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top 10 foods to improve an underactive thyroid

hypothyroidism also Known as under active thyroid or low thyroid

Refers to a condition in which the thyroid gland is not able to make enough hormones to keep the body running normally

Well, you cannot control the red Eteri and some environmental factors

you can still lower your risk of an underactive thyroid by making healthy diet and lifestyle choices a

Well-planned I can help prevent many cancers to treat your under active thyroid

Medications are needed

However certain Foods can also help improve thyroid health and boost the effectiveness of your metabolism

Here's a list of some of the best foods and herbs to eat if your goal is to prevent and cure an underactive thyroid

one Brazil nuts

Selenium is an important mineral for proper thyroid functioning it protects the thyroid from inflammatory

byproducts of Hormone production A

2015 study published in the Journal of Clinical Endocrinology

And metabolism notes that low selenium is associated with increased risk of thyroid disease

moreover increased selenium intake may reduce this risk the best source of selenium is brazil nuts a

2008 study Published an American Journal of Clinical nutrition

States that eating - Brazil nuts on a daily basis is effective for increasing selenium status in

Fact including this high selenium food in your diet could prevent the need for a fortification or supplements to improve the selenium status

Furthermore because brazil nuts are rich in the amino acid L-Arginine. They even help reduce weight

You can eat 2 or 3 brazil nuts as a healthy snack or include a few and salads or stir-fries

- coconut oil

Before we continue this video do not forget to subscribe my channel to see other useful health videos

Coconut oil contains healthy medium chain fatty acids that help people suffering from hepatitis M

These fatty acids stimulate thyroid hormone production as well as keep the gland functioning normally

furthermore coconut oil promotes weight loss and reduces cholesterol levels two common issues related to under active thyroid

replace your regular cooking oil with extra virgin coconut oil in

Baking you can use coconut oil in place of butter

you can also eat 1 to 2

Tablespoons of extra virgin coconut oil Daily by adding it to your milk tea hot chocolate or smoothie

Note do not consume more than 3 tablespoons of coconut oil a day

3 yogurt

Yogurt is also good for your thyroid health due to its high Vitamin D content in

Fact vitamin D. Deficiencies linked to Hashimoto's disease one of the most common causes of hypothyroidism a

2013 study published an endocrine practice reports that vitamin d has a potential role in development of Hashimoto's disease

and/or its progression to hypothyroidism

moreover

probiotic yogurt helps maintain the balance of good Bacteria in the gut

yogurt also contains significant amounts of calcium protein and iodine that are important for thyroid as well as overall health

Aim to eat at least one cuban peso of yogurt daily either plain topped with fresh fruits or as an ingredient in a smoothie

For lemon is one of the best fish that you can eat for your thyroid health and metabolism it also boasts significant

Anti-inflammatory properties due to its rich Omega-3 fatty acid content

numerous studies document the health benefits of Salmon A

2010 study published in the Journal of nutritional biochemistry suggests that fatty acids signal thyroid cells in the liver to burn more fat

A

2014 study Published in Acta Physiological Hunger Rika reports that omega-3 fatty acids could be useful as a neuro protective

Agent against cognitive impairment due to hypothyroidism in addition Omega-3 fatty acids lower the risk of heart disease

another side affective and manage Tabitha roid ism as

Most salmon sold in the United States is farm-raised which are contaminated with PCBs

Polychlorinated Biphenyls and mercury it is recommended to opt for wild salmon

When buying salmon make sure it is labeled as wild eat it at least twice a week

5 seaweed to help your thyroid gland function properly Iodine is necessary

Iodine attaches to the amino acid tyrosine to form thyroxine which is essential for your thyroid to function properly an

Adequate level of Iodine in the body inhibits the production of Metabolism regulating thyroid hormones

To get your daily dose of iodine without increasing your salt intake seaweed is one of the best options

This sea vegetable is also packed with other nutrients including calcium fiber protein

phosphorus Magnesium

selenium

Manganese Iron and Vitamins a b c e and K

You can use seaweed and sushi soups and salads

Seaweed snacks are also available in the market which are great as a healthy low-fat alternative to chips

note if you have autoimmune thyroid problems avoid seaweed and other sea vegetables and excess amounts which may worsen your

condition

Here are the top ten signs that you have an underactive thyroid?

