Toni J. Brayer, M.D.
Internal Medicine
Not accepting new patients
Professional Interests
Internal Medicine
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Sports medicine, Women's health
Affiliations
- Hospital Affiliations
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California Pacific Medical Center
- Medical Affiliations
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Sutter Pacific Medical Foundation
- Sutter West Bay Medical Group
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Sutter Medical Network
Practice Locations
Credentials & Notables
- Medical School:
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University of Arizona Medical College
- Residency:
-
California Pacific Medical Center
- Internship:
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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
I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
About 15-20 percent of women continue to have menopausal symptoms long after menopause, although they should diminish in intensity with time. There have been many research studies on non-estrogen treatments for... continue reading about I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
I have recently lost all desire to be intimate with my partner. I sometimes feel it to be repulsive. I do find him attractive, but the thought of sex or even just kissing him makes me freak out.
You say you have recently lost desire so I am assuming the sexual relationship was a good one previously. Any sudden loss of libido should be evaluated medically. Hormone imbalance, depression, weight changes o... continue reading about I have recently lost all desire to be intimate with my partner. I sometimes feel it to be repulsive. I do find him attractive, but the thought of sex or even just kissing him makes me freak out.
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'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.
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?
When should you tell a potential sex partner about herpes?
Herpes simplex is a very common virus and can break out on any moist surface of the body. A person is contagious when there is an active herpetic lesion, and close contact must be avoided during these times. Th... continue reading about When should you tell a potential sex partner about herpes?
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?
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?
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