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
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Sutter Medical Network
Practice Locations
Credentials & Notables
- Medical School:
-
University of Arizona Medical College
- Residency:
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California Pacific Medical Center
- Internship:
-
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?
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."
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.
What are the health risks from not drinking water? My husband is terribly addicted to soda and any other drink that is not plain water. He drinks about a 1/2 cup of plain water a day.
There is truly an epidemic of soft drink consumption in our country, and your husband needs to cut down or cut out his substitution of soft drinks for healthy beverages. The fact that your husband is drinking s... continue reading about What are the health risks from not drinking water? My husband is terribly addicted to soda and any other drink that is not plain water. He drinks about a 1/2 cup of plain water a day.
How does diabetes impact peripheral neuropathy in its early stages?
Peripheral neuropathy refers to nerve damage, usually in the hands and feet. The patient often experiences numbness and tingling and even a painful or burning sensation. This nerve damage can affect one nerve o... continue reading about How does diabetes impact peripheral neuropathy in its early stages?
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?
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?
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?
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?
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