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
-
California Pacific Medical Center
- Medical Affiliations
-
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:
-
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
I have hemorrhoids and banding has been recommended. What is it, what are the benefits, and what is the downside?
About 10 million Americans suffer from hemorrhoids, which are veins in the rectum and anus that swell and can itch and bleed. Some hemorrhoids get small blood clots (thromboses) and these are exquisitely painfu... continue reading about I have hemorrhoids and banding has been recommended. What is it, what are the benefits, and what is the downside?
We hear about high cholesterol, but can someone have cholesterol numbers that are too low?
That's a good question, as we usually are focused on cholesterol levels that are too high. Our cells and body depend upon cholesterol for healthy functioning. There are genetic, metabolic and dietary factors th... continue reading about We hear about high cholesterol, but can someone have cholesterol numbers that are too low?
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?
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.
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?
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?
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?
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'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?
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