Toni J. Brayer, M.D.
Internal Medicine
Not accepting new patients
Accepted Health Plans
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
Practice Locations
Credentials & Notables
- Medical School:
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University of Arizona Medical College
- Residency:
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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 two, tennis, writing, and hiking
Ask an Expert
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."
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?
How does menopause affect the joints and muscles in your body?
Many women experience joint and muscle pain and stiffness around the time of menopause that they hadn't experienced before. Because there are estrogen receptors all over the body, including the joints, declinin... continue reading about How does menopause affect the joints and muscles in your body?
Does a girl have to reach a certain weight before her periods begin?
Menarche (the start of a girl's menstrual period) is not dependent upon weight alone but the amount of body fat, height and weight all play a role in determining the start of puberty. A woman's genes and the ag... continue reading about Does a girl have to reach a certain weight before her periods begin?
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?
What are the health risks from not drinking water? My husband is terribly addicted to soda and any other drink that is not plain water. He drinks about a 1/2 cup of plain water a day.
There is truly an epidemic of soft drink consumption in our country, and your husband needs to cut down or cut out his substitution of soft drinks for healthy beverages. The fact that your husband is drinking s... continue reading about What are the health risks from not drinking water? My husband is terribly addicted to soda and any other drink that is not plain water. He drinks about a 1/2 cup of plain water a day.
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.
I read on your site that calcium supplements are not advisable as it contributes to heart disease, but calcium ingested in food doesn't. I'm reluctant to take supplemental calcium, but have continued to take Vitamin D on the days I'm not in the sun.
A number of studies have shown that supplemental calcium is linked to both heart attack and kidney stones in some people. For this reason, women are encouraged to get their calcium from food and dairy products ... continue reading about I read on your site that calcium supplements are not advisable as it contributes to heart disease, but calcium ingested in food doesn't. I'm reluctant to take supplemental calcium, but have continued to take Vitamin D on the days I'm not in the sun.
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