#the likelihood of an autoimmune disease
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mizugucci · 2 years ago
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soooo i may have an autoimmune disease ?
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chefkids · 1 year ago
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Spoon Theory
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This is arguably the single most important The Bear meta post I will ever make so please bear with me.
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The first spoon we see in the entire series is when Carmy takes Sydney's spoon to try her stew. This is right after he cut his hand from not being able to find his sharp knife, and before he has to meet with Natalie to get Mikey's jacket, which was stressing him out. She "gave him a spoon" and a bit of positivity when he needed to calm down and get some energy by knowing at the very least Sydney can cook well.
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Needing a spoon is needing help. When he hands over the brigade to Sydney he is waving around spoons the entire episode, when she really needed his help and his "spoons". Later on Sydney is not afraid to just ask him for his help.
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With the risotto she gave him a "spoon" that would help the restaurant, that brought in a good review and customers, but he didn't have enough of his own "spoons" to deal with it as he was stressing out over the window that just got shot through and the IRS needing the missing tax returns. Right before trying the risotto Carmy had told Richie he is afraid of something good happening. He is afraid of Sydney and him doing well, because the better it gets the more it will hurt him when something goes wrong. That is why he keeps self sabotaging the restaurant and doubting Sydney.
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After Sydney quit, she is still using her spoons for mental energy to make sure Marcus is okay and to try and figure out her next steps career wise. Carmy grabbed a spoon to open the tomato can lid, which he really didn't need because he could've just used the can opener, and then found the money. When he finds the money they both know they would be fine on their own, she could find another job, he could fix up The Beef. But they still need each others emotional spoons to achieve their passions, so he reaches out and she comes back.
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In Season 2 she did need his "spoons" to help create the menu and decide on the details for the restaurant, but he barely gave her any because he was still so caught up in his past trauma and the literal and metaphorical forks in his life.
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Fixing the table really didn't physically need more than one "spoon"/person. But he needed her there to work through his mental block. With the inspiration food tour, she did it on her own and she didn't physically need him for it, she needed his emotional spoons.
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When they are not communicating well with each other and Carmy is trying to reach back and be involved again, he gets as close as he can to her spoon without actually using it.
And now the dark side of spoons.
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The originator of spoon theory has lupus and first came up with this theory at a restaurant to explain what it was like living with the condition to a friend. They could've easily said Sydney's mom died of cancer or an accident or anything else. But this is all so intentional, out of all the things it is Lupus. I don't want Sydney to be sick as much as the next person, but Lupus is a chronic autoimmune disease that has higher likelihood of developing when you have a family member with it, and can be triggered by environmental factors such as stress. It is an invisible illness and Christine's own handle is butyoudontlooksick, which could really explain Sydney and what she has going on behind her walls that people can't see. She has been a rock to so many people and over exerting herself, but there might come a time soon when Sydney will genuinely need other peoples "spoons", especially Carmy's, because she's all out.
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Now that Carmy said he is choosing to give Syd his focus aka his "spoons", will he actually be able to follow through?
Read The Fork Theory next
Read The Knife Theory
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covid-safer-hotties · 3 months ago
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Also preserved in our archive
By John Jesitus
A population-based study has shown a slightly elevated risk for patients’ developing skin disorders, including alopecia areata (AA), alopecia totalis (AT), vitiligo, and bullous pemphigoid (BP), more than 6 months after COVID-19 infection. In addition, the authors reported that the COVID-19 vaccination appears to reduce these risks.
The study was published in JAMA Dermatology on November 6.
‘Compelling Evidence’ “This well-executed study by Heo et al. provides compelling evidence to support an association between COVID-19 infection and the development of subsequent autoimmune and autoinflammatory skin diseases,” wrote authors led by Lisa M. Arkin, MD, of the Department of Dermatology, University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin, in an accompanying editorial.
Using databases from Korea's National Health Insurance Service and the Korea Disease Control and Prevention Agency, investigators led by Yeon-Woo Heo, MD, a dermatology resident at Yonsei University Wonju College of Medicine, Wonju, Republic of Korea, compared 3.1 million people who had COVID-19 with 3.8 million controls, all with at least 180 days’ follow-up through December 31, 2022.
At a mean follow-up of 287 days in both cohorts, authors found significantly elevated risks for AA and vitiligo (adjusted hazard ratio [aHR], 1.11 for both), AT (aHR, 1.24), Behçet disease (aHR, 1.45), and BP (aHR, 1.62) in the post-COVID-19 cohort. The infection also raised the risk for other conditions such as systemic lupus erythematosus (aHR, 1.14) and Crohn’s disease (aHR, 1.35).
In subgroup analyses, demographic factors were associated with diverse effects: COVID-19 infection was associated with significantly higher odds of developing AA (for both men and women), vitiligo (men), Behçet disease (men and women), Crohn’s disease (men), ulcerative colitis (men), rheumatoid arthritis (men and women), systemic lupus erythematosus (men), ankylosing spondylitis (men), AT (women), and BP (women) than controls.
Those aged under 40 years were more likely to develop AA, primary cicatricial alopecia, Behçet disease, and ulcerative colitis, while those aged 40 years or older were more likely to develop AA, AT, vitiligo, Behçet disease, Crohn’s disease, rheumatoid arthritis, systemic lupus erythematosus, Sjögren syndrome, ankylosing spondylitis, and BP.
Additionally, severe COVID-19 requiring intensive care unit admission was associated with a significantly increased risk for autoimmune diseases, including AA, psoriasis, BP, and sarcoidosis. By timeframe, risks for AA, AT, and psoriasis were significantly higher during the initial Delta-dominant period.
Vaccination Effect Moreover, vaccinated individuals were less likely to develop AA, AT, psoriasis, Behçet disease, and various nondermatologic conditions than were those who were unvaccinated. This finding, wrote Heo and colleagues, “may provide evidence to support the hypothesis that COVID-19 vaccines can help prevent autoimmune diseases.”
“That’s the part we all need to take into our offices tomorrow," said Brett King, MD, PhD, a Fairfield, Connecticut-based dermatologist in private practice. He was not involved with the study but was asked to comment.
Overall, King said, the study carries two main messages. “The first is that COVID-19 infection increases the likelihood of developing an autoimmune or autoinflammatory disease in a large population.” The second and very important message, he added, is that being vaccinated against COVID-19 provides protection against developing an autoimmune or autoinflammatory disease.
