Fertility

Statins are a class of medications used to lower cholesterol. They work by inhibiting an enzyme called HMG-CoA reductase, which is important for cholesterol production in the liver. Statins are very commonly us... continue reading  about  What is statin therapy and what are the side effects of this drug?

Caffeine has multiple effects on the central nervous system, as well as the heart. Typically most people will experience an increase in heart rate, the degree of which differs among individuals. The amount of i... continue reading  about  My husband and I both have a large black coffee every day. After drinking his coffee, my husband's heart rate is elevated for hours. I don't see any increase in my heart rate from drinking coffee. Is this due to metabolism? Should my husband drink decaf?

Travel advice comes up often for us in primary care medicine. Health issues can arise in many places that are very different from what we face in the USA. My advice:See your primary care doctor as they are well... continue reading  about  What kind of health precautions should be taken before traveling to South East Asia (Thailand, Cambodia, Vietnam)?

Achilles tendonitis is a tough condition to treat since many aerobic activities can aggravate the condition and one of the treatment strategies is to avoid these activities.Aerobic conditioning is incredibly va... continue reading  about  I have severe Achilles tendinitis and can't even go on long walks for exercise. What workouts would you recommend while I recover? It's been weeks since I've broken a good sweat.

Back pain can generally be divided into two categories: Acute (less than four weeks duration)Chronic (greater than four weeks duration)Acute back pain is very common and is one of the top reasons that patients ... continue reading  about  I've been suffering from lower back pain for two years. I've had an MRI, ultrasounds and x-rays, but they can't find anything wrong. However I still have constant pain. What other tests can be done to find the reason for my pain?

Current treatments for end stage arthritis (bone touching bone) are very limited to mostly surgical options, i.e. joint replacement. Currently there is no effective way of replacing the cartilage that is damage... continue reading  about  I have knee pain, which I feel all day. I'm seeing an orthopedic doctor. His conclusion is the cartilage is worn out and recommends knee replacement. I've tried injections but this did not help. Are there any alternative procedures you would recommend?

Knee pain as you describe best fits the picture of a condition we call patellar femoral syndrome. This is a very common condition of the knee that often occurs with activity. Patellar femoral syndrome is typica... continue reading  about  I've been having knee pain when I bend it and when it's straight. It's also a little swollen above the kneecap. I'm hoping that this is just a mild sprain, but six years ago I had a blood clot in the same leg just below the knee. Should I be worried?

As men and women age, it is very clear that metabolism changes. Part of this may be due to hormonal changes, especially in women after menopause. This may be genetic or associated with a decreasing level of exe... continue reading  about  I am concerned because my blood sugar is fluctuating between 110 and 117, over 90 days. I have good eating habits and control my weight, but it's been harder after menopause. Should I be on a sugar-stabilizing medication such as Metformin?

It is wise to be concerned about dietary supplements, since they are not regulated by the FDA. This then allows manufacturers of these products to make claims that are not well founded in medical science or stu... continue reading  about  I've been running for a number of years. I feel like I've sort of hit a plateau in my race times and performances. I'm considering taking dietary supplements, but I'm concerned about possible side effects. Should I be?