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Ask an Expert
Arfan Din, D.O.
Sutter Medical Group
I am concerned because my blood sugar is fluctuating between 110 and 117, over 90 days. I have good eating habits and control my weight, but it's been harder after menopause. Should I be on a sugar-stabilizing medication such as Metformin?
As men and women age, it is very clear that metabolism changes. Part of this may be due to hormonal changes, especially in women after menopause. This may be genetic or associated with a decreasing level of exe... continue reading about I am concerned because my blood sugar is fluctuating between 110 and 117, over 90 days. I have good eating habits and control my weight, but it's been harder after menopause. Should I be on a sugar-stabilizing medication such as Metformin?
Ask the Expert Team
Sutter Health
I struggle with seasonal allergies and take Claritin, plus use a neti pot. This season, I have also had shortness of breath and light coughing, but no wheezing. It's hard to do my usual workouts. Is there some kind of inhaler I can use?
The long term treatment of choice for seasonal allergies is the now over-the-counter nasal sprays, like Flonase or Nasacort. Note that there is no immediate relief from them - they work slowly, over several day... continue reading about I struggle with seasonal allergies and take Claritin, plus use a neti pot. This season, I have also had shortness of breath and light coughing, but no wheezing. It's hard to do my usual workouts. Is there some kind of inhaler I can use?
Karen Horton, M.D.
California Pacific Medical Center
I'm a 40-year-old woman considering modest-sized breast implants. Will they interfere with the ability to detect breast cancer?
Breast augmentation using implants will not interfere with breast cancer detection. Implants of all shapes and sizes have a shell made from silicone, which is an inert solid and is used in many implantable devi... continue reading about I'm a 40-year-old woman considering modest-sized breast implants. Will they interfere with the ability to detect breast cancer?
Francine A. Yep, M.D.
Alta Bates Summit Medical Center - Alta Bates Campus
At what age should I have a pneumonia vaccination? Thank you!
The pneumonia vaccine helps protect you from S. pneumoniae, a bacterial germ that causes serious lung infections like pneumonia as well as blood infections and meningitis. It protects you from the most common t... continue reading about At what age should I have a pneumonia vaccination? Thank you!
Gary F. Milechman, M.D.
California Pacific Medical Center
My husband had triple bypass surgery last August and in December, a defibrillator was implanted. He's having problems gaining weight. They said that he can eat anything as long as he limits salt. Can he eat high-fat meals?
It sounds like your husband has been through a lot in the last year. There are several layers to your question and to your concerns.Generally, patients need to avoid salt if they have congestive heart failure o... continue reading about My husband had triple bypass surgery last August and in December, a defibrillator was implanted. He's having problems gaining weight. They said that he can eat anything as long as he limits salt. Can he eat high-fat meals?
Catherine A. Madison, M.D.
California Pacific Medical Center
For the first time in my life I experience vertigo after climaxing. Why is that?
Headaches after climax have been described over the years and are felt related to changes in the size of blood vessels after sex. Vertigo is more unusual and might suggest a problem with the inner ear system; a... continue reading about For the first time in my life I experience vertigo after climaxing. Why is that?
Ask the Expert Team
Sutter Health
Is there any research being done to help treat and prevent hearing loss? So many older people I know seem to be dealing with it.
Hearing loss has many causes and affects people at different times in their lives. If we look at hearing loss and aging, it is difficult to isolate hearing loss causes without looking at several factors: geneti... continue reading about Is there any research being done to help treat and prevent hearing loss? So many older people I know seem to be dealing with it.
Michael G. Cedars, M.D.
Alta Bates Summit Medical Center - Summit Campus
Can you give me some information about dermal fillers? How long do they typically last, and are there side effects? Of all the dermal fillers currently on the market, which one do you think is the best?
Depending on the filler, they typically last six to 12 months, and most require only a single treatment to create their effect. They vary also in terms of stiffness, so the best one for, say, the lips would be ... continue reading about Can you give me some information about dermal fillers? How long do they typically last, and are there side effects? Of all the dermal fillers currently on the market, which one do you think is the best?
Ask the Expert Team
Sutter Health
I am trying to prevent osteoporosis. What supplements and foods are best?
There's a lot we can do to help prevent osteoporosis, a "weakening" of the bones that can happen over time as we age (osteoporosis literally means "porous bones"). Both exercise and calcium intake can help keep... continue reading about I am trying to prevent osteoporosis. What supplements and foods are best?
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