“My concern is that the popular media highlights the first part,” said King, “and everybody who develops alopecia areata, vitiligo, or sarcoidosis blames COVID-19. That’s not what this work says.”
The foregoing distinction is especially important during the fall and winter, he added, when people getting influenza vaccines are routinely offered COVID-19 vaccines. “Many patients have said, ‘I got the COVID vaccine and developed alopecia areata 6 months later.’ Nearly everybody who has developed a new or worsening health condition in the last almost 5 years has had the perfect fall guy — the COVID vaccine or infection.”
With virtually all patients asking if they should get an updated COVID-19 vaccine or booster, he added, many report having heard that such vaccines cause AA, vitiligo, or other diseases. “To anchor these conversations in real data and not just anecdotes from a blog or Facebook is very useful,” said King, “and now we have very good data saying that the COVID vaccine is protective against these disorders.”
George Han, MD, PhD, associate professor of dermatology at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell in Hempstead, New York, applauds investigators’ use of a large, robust database but suggests interpreting results cautiously. He was not involved with the study but was asked to comment.
“You could do a large, well-done study,” Han said, “but it could still not necessarily be generalizable. These autoimmune conditions they’re looking at have clear ethnic and racial biases.” Heo and colleagues acknowledged shortcomings including their study population’s monomorphic nature.
Additional issues that limit the study’s impact, said Han, include the difficulty of conceptualizing a 10%-20% increase in conditions that at baseline are rare. And many of the findings reflected natural patterns, he said. For instance, BP more commonly affects older people, COVID-19 notwithstanding.
Han said that for him, the study’s main value going forward is helping to explain a rash of worsening inflammatory skin disease that many dermatologists saw early in the pandemic. “We would regularly see patients who were well controlled with, for example, psoriasis or eczema. But after COVID-19 infection or a vaccine (usually mRNA-type), in some cases they would come in flaring badly.” This happened at least a dozen times during the first year of post-shutdown appointments, he said.
“We’ve seen patients who have flared multiple times — they get the booster, then flare again,” Han added. Similar patterns occurred with pyoderma gangrenosum and other inflammatory skin diseases, he said.
Given the modest effect sizes of the associations reported in the Korean study, Arkin and colleagues wrote in their JAMA Dermatology editorial that surveillance for autoimmune disease is probably not warranted without new examination findings or symptoms. “For certain,” King said, “we should not go hunting for things that aren’t obviously there.”
Rather, Arkin and colleagues wrote, the higher autoimmunity rates seen among the unvaccinated, as well as during the Delta phase (when patients were sicker and hospitalizations were more likely) and in patients requiring intensive care, suggest that “interventions that reduce disease severity could also potentially reduce long-term risk of subsequent autoimmune sequelae.”
Future research addressing whether people with preexisting autoimmune conditions are at greater risk for flares or developing new autoimmune diseases following COVID-19 infection “would help to frame an evidence-based approach for patients with autoimmune disorders who develop COVID-19 infection, including the role for antiviral treatments,” they added.
The study was supported by grants from the Research Program of the Korea Medical Institute, the Korea Health Industry Development Institute, and the National Research Foundation of Korea. Han and King reported no relevant financial relationships. Arkin disclosed receiving research grants to her institution from Amgen and Eli Lilly and Company, personal fees from Sanofi/Regeneron for consulting, and personal consulting fees from Merck outside the submitted work. Another author reported personal consulting fees from Dexcel Pharma and Honeydew outside the submitted work. No other disclosures were reported.
Study Link: jamanetwork.com/journals/jamadermatology/article-abstract/2825849 (PAYWALLED)
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longhaulerbear · 2 years ago
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The field of post-infectious diseases didn’t (except for ME/CFS) exist prior to the coronavirus. The medical field focused on treating infections – not dealing with their aftermath. Recent studies indicate why that’s not going to fly anymore – and it’s not just because of ME/CFS. It’s because large studies are indicating that a coronavirus infection – whether it’s mild or severe – is upping the risk for all sorts of diseases.
Most of these studies are very large – running into the millions of participants – that rely on electronic health records. They’re comparing the incidence of new diagnoses in people who were infected with the coronavirus with those who weren’t.
Eric Topol recently wrote a blog on the autoimmune implications of COVID-19. Three recently published large studies lead Topol to report a “substantially increased risk of developing a diverse spectrum of new-onset autoimmune diseases.“
The increased risk was not low – a 20-40% increase in the likelihood of coming down with one of these illnesses – and the range of autoimmune illnesses affected was diverse indeed: the studies pointed to dramatic increases in the diagnosis of almost 20 autoimmune diseases. (See blog for the diseases). Since autoimmune disease can take a while to show up after an infection, one can only assume that this number will rise over time.
Other studies have found a marked increase in neurological diseases, including some one might not have thought. Besides things like cognitive disorders, sharp increases in the rates of psychotic disorders, epilepsy, stroke, and parkinsonism as well as others.
Cardiovascular and metabolic diseases have not been as well assessed but increases in asthma, type I and type II diabetes, respiratory diseases, heart failure, and stroke have been seen.
Oddly enough, none of these studies have assessed increased incidences of the one disease long COVID has been most associated with – ME/CFS. Nor have they assessed new diagnoses of fibromyalgia, IBS, dysautonomia, postural orthostatic tachycardia syndrome (POTS), or gynecological diseases.
If you want more research into post-infectious illnesses, then linking an infectious event to dozens of serious illnesses can only help.
The study makes one wonder how many chronic illnesses were triggered by an infectious event.
For all of its horrendous impact, the coronavirus pandemic is clearly going to force the medical profession to take a very close look at what happens during an infectious event – and afterward – and that is good news for anyone with a post-infectious illness like ME/CFS.
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ask-philgraves · 10 days ago
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Cassie here!
Y'all probably have seen that I haven't been around a whole bunch, answering asks only occasionally and roleplaying as well.
Well, that is because my autoimmune disease flared up again, and while I'm looking for jobs, I'm prioritizing that over this blog for the moment.
Because of this, I'm having Rhi and Spooks sort of let me know what times would be good for people so we can still have that talk and plan out the organization. Don't worry that will still definitely happen. It will be taking place over Microsoft Teams I do believe.
So, because my autoimmune disease is flaring up, and I am disabled, I do wanna talk about my particular flavor of Autoimmune because everyone has something different. If you get squeamish, or pity me, then don't read further. I promise I'm fine, I know how to manage my disease, and at 21 there's not a whole lot I can do regarding medicine and treatment unless I truly want to fuck myself over in the long run.