one

unexplained weight Gain weight Gain without any change in diet or physical activity may indicate low levels of thyroid hormones

these hormones help regulate basal metabolism and thermogenesis as well as the metabolism of fats and glucose an

underactive thyroid contributes to a lower metabolic rate which may cause excess weight gain a

2008 study published in the Saudi Medical journal notes that overall thyroid dysfunction was found more often in overweight people with varying degree of

significance

however more detailed studies are needed to find out the exact cause and effect relationship between obesity and

Hypothyroidism if you have unexplained weight gain it is essential to consult your doctor to determine the exact cause

too dry and Flaky skin if

You are following your usual beauty and skin care regimen

And haven't change any of the products you use but your skin is dry, and itchy it could be a symptom of hyperthyroidism

The change in Skin texture and appearance can be due to reduce blood circulation one of the side effects of having low thyroid hormones

In addition a slowed metabolism due to load thyroid hormone production can reduce sweating

without proper sweating the skin becomes dry and Flaky

Along with dry skin there may be facial puffiness

especially near the eyelids and thickened skin on the lower legs with a pale or Yellowish appearance a

2012 study published in the Indian Journal of Dermatology notes that the most common coat a nice feature in patients with

hypothyroidism is coarse rough and dry skin as

These skin signs are rather nonspecific and often settle people tend to ignore them or attribute them to other causes

It is best to consult your doctor to see if there is an underlying health condition causing these skin changes

3 muscle Soreness and pain

people suffering from hepatitis

Often experience muscle weakness pain stiffness or cramping there may also be general joint pain

Low metabolism disrupts how your body burns energy which can affect how your muscles feel after doing your regular exercises?

low thyroid often increases inflammation that may be contributing to your muscle and joint pain a

2000 study published in the Journal of Neurology Neurosurgery

And psychiatry notes that neuromuscular symptoms and signs were present in most patients having thyroid problems in

fact about 40% of the hypothyroid patients had

predominantly sensory signs of a sensory motor exonerol neuropathy early in the course of thyroid disease

For unexplained muscle aches and pains consult your doctor to rule out the possibility of an undiagnosed thyroid problem

Or other health issues

for hair Loss

Proper functioning of the thyroid gland is essential for the development and maintenance of the hair follicles and an underactive thyroid can result in

significant changes in hair growth and texture it may also affect eyebrows and body hair a

2008 study published in the Journal of Clinical Endocrinology

And metabolism reports that thyroid hormones directly affect hair follicles the thyroid hormone thyroxine

T4 and tradeoff A-Runnin T3 modulates several aspects of hair anatomy from the hair growth cycle to the hairs

Pigmentation if you are worried about hair loss and other hair related issues see your doctor to get your thyroid checked

five constant fatigue and Tardis

Fatigue and extreme tiredness are very common in people who have an underactive thyroid

When load thyroid hormones flow through the blood cells do not function

Properly leading to less energy fatigue and constant itis

these symptoms persist even after getting proper sleep and rest a

2012 study published in the European journal of Endocrinology notes that autoimmune

Hypothyroidism patients have significantly higher level of fatigue as compared with differentiated thyroid Carcinoma

patients as

Tiredness constant fatigue

Sleepiness and lack of energy are associated with many conditions it is important to consult your doctor to find out the exact reason

six

Menstrual and fertility problems

Women with hypothyroidism may experience menstrual as well as fertility problems

Thyroid Hormones has a great influence on Monstro ition pregnancy lactation and even uterine involution after childbirth

low thyroid function can lead to changes in a woman's menstrual cycle length and blood flow a

2015 study Published in the Journal of Obstetrics and

gynecology of India notes that thyroid dysfunction is an important positive etiology of Menstrual abnormalities in

fact the study puts

emphasis on the Assessment of thyroid function and all patients with menstrual disorders to Avoid unnecessary interventions like Curettage and

hysterectomy

Infertility can also be due to undiagnosed thyroid conditions

For any change in menstrual Pattern as well as problems becoming pregnant it is important to get your thyroid checked

seven High Cholesterol levels

under active Thyroid can also cause high cholesterol levels which can increase your risk of developing heart disease a

Lack of adequate Thyroid hormones in the body negatively affects the body's ability to break down and clear cholesterol from the blood stream

