Toni J. Brayer, M.D.
Internal Medicine
Not accepting new patients
Professional Interests
Internal Medicine
-
Sports medicine, Women's health
Affiliations
- Hospital Affiliations
-
California Pacific Medical Center
- Medical Affiliations
-
Sutter Pacific Medical Foundation
- Sutter West Bay Medical Group
-
Sutter Medical Network
Practice Locations
Credentials & Notables
- Medical School:
-
University of Arizona Medical College
- Residency:
-
California Pacific Medical Center
- Internship:
-
California Pacific Medical Center
Languages
- Primary Language(s)
-
English
Personal Interests
Mother of 2, Tennis, Writing, and Hiking
Ask an Expert
I've been taking Norco for post-surgery pain. I'm feeling much better now and wonder how long I should take to go off of the pills? I've been taking three a day and I'm afraid of withdrawals.
You did not mention how long you have been on the Norco but if it is a few weeks or even a month there should be no physical withdrawal from stopping it. You may have well controlled pain because you are taking... continue reading about I've been taking Norco for post-surgery pain. I'm feeling much better now and wonder how long I should take to go off of the pills? I've been taking three a day and I'm afraid of withdrawals.
Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Almost 2/3 of women complain of memory impairment during menopause and after childbirth when hormones are in flux. This "brain fog" is common and likely is influenced by estrogen. We do have estrogen receptors ... continue reading about Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Why do some people lose height as they age? How much loss is too much?
After age 40, the average person loses about 1/2" of their height per decade. It happens because of gravity and wear and tear on bones, muscles and joints. Think of your skeleton as being made up of your ankles... continue reading about Why do some people lose height as they age? How much loss is too much?
I heard about “bulletproof coffee” – adding butter or another fat into your morning coffee. Are there really benefits?
The "bulletproof coffee" trend is a new fad, and presented as a way to gain energy, stay mentally sharp, avoid morning hunger AND lose weight. However, there is no scientific merit to the claims being made. The... continue reading about I heard about “bulletproof coffee” – adding butter or another fat into your morning coffee. Are there really benefits?
Is drinking hard alcohol more likely to contribute to addiction than wine or beer?
The way your body metabolizes alcohol does not change if it is wine, beer or hard spirits. Addiction depends upon the quantity of alcohol that is consumed, not the type. A 12 oz beer has the same alcohol conten... continue reading about Is drinking hard alcohol more likely to contribute to addiction than wine or beer?
I have hemorrhoids and banding has been recommended. What is it, what are the benefits, and what is the downside?
About 10 million Americans suffer from hemorrhoids, which are veins in the rectum and anus that swell and can itch and bleed. Some hemorrhoids get small blood clots (thromboses) and these are exquisitely painfu... continue reading about I have hemorrhoids and banding has been recommended. What is it, what are the benefits, and what is the downside?
I am 62 and have been doing Jazzercise aerobic exercise regularly for over a year. I started doing Jazzercise in the morning and began having knee pain. Should I quit this type of exercise? If so, what else should I do to stay in shape?
Hopefully you will not need to give up your regular Jazzercise class since it has worked for you this past year. Most likely you have "tweaked" a ligament or muscle that attaches to the knee. Even seasoned athl... continue reading about I am 62 and have been doing Jazzercise aerobic exercise regularly for over a year. I started doing Jazzercise in the morning and began having knee pain. Should I quit this type of exercise? If so, what else should I do to stay in shape?
How do I know if my heart is healthy enough for sex?
This is a common question from anyone who has had a heart attack or has been diagnosed with a heart problem. The Scientific Journal, Circulation, reported on thousands of patients with coronary artery disease w... continue reading about How do I know if my heart is healthy enough for sex?
What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
There is no one answer to treating "menopausal depression". Restoring hormones (HRT) and SSRI antidepressants have both been shown to help with depression in mid-life women. There are other things that have bee... continue reading about What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
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