Monthly Archives: January 2013

I am not a dentist. But, I do want overall health for my patients.

Dental care is the most common unmet health need.  Oral disease can severely affect systemic health. Poor oral health is so important and commonplace: dental cavities are the most common chronic disease of childhood (5 times more common than asthma) and … Continue reading

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Are prunes an effective alternative to fiber for constipation?

Yes!  Prunes are a great food to help with chronic constipation.  Six prunes eaten twice a day will help bowel movement frequency double.  It will also help improve stool consistency and constipation symptoms.  Prunes are as effective as psyllium (Metamucil) … Continue reading

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How long should oral bisphosphonates (an osteoporosis medicine) be taken?

Short answer: Five years or less. Studies found little, if any, benefit in reducing fractures after taking bisphosphonates (a class of osteoporosis medicine) for more than five years. Furthermore, oral bisphosphonate use for longer than five years is associated with … Continue reading

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Can probiotics decrease irritable bowel symptoms?

Yes!  The probiotic Bifidobacterium bifidum MIMBb75 is normally found in the GI tract (along with several hundred other organisms).  And, this strain is found in several over the counter probiotics.  This is an inexpensive safe alternative found to decrease overall bowel symptoms in … Continue reading

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When should a patient with low back pain get an xray/MRI?

I love this question.  The research-tested answer is that routine imaging for patients with low pain is not warranted.  In fact, routine x-rays are associated with increased cost, poorer health in recipients, increased risk of surgery, and no reduction in patient anxiety. … Continue reading

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How many blood pressure readings are needed to accurately diagnose high blood pressure?

Answer:  Several.  The blood pressure measurements should be taken over time.  Your doctor will want the individual blood pressures, but may also average them to get your “true” blood pressure.  Use of a single blood pressure to determine whether blood … Continue reading

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Want weight loss?

“Success travels in the company of very hard work. There is no trick, no easy way.” John Wooden (former long-time successful UCLA basketball coach) Food is for fuel. Eat when hungry, not by the clock. Resist advertising. Be aware of … Continue reading

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