Thus it can increase your lDL or bad cholesterol and reduce your high-density lipoprotein HDL or good cholesterol

levels A

2011 study published in the open

cardiovascular medicine journal notes that thyroid dysfunction can have an important effect on lipid profile

the study gives Emphasis on

biochemical screening for thyroid dysfunction in aldus lipid emic patients as well as in all patients with unexpected

Improvement or Worsening of their lipid profile

When load thyroid function is treated with medicines cholesterol often will return to normal levels eight?

constipation and the Digestion

If you suffer from constipation in digestion or even irritable bowel syndrome

Ibs it could be due to an underlying thyroid problem due to low thyroid function

Muscles lining the digestive tract including the small and large intestines become weak

this causes the steel to move too slowly through the intestine leading to constipation a

2009 study published in gastroenterology

Research and practice notes that as hypothyroidism prominently decreases Gastro esophageal motility

thyroid function should be evaluated in people who complain of Dyspepsia in digestion

severe or long-term

Constipation that occurs despite adequate fiber intake is often linked to hypothyroidism

And it is recommended to consult your doctor for proper diagnosis and treatment

9 for concentration and memory if you have started forgetting things and you are having difficulty concentrating

it could be due to load thyroid function an underactive thyroid may lead to forgetfulness poor memory and lack of

Concentration as an inadequate amount of these hormones can cause misfiring in your neurotransmitters

Load thyroid can even lead to stress or poor sleep which in turn can trigger a temporary brain fog

however

Hypothyroidism cannot lead to permanent cognitive dysfunction and with proper treatment these issues can be resolved

Poor memory and brain fog can also signal the onset of other mental health problems such as depression

So it is important to consult your doctor to find out the exact cause

10 Increase sensitivity to cold

The Thyroid gland works as an internal thermostat for your body as it helps to regulate body heat

Due to too Little thyroid hormone production the body burns less energy causing a decrease in body temperature and increase called

Intolerance

the person may feel cold even in a warm environment in fact

people with hypothyroidism are at a higher risk of suffering from hypothermia a life-threatening condition when exposed to cold temperatures if

You feel cold on a warm sunny day get your thyroid levels checked as you may be suffering from hepatitis. 'm

Increased sensitivity to cold can also be due to other conditions

including anemia and impaired circulation which your doctor can also check for

For more infomation >> Underactive Thyroid Treatment with 5 Natural Herbs - Duration: 14:40.

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How Different Types of Sun-Damaged Skin can be Treated with Various Lasers and Other Treatments - Duration: 12:07.

Thank you for your question.

You submitted a question without any photos which means of course that I don't have

any details and specifics of your situation.

But you're asking basically how does a fractional laser effectively treat sun damaged skin?

And of course, the further follow-up questions within in your submitted question are about

the effectiveness as well as the other options in case it doesn't work out the way you

like such as microneedling and PRP.

This is very understandable where the confusion comes from about dealing with sun damaged

skin so I'll try to help you by giving you a global understanding of how I counsel my

patients who come this type of issue.

A little bit of background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial

plastic and reconstructive surgeon.

I have been in practice in Manhattan and Long Island for over 20 years.

We have many solutions in our practice everything from skin products to minimally invasive technologies

including lasers of different kinds, radiofrequency technology, PRP, etc., as well as full surface

surgical solutions.

So we deal with a lot of situations which fall under the umbrella of sun damaged skin.

So let's start with defining what is sun damaged skin?

Sun damaged skin usually refers to problems with discolorations.

So when people spend a certain amount of time in the sun whether it's intentionally such

as for tanning or secondarily or incidentally just by living in a place where sun exposure

is intense and unavoidable.

The smoothness, the continuity and tone of the skin becomes affected by discoloration.

The other part of sun damaged skin is about loss of skin quality which means the development

of wrinkles, the loss of the luster of the skin as well as the breakdown of collagen

within the skin which also results in the increase in appearance of vessels.

So we'll start with just basically dealing with trying to get luster and treating discoloration.

When we talk about where we have come from the first lasers that we were using back in

the mid-90s, the original CO2 laser, basically the idea was to resurface the skin, take off

the top layer of skin and let new skin come through.

Now of course, that was already being done for decades with chemical peels.

