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J Am Geriatr Soc. Randomized trial of folic acid supplementation and serum homocysteine levels. Prevalence of suboptimal vitamin D status during pregnancy. The following are some of the most common micronutrient deficiencies and symptoms patients experience after bariatric surgery and strategies for treatment. During the past decades, focus has shifted to the role of diet and nutrition in long-term health.
It describes that stem cells act in various ways. These include decreases in inflammation , cell replacement and trophic actions. The state of the art technique. They downregulate inflammatory mediators. The technique that I feel is the state of the art is both intravenous and nebulized inhaled mist. In my practice the great majority of patients start to see benefit.
A large multi center meta analysis describes the benefits of your own stem cells for peripheral vascular disease. Bone marrow stem cells were used and injected into muscles and intravenously. This is an excellent article outlining how stem cells from your own bone marrow can help with neurorestoration of various cells in the brain. My technique involves using intravenous and nasal nebulizer therapy. Kidney disease is a common and difficult to treat series of conditions.
They typically stem from age related degeneration of the tissues. A variety of medications are used to try to halt or slow damage , but are often ineffective.
Stem Cell therapy , as has been shown. Diabetes is a devastating degeneration of virtually all tissues of the body. Here in this article the research shows stem cell benefits to a vast number of tissues and organs damaged by Diabetes.
I have seen this on my patient population. So the stem cells work not. This is a great commentary on the viability and reliability of adipose or fat derived stem cells for regenerative purposes. They are very easy to extract from patients in just a matter of minutes , and as the article says they have the ability to become various types o.
Here's a great study on the use of stem cells for Rheumatoid Arthritis. It essentially describes that stem cells suppress a complicated inflammation mechanism. In RA there are cells that attack our own tissues , these are called T cells.
Stem cells derived form fat can. This is an 80 year old patient with severe shoulder pain and osteoarthritis in a variety of her joints. This is a year-old male who had chronic back pain for many many years he had used chiropractic treatment belts and supports as well as numerous pain medications nothing helped. Website development and hosting by 2by2host. Medical Services Stewart Ave. The new address is: Home Podcast Ask Dr. Calapai's new TV Show "Dr. Cal's Healthy Living" every Saturday Find out what the person has already tried and how successful this has been, and what they learned from the experience.
If necessary, offer another consultation to fully explore the options for treatment or discuss test results. Use investigations such as:. Interpret the results of any tests used in the context of how overweight or obese the child is, the child's age, history of comorbidities, possible genetic causes and any family history of metabolic disease related to being overweight or obese.
Ensure weight management programmes include behaviour change strategies see recommendations 1. Keep a copy of the agreed goals and actions ensure the person also does this , or put this in the person's notes. Take into account the person's:. Ensure there is adequate time in the consultation to provide information and answer questions. Provide contact details so that the person can get in touch when they are ready.
The focus may be on either weight maintenance or weight loss, depending on the person's age and stage of growth. Give praise to successes and encourage parents to role-model desired behaviours. Recommend types of physical activity, including:. Take into account the person's current physical fitness and ability for all activities. Encourage people to also reduce the amount of time they spend inactive, such as watching television, using a computer or playing video games.
Make the choice of activity with the child, and ensure it is appropriate to the child's ability and confidence. Consider counselling and assess for eating disorders or other psychopathology to make sure the diet is appropriate for them.
Tell them that this is not a long-term weight management strategy, and that regaining weight may happen and is not because of their own or their clinician's failure. Discuss the reintroduction of food following a liquid diet with them. It is essential that any dietary recommendations are part of a multicomponent intervention. Changes should be sustainable. Make arrangements for appropriate healthcare professionals to offer information, support and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed.
Provide information on patient support programmes. Prescribing should be started and monitored only in specialist paediatric settings. Treatment should be started in a specialist paediatric setting, by multidisciplinary teams with experience of prescribing in this age group. Agree the goals with the person and review them regularly. See also recommendation 1. All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss.
The person commits to the need for long-term follow-up. See also recommendations 1. The discussion should also include the person's family, as appropriate. Comply with the approaches outlined in the Department of Heath's A call to action on obesity in England. The prescriber should follow relevant professional guidance, taking full responsibility for the decision.