So, my specific type of Auto-Immune disease is called Undifferentiated Connective Tissue Disease, or UCTD for short. It's a very long and medical sounding thing, but it basically means that what I have doesn't fit any KNOWN inflammatory arthritis, but they have deemed it an inflammatory arthritis. There's too little data (not in my case) for a conclusive result, OR like in my case, there's enough data but my puzzle piece keeps changing and having different symptoms that make it incredibly hard to give me one diagnosis that I fit all the criteria for.
However, my Rheumatologist that just retired, God Bless her, has seen my exact condition only one other time. I am positive for the ANA marker in my blood, which if you don't know, is one marker that they use to see if you have Lupus or a likelihood of developing lupus. In my case, I don't have lupus. Well, kind of.
Lupus is known to attack organs, so things like kidneys, and liver are most commonly known to be affected by it. (Kidneys moreso, but I mention Liver because my family has a history of going into Liver failure after they develop Lupus.) My arthritis however, attacks the connective tissues and eats at them, causing my bones to get creaky and crackle.
So my arthritis, in her own words, is Lupus Lite. It's not attacking my organs, but destroying my muscle mass, ligaments, cartilage, joints and last but not least, my actual bones.
So, it's pretty severe, but thankfully, it's only attacking my connective tissue at the moment. And it's pretty slow moving too. It's mainly in my joints, slowly eating away at the connective tissue there.
Because of the non-severity at the moment, my age, and the fact that I reacted HORRIBLY to one of the immunosuppressants they commonly use for cases like mine, my doctor and I have both decided that unless it starts getting horribly worse, or transforming into full blown lupus (which she has seen before), that we're just going to medicate the symptoms rather than the disease itself.
So, what exactly does that mean? Well, it means drinking caffeine when I'm super fatigued and exhausted, along with protein shakes. It means taking Celebrex when my joints start to become swollen and inflamed so I can move them without them feeling like they're in glue. It means when I have memory issues, we're going to take a day off work so I don't bother with the flow of things. (What if I accidentally give a customer the wrong order? Or I forget entirely what I was doing and try to go home in the confusion? Things like this make it to where I need to stay home occasionally.)
Now, that's not the only part of my condition that's affecting me as well. Because my brain is so hardwired to processing high amounts of pain, it gets a little weird. Hence, my second condition, very well known to many. Fibromyalgia. My specific kind, is when my brain is so used to processing pain and receiving pain, that it actually hurts itself when there isn't any pain. It processes pain as still there, or lingering, or maybe perhaps even stronger than what it technically is.
This can make it hard if I cut myself or burn myself while cooking. I can't tell off of pain when I should go to the doctor, because a small papercut can feel like my entire hand is on fire. Does it usually, no. But it definitely can. So instead, I have to learn how wounds look and because I'm in the USA, treat them myself most of the time.
Fibro also causes brain fog, and lingering pain. Imagine getting punched in the arm, and you felt it for the next 6 hours. That's the kind of thing that happens! A small poke in your back might briefly hurt you, but to me, it could cause my muscles to tense up and feel pain for the next 2 hours.
Well, if you have so much wrong with you, wouldn't it be easier to file for disability?
You would think so. In any other (first-world) country, I could probably file for disability and never have to work again. However in the USA, filing for disability is practically pulling teeth and locking yourself into poverty for the rest of your life. At no time can you have financial assets above 2000 dollars, so you are constantly on the verge of being homeless.
If you get above 2k, even 2001, you are instantly cut off from payments that the government hands out. Which can vary from 800$ a month to 1k. If they deem your disability bad enough.
On top of that, in certain cases, the government won't allow you to get married or you lose your disability benefits. Which is what many people rely on to survive.
So... Essentially you are forced to work until you are too sick to work?
Yes.
This is going to get slightly political, but this is why people are wanting to upheaval the government. It doesn't work, even for it's most compromised civilians. I shouldn't have to pay out of pocket for my care that checks if I'm going to get Lupus or not. My family shouldn't have been denied disability when dying of stage four pancreatic cancer. My grandma should be able to marry my grandpa, and I should be able to marry my boyfriend. Without them losing their benefits.
I shouldn't have to work if I very clearly am struggling to perform basic tasks.
However, there's a limelight at the end of the tunnel.
Since my conditions aren't bad enough yet... I can still make a career for myself. So, big life update, I'm going to be going to University either this fall or the upcoming winter semester. I'm gonna become a Veterinarian, Specifically Oncology (So pet cancer.) I'm gonna do my best, and save up as much as I can so I can help myself and my family out. It's aggravating, to say the least. But, I've been through worse, so I try to stay positive. That helps my pain a lot too.
That's all for now, I should be posting in a few days as my flareup stops being a lil bitch. You're welcome to send asks, or messages. I promise I'll get to all of them soon. Bye for now!!
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bloodedmaws · 1 year ago
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being physically disabled at a young age is such a weird thing. i’ve got a level of perspective that most people don’t but my god is it hell to navigate the world as a young disabled person. for years i’ve been told that i’m too young to have a physical disability only for doctors to now think i have an autoimmune disease that is causing insane levels of pain across my body. i wasn’t lying about it and surprise it had nothing to do with my weight.
i use a cane to get around because i currently can’t afford anything that would be better suited and i get such weird looks. a doctor asked me if i really needed it and who told me i needed it— i don’t walk around with a cane for shits and giggles, i told myself i needed it because walking without support was becoming unbearable. in likelihood i probably am going to need a wheelchair at some point but ill cross that bridge when i get to it.
before i became estranged from my family i was constantly being met with their own internalised ableism. they’re both physically disabled but i was constantly told that i was over exaggerating or i was making it up because i was between the ages of 14-22 (im 22 currently) and god forbid i complain about my pain and my disability when they have it so much worse. it’s bullshit i am allowed to complain.
my uni was weird initially about me claiming i had a disability, mostly because i didn’t have a definitive diagnosis other than generalised chronic pain. but i continued to push and win for me, i got a ground floor flat so i no longer have to walk up three flights of stairs (because for some reason this building doesn’t have a lift???)
i guess i wanted to sort of write this all out because life is complex as a young physically disabled person (and i have mental disabilities on top of that lol) i’m proud of myself for getting where i am all things considered but i wish i had answers to what is really going on with my body, i wish people took me seriously and i wish i wasn’t relying on pain medication to get through my day.
