly. SSRIs help make more serotonin available by blocking the reuptake process. This allows serotonin to build up between neurons so messages can be sent correctly. They're called âselectiveâ serotonin reuptake inhibitors because they specifically target serotonin.
system: Are SSRIs safe?
output: Although it's rare, if too much serotonin accumulates in your system, you can develop a condition called serotonin syndrome. This happens most often if two different medications that increase serotonin are combined. SSRIs can also have dangerous interactions with some medicines, both prescription and over-the-counter, including herbs and supplements. Before starting on an SSRI, make sure to tell your doctor all the different kinds of medications and supplements you're taking.
system: How long do SSRIs take to work?
output: Everyone is different when it comes to seeing improvements on SSRIs. But people typically start noticing positive changes after about 4 to 6 weeks of treatment. It can take several months to feel the full effect of the medication. But if you're not feeling any improvements after about 6 to 8 weeks, talk to your doctor about trying another treatment or adjusting your dosage.
system: Do all SSRIs have the same side effects?
output: Since all SSRIs work in a similar way, the side effects tend to be similar no matter what kind you take. But each SSRI has a different chemical makeup, so it's possible that if you're having side effects from one, you may not experience as many or any at all if you switch to another.
system: What are SSRIs?
output: They're called âselectiveâ serotonin reuptake inhibitors because they specifically target serotonin. Before starting on an SSRI, make sure to tell your doctor all the different kinds of medications and supplements you're taking.
system: How do you treat external genital warts?
output: For external warts, these treatments include: Creams, gels, and ointments Cryotherapy (freezing off the warts) Surgery Acid solutions Which treatment your doctor recommends depends on things like how many warts you have, where they are, how big they are, and your own treatment preference. Options for gels, creams, and ointments are imiquimod cream, podofilox gel, and sinecatechins ointment.
system: When is it best to use creams or ointments to treat genital warts?
output: If the warts are in a moist area, or in a spot where skin rubs together, talk to your doctor before using a topical medicine. If you're pregnant, you should avoid these medications.
system: What are treatments for internal genital warts?
output: If you have vaginal or cervical warts, the recommended treatments are: Cryotherapy or liquid nitrogen Surgical removal Acid solution If you have warts in your urethra (the tube that carries urine from the kidneys to your bladder), your best treatment options are cryotherapy or surgical removal.