Tag Archives: Dr. Greenberg

Does melatonin help older adults sleep?

Does melatonin help older adults sleep? Melatonin does (!) help older adults sleep.  It has been shown that melatonin preparations help people fall asleep faster, increase total sleep time, and slightly improve sleep efficiency.  Prolonged-release melatonin like ramelteon is thought … Continue reading

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Alcohol Withdrawal syndrome. Can this be managed as an outpatient?

Alcohol Withdrawal syndrome.  Can this be managed as an outpatient? Half of patients with alcohol use disorder who abruptly reduce or stop their alcohol intake develop signs or symptoms of alcohol withdrawal syndrome. Why does alcohol withdrawal syndrome occur?  The … Continue reading

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Home blood pressure monitoring. Do you need it? How to do it?

Home blood pressure monitoring. Do you need it?  How to do it? Blood pressure is an important vital sign.  Blood pressures should routinely run less than 135/85.  Some patients only have high blood pressure in physician or dental offices.  This … Continue reading

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Abnormal cholesterol labs. What to do with elevated triglycerides?

You see your physician and get a routine cholesterol panel.  The results show that your triglycerides are high.  What should you do? Fasting lab work should show that your triglycerides should be less than 150. When triglycerides are higher than … Continue reading

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Acne treatment for teens

Being a teenager is difficult enough… even without acne. Acne treatments for teens are available over the counter and from the pharmacy. Here is my overall treatment plan with ingredients that can all be bought over the counter. I want … Continue reading

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Should you have a carotid artery ultrasound?

Should you have a carotid artery ultrasound? Some concierge physicians offer carotid artery ultrasound with their “executive physical.”  This is NOT a suggested test for most patients.  The general adult population should NOT get a carotid ultrasound to rule out … Continue reading

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Should you get a carotid artery ultrasound?

Should you have a carotid artery ultrasound? Some concierge physicians offer carotid artery ultrasound with their “executive physical.”  This is not a suggested test for most patients.  The general adult population should NOT get a carotid ultrasound to rule out … Continue reading

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Hypothyroidism. What is it? Why is it important?

Hypothyroidism is when the thyroid gland produces inadequate thyroid hormone production.  Why is this important?  I consider the thyroid the gas pedal of the body.  The body needs get-up-and-go to function well. How prevalent is hypothyroidism?  It affects one in … Continue reading

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Do you have painful intercourse?

Dyspareunia is the medical word for persistent or recurrent pain with sexual intercourse.  This affects 10 to 20% of American women.  Dyspareunia can be deep or superficial.  Sexual pain can cause relationship distress, decreased quality of life, anxiety and depression.  … Continue reading

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Irritable Bowel Syndrome: What should you know?

Irritable Bowel Syndrome: What should you know? What is it?  Irritable bowel syndrome (IBS) is a varied group of gastrointestinal conditions that is not fully understood. What causes IBS?  Psychological factors do not cause IBS.  But IBS can make anxiety … Continue reading

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