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Author Archives: drlesliegreenberg
Does exercise during pregnancy decrease high blood pressure?
Does exercise during pregnancy decrease maternal risk of developing high blood pressure during pregnancy? Yes, and here is how to do it. If you are already an exerciser, continue!… although modifications may be needed. If you are new to exercising, … Continue reading
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Tagged Dr. Greenberg, Dr. Leslie Greenberg, exercise and blood pressure, exercise and pregnancy, Family Doctor, Family Medicine, family physician, family practice, pregnancy exercise and high blood pressure
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How tight of control over diabetes should older patients have?
How tight of control over diabetes should older patients have? Not that tight. The risks of treating type 2 diabetic patients over the age of 70 with insulin or sulfonylurea drugs AND having the patient maintain a hemoglobin A1c less … Continue reading
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Tagged diabetes risk, Dr. Greenberg, Dr. Leslie Greenberg, elderly diabetes, Family Doctor, Family Medicine, family physician, family practice, glucometer, hypoglycemia, hypoglycemia plan, tight glucose control
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How concerned should you be about a diagnosis of “pre-diabetes?”
How concerned should you be about a diagnosis of “pre-diabetes?” Research estimated the likelihood of older adults converting from prediabetes to diabetes over a 6 ½ year study…. as very low. More than 90% of older adults will NOT progress … Continue reading
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Tagged chance of becoming diabetic, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, prediabetes, prediabetes to diabetes
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Should you read your spine MRI report?
Should you read your spine MRI report? I would suggest against it. In the era of transparency and patient access to their entire electronic medical record, you CAN look at your spine MRI report. And, yet, do you know what … Continue reading
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Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, MRI, MRI spine, read MRI report, should you read your MRI report
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What intervention gives sustained improvement in chronic back pain?
What intervention gives sustained improvement in long-standing back pain? The intervention that showed a greater than 30% reduction in back pain was exercise. Patients may have trialed opioids or non-steroidal anti-inflammatory pills, but those are routinely not given for long. … Continue reading
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Tagged chronic back pain, Dr. Greenberg, Dr. Leslie Greenberg, epidural and back pain, exercise and back pain, Family Doctor, Family Medicine, family physician, family practice, intervention for back pain, NSAIDs and back pain
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Which OTC medications are best for treating chronic constipation?
Which OTC medications are effective at treating chronic constipation? Lots of products are effective at treating chronic constipation. First-line therapy to treat chronic constipation is polyethylene glycol (Miralax) or senna. Other good products are stimulant laxatives, fiber supplementation or magnesium-based … Continue reading
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Tagged bloating and gas, chronic constipation, constipation treatment, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, miralax, PEG, polyethylene glycol, psyllium, treat constipation
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Should you take full-dose aspirin or a baby dose?
Should you take full-dose aspirin (325mg) or a baby aspirin dose (81 mg)? Recent research has showed that there is no advantage to taking a full dose for patients with established cardiovascular disease compared to the lower dose. Of course, … Continue reading
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Tagged aspirin and cardiovascular, baby aspirin, baby versus full dose aspirin, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, who needs baby dose aspirin, who needs full dose aspirin
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Do eating eggs cause increased risk of cardiovascular disease?
Do eating eggs cause increased risk of cardiovascular disease? No. A meta-analysis (a combination of many research studies) has shown that over an average of 12 years, egg consumption is not associated with an increase number in cardiovascular events (heart … Continue reading
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Tagged Are eggs bad, Are eggs bad for your, Dr. Greenberg, Dr. Leslie Greenberg, Eggs and heart attack, eggs and stroke, Family Doctor, Family Medicine, family physician
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Should you take Vitamin C to help iron supplementation work better?
Should you take Vitamin C to help iron supplementation work better? No. Research has shown that those taking iron WITH Vitamin C for 3 months had no incremental increase in hemoglobin (or in serum ferritin level) after 3 months compared … Continue reading
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Tagged anemia, anemia treatment, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, iron deficiency anemia, low hemoglobin, taking iron, vitamin c and iron
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Should you increase your antidepressant after beginning on a starting dose?
Should you increase your antidepressant after beginning on a starting dose? Not necessarily. Research has shown that new-generation antidepressants like SSRIs may not need to be increased from the starting dose. This means that your first dose, may be all … Continue reading
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Tagged do antidepressants work, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, SSRI
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