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:
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University of Arizona Medical College
- Residency:
-
California Pacific Medical Center
- Internship:
-
California Pacific Medical Center
Languages
- Primary Language(s)
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English
Personal Interests
Mother of 2, Tennis, Writing, and Hiking
Ask an Expert
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 am a woman (59) and I have been hearing that one out of three people get shingles. I was wondering if I should get a vaccination. Am I insured for this, if not, how much does this shot cost?
The medical name for "shingles" is varicella zoster. It comes from the chickenpox virus that can lay dormant for years after exposure. As we get older it is more likely the virus will reappear and cause a painf... continue reading about I am a woman (59) and I have been hearing that one out of three people get shingles. I was wondering if I should get a vaccination. Am I insured for this, if not, how much does this shot cost?
I bruise very easily - and have since I was a child. Why am I like a banana?
A bruise occurs when small capillaries under the skin rupture and blood leaks out. It is usually due to trauma but it is common for some people to "bruise easily" or find bruises and not even remember any traum... continue reading about I bruise very easily - and have since I was a child. Why am I like a banana?
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.
Are there certain exercises I can do after knee replacement to strengthen my knees to allow for climbing stairs easily?
Immediately after surgery you will learn to climb stairs safely using crutches. As recovery continues and you work on flexion and extension of the new knee, you will be able to climb without crutches. With the ... continue reading about Are there certain exercises I can do after knee replacement to strengthen my knees to allow for climbing stairs easily?
We hear about high cholesterol, but can someone have cholesterol numbers that are too low?
That's a good question, as we usually are focused on cholesterol levels that are too high. Our cells and body depend upon cholesterol for healthy functioning. There are genetic, metabolic and dietary factors th... continue reading about We hear about high cholesterol, but can someone have cholesterol numbers that are too low?
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?
My calcium level is high. What foods do I need to cut down on? What about dairy products, orange juice, fortified cereal and eggs, which I thought were good for me? I'm on Tamoxifen and have been through chemo. Does that contribute to high calcium?
The body regulates the blood calcium levels through complex mechanisms. Low calcium can be supplemented with vitamins and eating calcium-rich foods and dairy. High calcium, however is never from any specific fo... continue reading about My calcium level is high. What foods do I need to cut down on? What about dairy products, orange juice, fortified cereal and eggs, which I thought were good for me? I'm on Tamoxifen and have been through chemo. Does that contribute to high calcium?
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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