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
Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
There are hundreds of different brands and formulations of progesterone cream. It is considered a "nutraceutical" and is not controlled or regulated by the FDA. You can purchase progesterone creams through the ... continue reading about Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
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?
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.
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?
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?
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 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?
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 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.
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