sorry for the long post and i’m sure like no one is going to read through it all 😭 but i suppose i just wanted to write it out
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chuckabeth · 1 year ago
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I don’t know why I’ve suddenly been imbued with the audacity of actually writing a real tumblr post instead of just reglobbing but um
On behalf of myself and all immunocompromised people
PLEASE GET YOUR SHOTS THIS SEASON
Please
I didn’t used to exempt myself from seasonal vaccines. I don’t even want to, I don’t even like it. But my body’s defenses and reactions are so frail and inflamed that if I take the shot, I will get sick. Really sick. Probably weeks of real pain and illness and slow recovery overreacting to the vaccine, and it will cost me my grades, my social life, my mental health, and that’s when a billion different logistical and health hurdles are already threatening my tenuous hold on those things as it is. I have to work so hard, and make decisions so, so carefully just to maximize the possibility that I’ll hopefully! Hopefully. Be well. Or at least well enough.
I have misunderstood and untreatable autoimmune disease(s) that have (in all likelihood) damaged my organs and decreased my ability to digest food and absorb vitamins on my own. I’m already in so much pain and fatigue every day that I (thank the Lord that I have this resource) use a wheelchair to help me get around without making myself sicker just from the strain of doing the regular stuff.
I have had COVID at least once. Thankfully I had taken the vaccine that time. But the vaccine reaction was almost as bad as the real thing. BUT if you’re healthy, (or at least healthier than me) THIS WILL NOT BE TRUE FOR YOU. You can afford a couple days of feeling a little under the whether. Right? I feel under the weather or worse literally every day of my friggin life, and often I just get on with things.
So…. Do it for me? So I don’t get long COVID? Or just like, the flu? Or other things that are popping up! Wear a mask and stay home if you can when you’re sick, thoughI know the latter is very difficult to get away with for so many. I just ask because these things could actually damage me in ways they might not damage you. And if you don’t do it for me, do it for the people that could just be straight up killed by a respiratory illness. That stuff spreads so easily, and they are likely locked up in their houses just as painfully as you were in lockdown trying to stay alive. Yet, like you, they have lives and hopes and dreams and are worthy of human decency and care and respect. But believe me, we don’t often feel enough of it, let alone from our doctors. All too often not even from our own families.
Or, you know, like, do it for yourself and other able bodied people who could suddenly find yourselves in our position through this Long COVID stuff. I know!! I know it feels like naw that would never happen to you. Is this stuff even for real? But trust me trust me, it can, it will. A lot of us sickies were like you once. And a lot of us still don’t have answers for what “went wrong.” And realizing that none of us are all that different, that we’re al in this together actually! Is one of the first biggest steps to compassionate and real, noticeable change. Caring enough about others and their needs enough to be mindful about simple stuff.
And hey, MAYBE just on your own, none of it will be enough. But at least you can look back and comfort yourself saying you tried. You didn’t take our lives for granted.
LOL anyway I’m just so nervous about school this winter please help me get my bachelor’s in as much peace as possible
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ren-is-ur-gfriend · 9 months ago
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Reasons to not have kids:
* Increased likelihood of autoimmune disease
* Pelvic floor dysfunction
* Diastasis recti
* Depression
* Anxiety
* Postpartum psychosis
* Choriocarcinoma
* Pregnancy is not representative of a woman!!
* Takes 7 years for your body to recover
P.s: the list goes on :)
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ladyfarona · 2 years ago
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Had my doctor run an ANA blood test on Monday. Haven't heard back from her personally but the results posted online are showing a hiiiigh likelihood I have some kind of autoimmune disease(s), ya know, like lupus. 🙃
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anjaliverma123 · 1 year ago
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Pregnancy : Risks and Complications
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Pregnancy is often depicted as a time of joy and anticipation, but it's also a period that comes with its own set of risks and potential complications. While many pregnancies proceed smoothly, it's essential for expectant parents to be aware of the various risks and complications that can arise during gestation. Understanding these factors can help individuals navigate their pregnancy journey more confidently and make informed decisions about their prenatal care. In this blog post, we'll explore some of the common risks and complications associated with high - risk pregnancy, along with preventive measures and potential treatments.
Understanding Pregnancy Risks
Pregnancy involves numerous physiological changes in a woman's body, aimed at supporting the development of a growing fetus. While these changes are natural and necessary, they can also increase the likelihood of certain health risks and complications. Some of the key factors contributing to pregnancy risks include:
Maternal Age
Advanced maternal age (typically defined as 35 years and older) is associated with an increased risk of various pregnancy complications, including gestational diabetes, preeclampsia, and chromosomal abnormalities such as Down syndrome.
Pre-existing Medical Conditions
Women with pre-existing medical conditions such as diabetes, hypertension, thyroid disorders, or autoimmune diseases may face additional challenges during pregnancy. These conditions can exacerbate pregnancy-related complications and require close monitoring by healthcare providers.
Lifestyle Factors
Smoking, alcohol consumption, substance abuse, and poor nutrition can all contribute to pregnancy risks. These factors not only affect maternal health but can also negatively impact fetal development and increase the likelihood of birth defects and other complications.
Common Pregnancy Complications
Despite advances in prenatal care, certain complications can arise during pregnancy, posing risks to both the mother and the developing baby. Some of the most common pregnancy complications include:
Gestational Diabetes
Gestational diabetes occurs when blood sugar levels rise during pregnancy, leading to potential complications such as macrosomia (large birth weight), preterm birth, and an increased risk of cesarean delivery. Proper management through diet, exercise, and medication is essential to minimize risks to both mother and baby.
Preeclampsia
Preeclampsia is a serious condition characterized by high blood pressure and signs of organ damage, typically occurring after 20 weeks of pregnancy. If left untreated, preeclampsia can lead to complications such as eclampsia (seizures), placental abruption, and maternal/fetal death. Close monitoring and prompt medical intervention are crucial for managing preeclampsia.
Preterm Labor
Preterm labor, or premature birth, refers to the onset of labor before 37 weeks of pregnancy. Premature infants may face various health challenges, including respiratory distress syndrome, developmental delays, and long-term disabilities. Identifying risk factors and receiving appropriate prenatal care can help reduce the likelihood of preterm labor.
