Toni J. Brayer, M.D.
Internal Medicine
Not accepting new patients
Professional Interests
Internal Medicine
-
Sports medicine, Women's health
Affiliations
- Hospital Affiliations
-
California Pacific Medical Center
- Medical Affiliations
-
Sutter Pacific Medical Foundation
- Sutter West Bay Medical Group
-
Sutter Medical Network
Practice Locations
Credentials & Notables
- Medical School:
-
University of Arizona Medical College
- Residency:
-
California Pacific Medical Center
- Internship:
-
California Pacific Medical Center
Languages
- Primary Language(s)
-
English
Personal Interests
Mother of 2, Tennis, Writing, and Hiking
Ask an Expert
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?
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."
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'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
About 15-20 percent of women continue to have menopausal symptoms long after menopause, although they should diminish in intensity with time. There have been many research studies on non-estrogen treatments for... continue reading about I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
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.
How do I know if my heart is healthy enough for sex?
This is a common question from anyone who has had a heart attack or has been diagnosed with a heart problem. The Scientific Journal, Circulation, reported on thousands of patients with coronary artery disease w... continue reading about How do I know if my heart is healthy enough for sex?
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.
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?
Why do some people lose height as they age? How much loss is too much?
After age 40, the average person loses about 1/2" of their height per decade. It happens because of gravity and wear and tear on bones, muscles and joints. Think of your skeleton as being made up of your ankles... continue reading about Why do some people lose height as they age? How much loss is too much?
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