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:
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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 2, Tennis, Writing, and Hiking
Ask an Expert
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 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?
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 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.
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?
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."
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?
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?
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