And the chemical peels were basically graded as light, medium or deep chemical peels, glycolic

acids to TCA peels to phenol peels.

So what was the difference with lasers?

Well, lasers gave us a certain amount of flexibility when it came to being able to control depth

in different areas.

Certainly, you can do that with chemical peels but there was a certain control that was achievable

with lasers which was very nice as well as the selectiveness of the use of these lasers

and certain target structures.

In addition, lasers generate thermal energy which causes a little tightening effect.

So move the clock forward and what was the challenge back then just going back to the

original CO2 lasers?

It was healing time.

Basically, we were treating patients essentially who are having second degree burns and doing

very burn focused wound healing strategies to help people heal and that became problematic.

Move the clock forward, different lasers such as the Erbium laser came along and then fractional

laser came along, fractional Erbium, fractional CO2 with a wide range of flexibility.

What you are effectively doing with a fractional laser is you are reducing the amount of injury

to the skin therefore allowing faster healing, making it controllable.

You can also go from very light to medium to deep as well as those different depths;

you can also go into different levels of heat.

So there's a wide range and it gives us a lot of flexibility.

Now the concept of course is to try to even out the skin.

And when you are trying to even out the skin even the skin is not very thick, you are looking

at 3 millimeters of thickness, you want to balance out the relative amount of discomfort,

the time it takes to heal and the recovery and being able to get back to normal life

sooner rather than later.

So in addition to the fractional technology, we also have non-ablative laser technology

such as a Q-switch laser that is able to treat pigment very effectively without taking off

the top layers of skin.

So certainly, there are a lot of ways to help people with sun damaged skin.

But it's very important to understand that treating skin and a very well-known dermatologist

stated this, he said that, "Essentially, you never cure anything in dermatology.

You make things better."

And the point of saying something like that, it really brings home the critical aspect

of treatment when it comes to treating skin that is affected by the sun.

It's more about management and not just a single procedure.

So in the modern world, what we have done is integrated combination therapies.

So when it comes to lasers, what I would do is combine something like a fractional laser

with something called PRP or platelet-rich plasma.

Platelet-rich plasma is derived from your blood, it's a concentration of wound healing

growth factors and it does a lot of things that we try to do in lasers like stimulating

collagen, improving the quality of the skin, stimulating the fat cells under the skin which

you can't do with laser and you get healthier looking skin.

And so, I developed in my practice a style which is more about minimizing the invasiveness

of the laser but creating a synergistic approach to helping people with sun damaged skin which

is about a management or treatment plan.

So with that comes a very important guidance in terms of the use of sunblock, the use of

different types of therapeutic topicals and having patients come for regular follow-ups.

And again, the fractional laser technology, the Q-switch technology, PRP and skin products,

essentially, we're able to make a significant difference in improvement and we're able

to document that.

Every patient's situation has to be customized.

The relatively young male with let's say brown skin or type four skin versus the middle

aged to older female with type one to two skin, lighter skin types, blue eyes, light

skin, we're going to treat it very differently.

So you can't necessarily apply the same strategy to everyone.

You actually have to customize it.

A lot of times, what I let patients try to understand is in cosmetic dermatologic treatment,

you also treat and you observe and you see how patients respond.

And microneedling is not to be overlooked and you mentioned that in your question.

Microneedling also has a valuable potential benefit particularly when combined with PRP

when it comes to fine wrinkles around the eyes or just generalized improvement in the

skin whether it's the neck skin or facial skin.

So I think that you just need to meet with doctors and get some ideas about what the

strategy is.

But understand it's more about a longer term treatment plan than it is about a single

device or transaction.

In the modern world of medispas and strip mall centers of skin treatment, there are

lot of people offering packages and things to try to get people in the door and just

do a one-off treatment.

Eventually, patients keep bouncing from place to place looking for solutions.

So meet with doctors and get the feel of whether or not the interaction with the doctor is

more about a long-term strategy and a long-term relationship rather than a one-off transactional

relationship.

So I hope that was helpful, I wish you the best of luck and thank you for your question.

For more infomation >> How Different Types of Sun-Damaged Skin can be Treated with Various Lasers and Other Treatments - Duration: 12:07.

