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Vitamin B12 Level: What is Normal?

Ask the Nurse

My vitamin B12 levels run high. Is 2000 dangerous? All of my other blood tests are fine. I eat mostly chicken and fish, and no red meat. My oncologist has ran several tests, including a PET Scan and all is good.


Microscopic Blood in Urine

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I had a urine test done last month that came back with microscopic blood detected, so I was retested and that came back with microscopic blood detected, bilirubin, protein and ketones. The blood in my urine was 6-10. I have no medical conditions that I know of, so should I be worried or not?


Bioidentical Hormone Therapy

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I began BHRT (bio-identical hormone replacement therapy), and after extensive blood work I began my therapy with 0.25ml estradiol, 0.25ml testosterone, 100mg progesterone, and 5mg DHEA capsules. (Important to note that before the estradiol pump cream began, I did start with an estradiol patch and then half a patch since I had nipple sensitivity from the start of the program).

After 8 months of titration, the nipple soreness & sensitivity remain as long as I am taking the hormones. During this time of working with the doctor we have not been able to determine the cause of this problem, a way to eliminate it or a successful way to move forward.

I have been very careful in following instructions and giving feedback along the way. I have been told that this group has never encountered this problem before. In essence, they are stumped. I am a 69 year old women in relatively good health. I take blood pressure medicine and Valacyclovir daily. I eat well, sleep well, walk daily, I don't smoke or take any other drugs aside from those prescribed above. I have a glass of red wine once a week and take good care of myself making every effort to keep carbs to a bare minimum along with sugar. Any suggestions or light you may be able to shed on my situation would be very much appreciated.


Natural Treatment for Pain

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I've been having pain in my toes, legs, hips, lower back and stiffness in my ankles and legs. I'm 50 years old and I need something to help relieve my pain. I would like natural help, please.


What pelvic stimulating devices are available?

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Are there special devices that can be paid for by Medicare to improve weak (and possibly damaged) pelvic floor muscles?


What are treatment options for melasma?

Ask the Nurse

I am an OB/GYN physician and am curious if you have any experience using Tranexemic Acid/Lysteda® pills, one daily orally to treat melasma? I am considering prescribing a non-hormonal IUD for my patient who can’t tolerate hormone contraceptive pills.


What treatment can help joint pain?

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I have chronic pain in my fingers, wrist, hips, knees, shoulders, ankles, toes and bottoms of my feet. I am gaining weight. What can I take to alleviate my pain, so that I can exercise and lose this weight?


Are there natural treatments for vaginal atrophy?

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My doctor prescribed vaginal inserts to treat vaginal atrophy, but they are too expensive. Are there more natural/herbal, less expensive ways to address the same issue that will truly get results?


Is it safe to use a weighted vest?

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I recently learned I have osteoporosis. I read Dr. Moreno’s article about exercising safely. I would like to know if she would recommend using a weighted vest? I’d like to use one to increase weight-bearing load, but wonder if if it is advised?


Menopause

Health Information

Authors Julie A. Elder, DOHolly L. Thacker, MD Published: October 2013 Last reviewed: February 2016 Definition Menopause is defined as the absence of menses for 1 year. Women usually experience menopause between 40 and 55 years of age, with the median age being 51. Smokers and women with chronic illnesses tend to experience menopause at an earlier age. Menopause transition consists of fluctuating ovarian function and occurs 2 to 8 years before menopause and up to 1 year after the final…


FDA Approves Oral Contraceptive Slynd

News

The US Food and Drug Administration (FDA) has approved Slynd (drospirenone) for use as an oral contraceptive pill. The pill contains drospirenone 4 mg and comes in sets of 24 active pills along with 4 inactive tablets.The New Drug Application (NDA) for drospirenone was submitted to the FDA by Exeltis USA, Inc, which announced the approval of this progestin-only contraceptive tablet."Slynd may be an excellent choice for women who need or want safe and effective oral contraception without the…


Pessary

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My gynecologist's office closed suddenly, and I was having my pessary cleaned every 10 weeks. How do I clean it myself?


Is hair loss a side effect of vaginal estrogen?

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I started taking vaginal estrogen and now learned my dramatic hair loss may be a side effect. I recently stopped taking this medicine. I have an appointment with my gynecologist soon, but I’m panicking as I’m losing a handful of hair every day. What can I do?


Is there an age limit on hormone therapy?

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What is the reason that Estrogen/Progesterone is not being prescribed by OB/GYNs after a certain age (70)?


Bladder lifts treat stress urinary incontinence

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How long do bladder lifts last? Will Attain help?


Do I need hormone therapy if I don't have any menopause symptoms?

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I am wondering if hormone therapy (BHT) is right for me if I am not experiencing any ill effects of menopause? I'm 52 and haven't had a period for about 14 months. However, I do not have hot flashes, night sweats, and in fact feel very good.


FDA approves new drug for women with low sexual desire disorder

News

The US Food and Drug Administration approved a drug to return sexual desire to some women with low libido, the agency said Friday. The drug, bremelanotide, sold under the brand name Vyleesi by AMAG Pharmaceuticals, is an injection to be taken before sex. It's intended to treat women who are premenopausal and have hypoactive sexual desire disorder, where a lack of interest in sex may cause significant distress in a woman's life. It will be available in September, and the company has not yet…


Weight Loss: A Journey to A Healthier You!

Weight Loss: A Journey to A Healthier You!

Column

Read weight loss expert and Specialized Women’s Health expert, Dr. Lynn Pattimakiel’s column on weight loss, including reviews on prescription weight loss medications and a new weight loss management device.


9 Tips to Boost Your Mind and Body

9 Tips to Boost Your Mind and Body

Column

Read guest columnist, Cleveland Clinic Dr. Scott Bea’s column on 9 tips to boosting your mind and body.


Medicine for Facial Hair

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What is the topical medicine to deal with excessive hair on face and chin? I have tried waxing and depilatories. Someone told me there is a cream that is a long term solution.