Miscarriage
Miscarriage, or spontaneous abortion, refers to the loss of a pregnancy before 20 weeks gestation. While miscarriages are relatively common, experiencing recurrent miscarriages or late-term pregnancy loss can be emotionally devastating for couples. Understanding the potential causes of miscarriage and seeking support from healthcare providers and support groups can help individuals cope with this loss.
Birth Defects
Birth defects are structural or functional abnormalities present at birth, ranging from mild to severe. These abnormalities may result from genetic factors, environmental exposures, or a combination of both. Prenatal testing, including ultrasound scans and genetic screening, can help identify potential birth defects early in pregnancy, allowing for informed decision-making and appropriate medical management.
Preventive Measures and Prenatal Care
While it's impossible to eliminate all pregnancy risks and complications, there are several steps individuals can take to optimize their chances of a healthy pregnancy outcome:
Preconception Planning:
Planning for pregnancy involves optimizing maternal health before conception through regular exercise, a balanced diet, supplementation (e.g., folic acid), and managing pre-existing medical conditions. Consulting with a healthcare provider before conception can help identify and address potential risk factors.
Regular Prenatal Check-ups:
Attending regular prenatal appointments allows healthcare providers to monitor maternal and fetal well-being, identify any potential complications early, and provide appropriate interventions as needed. These appointments typically include physical examinations, ultrasound scans, and laboratory tests to assess maternal and fetal health.
Healthy Lifestyle Choices:
Adopting a healthy lifestyle during pregnancy, including abstaining from smoking, alcohol, and illicit drugs, maintaining a balanced diet, staying physically active (with healthcare provider approval), and managing stress, can help reduce the risk of pregnancy complications and promote optimal fetal development.
Education and Support:
Educating oneself about pregnancy, childbirth, and postpartum care can empower expectant parents to make informed decisions and advocate for their health and the health of their baby. Joining prenatal classes, seeking support from healthcare professionals, and connecting with other expectant parents can provide valuable guidance and reassurance throughout the pregnancy journey.
Conclusion
Pregnancy is a unique and transformative experience, but it's important to recognize that it comes with inherent risks and potential complications. By understanding these risks, taking proactive measures to optimize maternal health, and receiving comprehensive prenatal care, expectant parents can maximize their chances of a healthy pregnancy and childbirth. While some complications may be unavoidable, early detection, prompt intervention, and ongoing support can help mitigate their impact and ensure the best possible outcomes for both mother and baby. Remember, every pregnancy is different, and seeking guidance from healthcare professionals is crucial for personalized care and support throughout the journey to parenthood.
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serioussideblog · 6 months ago
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And one time I managed to get a yeast infection AND BV AND a UTI at the same time…and no, I didn’t even do anything to get all that. It literally just happened randomly.
To all vagina owners and also people who have a urinary tract (pretty sure that last one covers everyone): you gotta be careful with those. You got multiple holes next to each other surrounded by skin and usually hair. Also the urethra is where pee comes from and the anus is near there, too, in your gluteal cleft. So you have a lot of likelihood of things going wrong.
Wipe front to back, it reduces risk. No douching. You can gently wash the labia and such with soap but be careful. Follow your doctor’s advice. Change your underwear frequently. And if you start getting symptoms like itching or burning or like you have to pee but can’t or an unusual smell or unusual discharge, see a doctor.
And as for why diabetes can lead to an increased risk of yeast infections: the reason is twofold. One, yeast likes sugar, and when you have diabetes, you have excess sugar, including in your urine (which comes out of your urethra, which is not in the vagina but is the neighbor of the vagina). And two, diabetes and some of the medications used to treat it can cause you to be immune compromised. (If you have type 1 diabetes, that’s an autoimmune disease, and in some cases, you may need to be on immunosuppressive medications. And any type of diabetes can and often will cause damage to other organs and systems in the body, including those involved in fighting off germs and fungi. Yeast is a fungus.)
All this to say, humans have bodies that need their parts watched over, so take care of your body.
Having a vagina honestly sucks bc it's like you have to do fucking alchemy just to prevent yourself from getting sick. You've got an intricate ecosystem of microorganisms down there that you're dependent on for your own well-being and they can be set off by the tiniest fucking thing
Keeping your pubes too short can cause yeast infections, but letting them get too long can also cause yeast infections. Washing the area with specialized soap can help prevent yeast infections, but it can also cause them. Your periods can cause yeast infections, and so can the medicine you take to stop your periods. Having sex can cause yeast infections, especially if the person you're having sex with is diabetic (???). Being diabetic can cause yeast infections. Wearing the wrong clothes or eating the wrong things can cause yeast infections. Not getting enough fucking sleep can cause yeast infections. The list is neverending
Luckily, yeast infections are fairly easy to treat with OTC medicine that you can find at any Walmart. BUT! Even if all of your symptoms indicate that you have a yeast infection, you have to take a test first to confirm that it's a yeast infection (they do not sell the tests at Walmart) bc you might actually have the opposite of a yeast infection (bacterial vaginosis) which has the exact same symptoms as a yeast infection but is caused by an imbalance of different microorganisms. And if you use yeast infection medicine to treat a bacterial infection it will light your pussy on fire. So if you have a bacterial infection, you must instead visit your local witch doctor (gynecologist) and get prescribed special potions (antibiotics) to treat it
Antibiotics can also cause yeast infections
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ramachannel270 · 2 days ago
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Why Should You Be Concerned About มะเร็งต่อมน้ําเหลือง?
มะเร็งต่อมน้ําเหลือง, or lymphoma, is a cancer that affects the lymphatic system, an essential part of the immune system. While it can be treated, understanding the signs and risk factors can be life-saving. So, why is it important to be aware of lymphoma, and how can you detect it early?
Key Warning Signs of มะเร็งต่อมน้ําเหลือง
Swollen Lymph Nodes – Painless lumps, often in the neck, underarms, or groin.
Unexplained Weight Loss – A significant and sudden drop in weight without dieting.
Fatigue – Persistent tiredness or weakness, even with adequate rest.
Night Sweats – Excessive sweating during sleep, even when the room is cool.
Fever – Recurrent fevers without a clear cause.
Risk Factors for มะเร็งต่อมน้ําเหลือง
Age – Lymphoma can affect people of all ages, though certain types are more common in older adults.
Immune System Disorders – Conditions like HIV/AIDS or autoimmune diseases increase the risk.
Family History – A family history of lymphoma or other cancers may increase the likelihood.
Infections – Viruses like Epstein-Barr virus or Hepatitis C can contribute to lymphoma development.
