Tag Archives: Dr. Leslie Greenberg

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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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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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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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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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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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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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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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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Does a short course of antibiotics work?

Does a short course of antibiotics work to fight infection? It depends.  The American College of Physicians recommends FIVE days of antibiotics for pneumonia (when it’s community acquired—not hospital or nursing home acquired).  Five days is also recommended for COPD … Continue reading

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How to prevent delirium:

How to prevent delirium: Delirium is an acute confusional state.  There’s an alteration of consciousness with decreased ability to focus, sustain or shift attention.  Delirium usually develops over hours to days and may fluctuate during the course of the day.  … Continue reading

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