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DRUG THERAPIES FOR HEALTHY BONES: FRANCES
I took estrogen for twenty years, but had to stop after I developed a serious blood clot. After that, the trouble started. I broke bones a few times from doing nothing in particular. I kept cracking vertebrae, and was in excruciating pain. I was crippled from it. I could hardly walk. I know I would have been in a wheelchair by now if I hadn’t found a way to make improvement.
A bone scan confirmed I had severe osteoporosis, and my doctor recommended Fosamax. A year later, a scan showed I had 5 percent improvement. The doctor was pleased, but I thought the process was very slow. So the doctor started me on Miacalcin nasal spray, too, and in another year I gained another 6 percent. The improvements were in my hack and hip.
I take 1,000-1,200 mg of calcium a day, and I try to get as much calcium in my diet as I can. I haven’t had any more breaks since I started on the prescriptions, and though I still need my pain medication when I go out, I don’t use it as constantly as I used to.
I am so much better than I was three years ago. I feel better. Going up and down stairs is still hard because I have arthritis in my hip—j am over 80, you know—but I get around and do things around the house just fine. I’m going out and having a bit of fun, rather than just sitting in my house.
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SIZE DOES COUNT – PART 1
There is no denying the relationship between calorie intake and portion size. No matter what the number of calories in any one item, the more you eat, the more calories you consume. The Less Is More plan
1. cuts down the size of the portions and therefore eliminates a good number of the calories consumed;
2. cuts out empty calories.
What you’re really doing is an intricate juggling act: decreasing the portion size of high-calorie foods and increasing the portion size of low-calorie foods so that you can reduce total caloric consumption by about 1,000 per day without changing the basic structure of your meal.
• You will often be serving less food on the plate.
• You will be serving more of some foods than others.
• You will not be cutting out certain foods just because they are “fattening”; instead, you will serve them less frequently and in smaller-sized portions.
I am convinced that one of the reasons men eat so much is that they are served more than anyone else in the family. Or they get used to eating a lot when they are active, growing, teenage boys and neglect to taper down when their bodies mature. Whatever the reason, if your man is consuming more than 2,000 calories a day, he can cut back to that number without suffering—physically or emotionally. (Unless he is a marathon runner.)
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TREATMENT OF MIGRAINE’S ACUTE ATTACK WITH DRUGS: ANTI-EMETICS
It is useful to combine an analgesic with a medication which prevents nausea. Although there are many drugs acting against nausea, only one, metaclopramide (Maxolon), also has a specific action on the motility of the stomach, making it empty faster so that tablets or medicine will be passed into the small intestine and absorbed more quickly. This has been shown by measuring the levels of aspirin in the blood stream, which are twice as high after metaclopramide is given during the acute migraine attack. It should be given 15 minutes before other drugs to help absorption. Prochlorperazine (Stemetil) has a more powerful anti-nausea effect but does not affect the motility of the stomach. These anti-emetics are more effective when given by injection but this is not practicable in the home. Unfortunately the tablets may not be absorbed and metaclopramide is not available in suppository form. Some people prefer taking these medicines in the form of a syrup.
Perhaps the most effective popular remedy for migraine is a combination of an anti-emetic, paracetamol, caffeine and codeine known as Migraleve. This can be useful in the mild attack but is not quickly absorbed with more severe attacks.
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