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Exactly What To Do With Acne Scarring! (From Experience) - Acne Scar Treatment - Duration: 3:37.

if you're a teenager in a young adult one of the biggest worries you may be

facing is the appearance of acne or pimples with changing hormones and

growing up pangs teenage and adolescence brings in quite a lot of changes for

both boys and girls some of it showing up in the form of acne and other skin

issues today's video will discuss different types of acne and how to

identify them before you watch this video please take a moment to subscribe

our YouTube channel by clicking the subscribe button then tap the bell icon

so you will be the first to know when we post new videos daily though acne and

pimples are mainly associated with teenagers today almost anyone can have a

mark on the face an adult pimple or acne scars that refuse to go away there are

various types of acne and each requires specific treatment and products the

following will help you understand what type of acne you have so that you can

select the treatment that will work best for you different types of acne 1

blackheads these type of acne are extremely common and are usually seen on

the nose and nasal area they look like tiny areas of black lumps on the skin

which are formed as a result of blocked follicles the black lumps are usually

formed when bacteria dead skin and harmful substances clog the follicles

and reach the surface these react with the oxygen present in the air and result

in the appearance of blackheads 2 whiteheads these are white spots on the

skin that are in fact oil glands due to excessive oil production the glands are

clogged with oil and covered by skin as a result the oil cannot reach the

surface and is trapped between the skin layers resulting in the appearance of

white spots 3 papules papules are a type of acne that are inflamed and appear as

small red dots or bumps on the skin these may or may not be sensitive to

touch but refrain from picking on the as it can result in scars for pustules

pustules are inflamed acne that are hard to touch and are usually filled with pus

these appear as white spots and the center is mostly pale yellow refrain

from picking or bursting as it can lead to permanent scarring or leave dark

spots 5 knowledge ool's this is one of the more severe types of acne which is

much larger than papules pustules a nodule is a painful and inflamed bump it

doesn't have paths and is hard to the touch this can only be cured by proper

medical treatment and usually requires the use of strong medicines

6 acne Mechanica it originates as a result of excessive heat and friction

between the skin it is usually seen in people involved in sports are those who

wear helmets caps or sports gear for prolonged periods of time on a regular

basis 7 pyoderma facial this is a severe type of acne and is a combination of

nodules and pustules it is generally seen among women between the ages of 20

to 40 how you identify your acne let me know in our comment section below if you

liked this video give it a thumbs up and share with your friends for more daily

tips subscribe to our channel below thank you

For more infomation >> Exactly What To Do With Acne Scarring! (From Experience) - Acne Scar Treatment - Duration: 3:37.

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Stomach Swelling Treatment Eight Ways To Eliminate Stomach Swelling - Duration: 4:59.

For more infomation >> Stomach Swelling Treatment Eight Ways To Eliminate Stomach Swelling - Duration: 4:59.

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Inhalers (Asthma & COPD Treatment) Explained Clearly - Duration: 11:31.

Welcome to another MedCram lecture we're going to talk about inhalers so

what's the quick and dirty on inhalers well here we've got a bronchus which is

the airway that you breathe through and in the middle of that is smooth muscle

which limits the aperture or the lumen of that bronchus if the smooth muscle

contracts the lumen gets smaller and so there's two major receptors that we see

on the smooth muscle we have a orange receptor here which we're going to call

the muscarinic receptor so that's going to be an M and there's another receptor

in this case we'll call it the blue receptor which is the beta receptor so

those are the two major receptors now the thing that you should know is that

muscarinic receptors are actually going to cause smooth muscle contraction and

so what we want to do in this situation is we want to make sure that we are

inhibiting that so we want to make sure that there's a big X that we have

inhibitors of that muscarinic receptor on the beta side however we want to make

sure that that gets excited or activated because the beta receptor actually

relaxes that smooth muscle and so that's going to cause relaxation so once you

know about these two receptors and you know that you want to block the

muscarinic and excite the beta to cause bronchodilation then you're there now

the only other one that you should know is the inhaled corticosteroid which will

say here is a ICS and that basically goes everywhere there is no real

receptor but what it does is it reduces inflammation okay so the three types of

drugs that you can use for bronchi are muscarinic antagonists beta agonists and

inhaled corticosteroids so why is that important well you'll be able to

identify these different types of drugs based on what they end with so

muscarinic always end in -ium so what are examples tiotropium ipratropium

Umeclidinium these are all muscarinic antagonists they all end in

-ium now there is another one that you should

know that has been added to that category called glycopyrrolate so you

can also put -late, so if you see an -ium or a -late its a muscarinic antagonist, now on the beta agonist side