Early Detection Can Save Lives!
If you notice any unusual symptoms, don’t wait. Early diagnosis and treatment of มะเร็งต่อมน้ําเหลือง can improve the outcome. Consult a healthcare provider for a thorough evaluation.
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alexanderkylesworld · 2 days ago
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Mr.Vit Explains: Why Omega 3 is Essential for Overall Health
Omega 3 fatty acids are essential nutrients that play a crucial role in maintaining overall health. These polyunsaturated fats are important for various bodily functions, including brain health, cardiovascular health, and inflammatory response regulation. As the body cannot produce omega 3 fatty acids on its own, it is essential to obtain them through diet or supplements. Understanding the significance of omega 3 is vital for anyone seeking to improve their health and well-being.
Types of Omega 3 Fatty Acids
There are three primary types of omega 3 fatty acids: ALA (alpha-linolenic acid), EPA (eicosapentaenoic acid), and DHA (docosahexaenoic acid). ALA is found mainly in plant sources such as flaxseeds, chia seeds, and омега 3 . EPA and DHA, on the other hand, are primarily found in fatty fish like salmon, mackerel, and sardines. Each type of omega 3 fatty acid offers unique health benefits, making it essential to incorporate a variety of sources into your diet
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Benefits for Heart Health
One of the most well-known benefits of omega 3 fatty acids is their positive impact on heart health. Research has shown that omega 3 can help lower triglyceride levels, reduce blood pressure, and decrease the risk of arrhythmias. Additionally, omega 3 fatty acids possess anti-inflammatory properties that may help reduce the risk of cardiovascular diseases. By including omega 3 in your diet, you can support overall heart health and reduce the likelihood of heart-related issues.
Supporting Brain Function
Omega 3 fatty acids, particularly DHA, are vital for brain health. DHA is a major component of brain tissue and is crucial for cognitive function, memory, and overall mental health. Studies have suggested that adequate omega 3 intake may help reduce the risk of cognitive decline and improve symptoms of mood disorders, such as depression and anxiety. Ensuring adequate DHA levels is essential for maintaining optimal brain function throughout life.
Benefits for Joint and Bone Health
In addition to heart and brain health, omega 3 fatty acids can also support joint and bone health. The anti-inflammatory properties of omega 3 may help reduce joint pain and stiffness in individuals with conditions such as arthritis. Furthermore, omega 3 fatty acids have been linked to improved bone density, potentially reducing the risk of osteoporosis. Including omega 3 in your diet can help promote overall joint and bone health.
Enhancing Immune Function
Omega 3 fatty acids also play a significant role in supporting the immune system. By regulating inflammatory responses, omega 3 can enhance the body’s ability to ward off illnesses and infections. Research has suggested that adequate omega 3 intake may reduce the incidence of autoimmune diseases and improve responses to vaccines. A well-functioning immune system is essential for overall health, and omega 3 can play a crucial role in maintaining it.
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Sources of Omega 3
Incorporating omega 3 fatty acids into your diet can be achieved through various sources. Fatty fish such as salmon, mackerel, and sardines are excellent sources of EPA and DHA. For those following a plant-based diet, flaxseeds, chia seeds, walnuts, and hemp seeds are rich in ALA. Additionally, omega 3 supplements, such as fish oil or algal oil, are available for those who may not consume enough omega 3 through their diet. Choosing high-quality sources is important for maximizing the benefits of these essential fatty acids.
Conclusion: Prioritizing Omega 3 for Health
In conclusion, omega 3 fatty acids are essential for overall health and well-being. From supporting heart and brain function to enhancing immune health and reducing inflammation, the benefits of omega 3 are vast. It is crucial to include a variety of omega 3 sources in your diet to ensure that you receive these vital nutrients. By doing so, you can promote better health and improve your quality of life
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naturalsoriasistreatment · 4 days ago
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Natural Treatment for Psoriasis: A Holistic Approach to Healing
Understanding Psoriasis, Its Causes & Triggers
Psoriasis is a chronic, non-contagious autoimmune disease that affects the skin, producing red, itchy, and scaly patches. It is considered a complex disorder that involves both genetic and environmental factors. The condition occurs when the body's immune system mistakenly attacks healthy skin cells, speeding up the skin cell turnover process. Under normal circumstances, skin cells shed and regenerate approximately every 28 to 30 days. In psoriasis, this process accelerates, causing skin cells to accumulate and form patches on the surface in just a few days, mandating that the patient seek a natural treatment for psoriasis.
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Several factors contribute to psoriasis development. These include:
Genetic Predisposition: Psoriasis tends to run in families. If one or both parents have the condition, there's a higher likelihood of developing it.
Immune System Malfunction: Psoriasis is an autoimmune disease where the immune system mistakenly attacks healthy cells. T-cells, a type of white blood cell, become overactive and trigger inflammation in the skin, accelerating the growth of skin cells.
Stress: Emotional or physical stress is a common trigger.
Infections: Certain infections, particularly strep throat, can induce flare-ups.
Skin Injuries: Any kind of skin trauma such as scratches, sunburns can cause patches of psoriasis.
Weather: Symptoms are worsened by cold and dry climatic conditions; on the other hand, warm, sunny weather improves symptoms.
Psoriasis may occur anywhere, but it is commonly found on the scalp, elbows, knees, and lower back. Scalp psoriasis, in particular, is a very common and pesky form of the disease since it affects the scalp, bringing visible flaking, itching, and often embarrassment, necessitating a permanent solution for psoriasis.
Scalp Psoriasis: A Deeper Look
Scalp psoriasis is one of the most common types of psoriasis, and it affects both children and adults. It can be as mild as dandruff-like flakes or as severe as thick crusts that extend beyond the hairline. It can be itchy and painful, and in severe cases, it may even cause hair loss due to inflammation or scratching.
The exact cause of scalp psoriasis, like other forms of the disease, is related to immune system dysfunction, in which the body produces new skin cells at an abnormally rapid rate. These new cells accumulate on the scalp, forming scaly patches and plaques. The triggers for scalp psoriasis are similar to those of general psoriasis and include stress, infections, certain medications, and even weather changes. In many cases, scalp psoriasis can be mistaken for dandruff or seborrheic dermatitis, so a proper diagnosis by a healthcare professional is crucial.
Homeopathic Natural Treatment for Psoriasis
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Many different scalp psoriasis treatment can help manage the condition and prevent flare-ups. Homeopathy provides an alternative approach for treating psoriasis, based on the concept of treating the roots of the problem rather than its symptoms.
