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Ask an Expert
Arfan Din, D.O.
Sutter Medical Foundation
What kind of health precautions should be taken before traveling to South East Asia (Thailand, Cambodia, Vietnam)?
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)?
Arfan Din, D.O.
Sutter Medical Foundation
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?
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?
Catherine Lenz, PA-C
Sutter Medical Foundation
I'm nearing 40 and noticing frown lines between my eyebrows and was wondering if there was an ideal age to begin Botox. Is there an age at which it is too late?
This is a great question! In fact, people between the ages of 18-65 can be treated with Botox. Those lines that form between the eyebrows are a result of powerful muscle contractions caused from concentration o... continue reading about I'm nearing 40 and noticing frown lines between my eyebrows and was wondering if there was an ideal age to begin Botox. Is there an age at which it is too late?
Catherine Lenz, PA-C
Sutter Medical Foundation
What can be done about aging, thinning skin on the arms and legs as we get older? Is there a best ingredient in over-the-counter products? This is happening despite excellent nutrition and otherwise very good health.
This question undoubtedly is asked by patients every day. Truth be told, there are preventive measures that can slow down the aging process, but sadly there is no way to completely avoid or reverse the aging pr... continue reading about What can be done about aging, thinning skin on the arms and legs as we get older? Is there a best ingredient in over-the-counter products? This is happening despite excellent nutrition and otherwise very good health.
Arfan Din, D.O.
Sutter Medical Foundation
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?
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?
Powell O. Jose, M.D., FACC
Sutter Medical Foundation
What is statin therapy and what are the side effects of this drug?
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?
Arfan Din, D.O.
Sutter Medical Foundation
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?
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?
Arfan Din, D.O.
Sutter Medical Foundation
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?
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?
Arfan Din, D.O.
Sutter Medical Foundation
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.
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.