In homeopathy, the remedies are given in an individualistic way, keeping in mind all the symptoms and overall health, along with mental conditions. An expert homeopath would consult properly and prescribe medicine accordingly to his patients' specific requirements.
Homeopathic Alternative Treatment of Psoriasis
In addition to the above solutions, other homeopathic remedies for psoriasis include adjustments in lifestyle along with complementary medicine that can intensify the power of the drugs.
Dietary Changes: Some foods could make the conditions of psoriasis worse, but others may benefit in reducing or eliminating the symptom. For example, omega 3 fatty acid, which could be found on fish, flaxseed and walnuts will reduce inflammation whereas processed foods rich in sugar is said to enhance the condition.
Stress Management: Stress is one of the major causes for flare-ups, so activities such as yoga, meditation, and mindfulness can reduce stress and enhance one's overall wellness.
Herbal Supplements: A lot of herbal supplements are combined with homeopathic remedies for psoriasis, like turmeric and aloe vera. These herbs have anti-inflammatory properties and calm irritated skin.
Skin Care Regimes: Moisturizing the skin regularly is one of the main methods of controlling psoriasis. The application of natural oils such as coconut oil, tea tree oil, and olive oil will hydrate the skin and decrease inflammation.
Detoxification: Homeopathic practitioners may also recommend detoxification treatments that cleanse the body of toxins which may cause the flare-ups of psoriasis. These can include homeopathic detox remedies or natural cleansing regimens.
Best Psoriasis Treatment in India
India, with its rich history of natural healing practices, is home to several effective and holistic natural scalp psoriasis treatment options. Homeopathy is one of the best alternatives, particularly for those looking for natural, non-invasive treatments.
There are many clinics and homeopathy centers in India that specialize in the treatment of psoriasis with personalized homeopathic care. Some of the top names in this field include Bharat Homeopathy in Gurgaon, which offers effective, natural treatment options for psoriasis, including scalp psoriasis. Their expert homeopaths provide individualized treatment plans that address both the physical and emotional aspects of the condition, ensuring a more holistic approach to healing.
There, highly qualified professional work with patients utilizing a mixture of constitutional homeopathic natural remedy for scalp psoriasis combined with lifestyle suggestions individualized based on the medical background and presenting symptomatology. Patients have achieved improvement in the conditions of psoriasis with numerous enjoying long periods free from exacerbation. Today Bharat Homeopathy Clinic offers patients the natural scalp psoriasis treatment in India-a personalized approach tailored to fit your unique circumstances for optimal comfort in managing their life.
Psoriasis is a chronic condition for millions worldwide. Understanding the potential causes and triggers of the condition can be beneficial for patients in managing the disease better. Homeopathy offers the possibility of treating all kinds of psoriasis including scalp psoriasis treatment through purely natural remedies. Bharat Homeopathy in Gurgaon is a leading place for holistic treatment of psoriasis, as combined powers of homeopathy with lifestyle changes ensure long-term relief.
Whether you suffer from mild dandruff-like flakes or have debilitating psoriasis, homeopathy offers a safe and effective treatment. Homeopathy not only aims at the root cause of the psoriasis but also works on rebalancing the immune system to ensure long-lasting relief through natural treatment for psoriasis and improvement in quality of life for the patients with psoriasis.
For more information on psoriasis visit these links
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drmanishkumargupta · 8 days ago
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Autoimmune Hepatitis Diagnosis: Facts, Treatment, and Causes
Autoimmune hepatitis (AIH) is a chronic liver disease that occurs when the body’s immune system mistakenly attacks the liver, causing inflammation and damage. Without timely diagnosis and treatment, this condition can lead to severe complications such as cirrhosis and liver failure. At the Gastro, Liver & Endoscopy Center, under the expert care of Dr. Manish Kumar Gupta, patients receive comprehensive evaluation and tailored treatments for autoimmune hepatitis and other liver disorders. Known as the Best Gastro Specialist in Ghaziabad, Dr. Gupta is committed to helping patients manage their condition effectively and improve their quality of life.
In this blog, we will delve into the facts, causes, and treatment options for autoimmune hepatitis and discuss how early diagnosis can make a significant difference.
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What is Autoimmune Hepatitis?:
Autoimmune hepatitis is a condition where the immune system, which is designed to protect the body from infections, mistakenly targets healthy liver cells. This immune response causes chronic liver inflammation and can lead to long-term liver damage if left untreated.
Autoimmune hepatitis can affect people of all ages and genders but is more common in women. It is classified into two main types:
Type 1 Autoimmune Hepatitis: The most common form, often occurring in young women, but it can develop at any age. It is associated with other autoimmune conditions, such as type 1 diabetes or rheumatoid arthritis.
Type 2 Autoimmune Hepatitis: This type is less common and usually affects children and young adults. It may progress more rapidly than Type 1.
Causes of Autoimmune Hepatitis:
The exact cause of autoimmune hepatitis remains unclear, but it is believed to result from a combination of genetic and environmental factors. Potential triggers include:
Genetic Predisposition: Individuals with a family history of autoimmune diseases are at a higher risk.
Environmental Triggers: Certain infections, medications, or toxins may act as triggers in susceptible individuals.
Hormonal Factors: The higher prevalence in women suggests a possible role of hormonal differences.
Other Autoimmune Diseases: Conditions like celiac disease, thyroid disorders, or systemic lupus erythematosus can increase the likelihood of developing autoimmune hepatitis.
Symptoms of Autoimmune Hepatitis:
The symptoms of autoimmune hepatitis can range from mild to severe and may include:
Fatigue and weakness
Abdominal discomfort or pain (especially in the upper right side)
Jaundice (yellowing of the skin and eyes)
Dark urine and pale stools
Loss of appetite
Unexplained weight loss
Joint pain and muscle aches
Itchy skin
It is important to consult a specialist like Dr. Manish Kumar Gupta, the Top Gastroenterologist in Ghaziabad, if you experience persistent symptoms.
Diagnosis of Autoimmune Hepatitis:
Accurate diagnosis is crucial for managing autoimmune hepatitis effectively. At the Gastro, Liver & Endoscopy Center, Dr. Gupta utilizes advanced diagnostic tools to confirm the condition and assess its severity. Diagnostic steps may include:
Medical History and Physical Examination:
Understanding the patient’s symptoms, family history, and any associated autoimmune conditions.
Blood Tests:
Liver Function Tests (LFTs): To assess liver health and detect inflammation or damage.
Autoantibody Tests: Identifying specific autoantibodies (e.g., ANA, ASMA, or anti-LKM1) that indicate autoimmune hepatitis.
Immunoglobulin G (IgG) Levels: Elevated IgG levels often suggest autoimmune hepatitis.
Imaging Studies:
Ultrasound, CT scan, or MRI to evaluate liver size, shape, and any structural abnormalities.
Liver Biopsy:
A small tissue sample is taken from the liver to confirm the diagnosis and determine the extent of inflammation or fibrosis.
Treatment of Autoimmune Hepatitis:
Treatment for autoimmune hepatitis focuses on reducing liver inflammation, preventing further damage, and achieving long-term remission. The treatment approach at the Gastro, Liver & Endoscopy Center includes:
Medications:
Corticosteroids (e.g., Prednisone): These drugs help suppress the immune response and reduce liver inflammation.
Immunosuppressants (e.g., Azathioprine): Often used in combination with corticosteroids, these medications help maintain remission and reduce the need for high-dose steroids.
Lifestyle Modifications:
A balanced diet rich in nutrients and low in fats and sugars.
Avoiding alcohol and unnecessary medications that may strain the liver.
Regular physical activity to maintain overall health.
Monitoring and Follow-Up:
Regular check-ups to monitor liver function and ensure that the treatment plan is effective.
Liver Transplant (in Severe Cases):
For advanced cases where liver failure occurs, a liver transplant may be the only option. Early diagnosis and treatment can often prevent this outcome.
Why Choose Gastro, Liver & Endoscopy Center?
With Dr. Manish Kumar Gupta, the Best Gastroenterologist in Ghaziabad, at the helm, the Gastro, Liver & Endoscopy Center offers comprehensive care for autoimmune hepatitis and other liver conditions. Dr. Gupta’s extensive expertise, compassionate approach, and commitment to advanced diagnostic techniques ensure accurate assessments and effective treatments. Patients benefit from a personalized care plan tailored to their unique needs.
Conclusion:
Autoimmune hepatitis is a manageable condition when diagnosed early. If you experience any symptoms or have risk factors, consult Dr. Manish Kumar Gupta, the Best Doctor for Gastroenterology in Ghaziabad, at the Gastro, Liver & Endoscopy Center. With expert care and advanced diagnostics, you can achieve better liver health and improve your quality of life.
Schedule your consultation today and take the first step toward effective management of autoimmune hepatitis.
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businessconsultantsposts · 12 days ago
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Botox for Sweating & Private Shingles Vaccine in Leeds
Botox for Sweating – Private Clinic in Leeds
Excessive sweating, also known as hyperhidrosis, can be a distressing condition that affects daily life, confidence, and comfort. While sweating is a natural bodily function, excessive sweating can be difficult to manage with over-the-counter treatments like antiperspirants. If you struggle with persistent sweating, Botox for sweating at a private clinic in Leeds may be the solution you need.
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How Does Botox for Sweating Work?
Botox, or botulinum toxin, is widely used for cosmetic treatments, but it is also an effective medical treatment for hyperhidrosis. It works by temporarily blocking the nerves that stimulate sweat glands, reducing excessive sweating in targeted areas.
Areas Treated with Botox for Sweating
Underarms (Axillary Hyperhidrosis) – The most common area treated with Botox for excessive sweating.
Palms of Hands – Helps individuals who experience sweaty palms, which can be particularly inconvenient for social and professional interactions.
Feet (Plantar Hyperhidrosis) – Reduces excessive sweating in the soles of the feet, preventing discomfort and odor.
Forehead & Scalp – Ideal for people who sweat excessively on the face and hairline.
Benefits of Botox for Excessive Sweating
Long-Lasting Results – Most patients experience relief for 4 to 6 months.
Quick & Minimally Invasive – The procedure takes around 20-30 minutes with no downtime.
Improves Confidence – No more worrying about sweat stains or discomfort.
Safe & FDA-Approved – Botox is a clinically tested and safe treatment for hyperhidrosis.
Where to Get Botox for Sweating in Leeds?
Several private clinics in Leeds offer Botox for sweating. These clinics have experienced practitioners who specialize in treating hyperhidrosis. You can book a consultation to assess your needs and determine the best treatment plan. The price for Botox for sweating typically ranges from £300 to £600, depending on the treatment area and clinic.
Private Shingles Vaccine
Shingles is a painful viral infection caused by the varicella-zoster virus, the same virus responsible for chickenpox. Once a person has had chickenpox, the virus remains dormant in the body and can reactivate later in life as shingles. The best way to prevent shingles and its complications is through vaccination.
Who Should Consider the Private Shingles Vaccine?
People Over 50 – The risk of shingles increases with age, making vaccination essential for older adults.
Individuals with Weakened Immune Systems – Those with conditions like cancer, HIV, or autoimmune diseases are at higher risk of severe shingles.
Anyone Who Wants Protection – If you’ve had chickenpox, you’re at risk for shingles. The vaccine helps reduce the likelihood of an outbreak.
Benefits of the Shingles Vaccine
Reduces Risk of Developing Shingles – The vaccine lowers the chances of getting shingles significantly.
Prevents Postherpetic Neuralgia (PHN) – PHN is a long-term nerve pain condition that can follow shingles. The vaccine reduces this risk.
Safe & Effective – The shingles vaccine is clinically tested and recommended by health professionals.
Types of Shingles Vaccines Available
Shingrix – A newer, highly effective vaccine that requires two doses. It offers over 90% protection and is preferred over older vaccines.
Zostavax – A single-dose vaccine that provides some protection but is less effective than Shingrix.
Where to Get a Private Shingles Vaccine in Leeds?
The private shingles vaccine is available at select private health clinics, travel clinics, and vaccination centers in Leeds. Since the NHS only offers the shingles vaccine to specific age groups, getting a private vaccine ensures you don’t have to wait or miss out on protection.
The cost of a private shingles vaccine typically ranges from £150 to £300 per dose, depending on the clinic and vaccine type.
Conclusion
If you are looking for Botox for sweating at a private clinic in Leeds, or want to protect yourself against shingles with a private vaccine, Leeds has excellent private healthcare options. Book a consultation today and take proactive steps toward better health and confidence.
Would you like me to include a list of specific clinics in Leeds?
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