all of these end in -ol so you'll know formoterol salmeterol albuterol all those things

end in -ol now how do you know whether it's an inhaled corticosteroid you'll

know that because it ends in -one like fluticasone or

mometasone etc so once you know those three then you'll be able to put those

together so we have the muscarinic antagonists we have the beta agonists

and we have the inhaled corticosteroids so how are we going to use these in

terms of the actual clinical outcomes let's take a look at that okay

so let's go ahead and put those medications into the right place in

terms of this there are two types of beta agonists there's something called a

short-acting beta agonist which I will call a Saba okay so what does this

represent this represents like proair this looks like ventolin albuterol

basically okay now the other one that we're going to do are the long-acting

beta agonists so that's laba, LABA then we're going to go ahead and look at

the long-acting muscarinic antagonists okay and then finally we're going to go

ahead and look at the inhaled corticosteroids so for those who don't

remember remember this these are the ones that end in -one these are

the ones that end in -ol and these are the ones that end in -ium

remember glycopyrrolate is also in that category so it's -ium -ol and -one so why

do I put this into this three chambered box here with the Saba this is how we're

going to look at the treatment of COPD and asthma okay so as you can see if

we take a look at asthma first asthma is gonna go in this direction whereas COPD

is gonna go in this direction so the first thing that we would do in asthma

is we would add an inhaled corticosteroid and then we would ask the

question is the patient using a short-acting beta agonist if the answer is

somewhere between one and two times per week then we're fine with where we are

at one medication however if the patient is using the short-acting beta agonist

as a rescue inhaler three or more times per week in asthma then the inhaled

corticosteroid is not enough then what we need to do is add a long-acting beta

agonist at that point we ask the question again is the patient using a

short-acting beta- agonist or albuterol three or more times per week if the

answer is yes that means the patient is not well controlled and we will add not

just an inhaled corticosteroid and a long-acting beta agonist but we'll at

that point add a long-acting muscarinic antagonist at any point if we ask this

question is the patient using a short-acting beta agonist and the answer

is no zero times per week that means the patient is so well controlled they don't

have to use the rescue inhaler that means we can drop the long-acting

muscarinic antagonists if we're on that or if we're just on the inhaled

corticosteroid in the lung I think beta agonist then we can drop the long-acting

beta agonist and just keep on the inhaled corticosteroid so what we're

seeing here is a ramping up or a ramping down depending on the answer to the

question how often is the short-acting beta-agonist

being used notice that for asthma you will never use a long-acting beta

agonist without using an inhaled corticosteroid first okay now let's go

to the other side COPD if you have COPD the first medication

that I would add is a long-acting muscarinic antagonist so tiotropium or

Umeclidinium or glycopyrrolate and then I would ask the question is the

patient using the short-acting beta agonist if the answer is yes three times

or more per week then I would add the long-acting beta agonists notice that

the last thing I'm going to use in a patient with COPD is an inhaled

corticosteroid so this is very important you'll see that a long-acting muscarinic

and tagging this is one of the first things that we'll use in a patient with

COPD but we're always asking the question and you should see here very

clearly that everybody who has a lung disease either asthma or COPD here is

gonna get a short-acting beta agonist as a rescue inhaler like they carry it with

them wherever they go okay now as you can see at some point

you're going to be having combination of medications the drug companies are not

stupid they'll know that usually one medications not enough and so what

you'll see for COPD is you'll see these lama lama combinations and you see

that all the time so if you pick up an inhaler and it's a combination of a

medication you can simply look on there and see if they have a combination of

-ium medication and an -ol medication for instance one medication has vilanterol

Umeclidinium and that would be a lama laba combination because you

know this chart you'll know that that medication is a medication that's going

to be used for COPD let me give you another one let's go from the asthma

side you know that on the asthma side people will be combining inhaled

corticosteroids and long-acting beta agonists so if you see something like

fluticasone and salmeterol that combination goes together and that's

forms advair for instance and that would be a inhaled corticosteroid and a

laba combination now you can get laba by itself you can buy salmeterol

or formoterol by itself but that is becoming more and more rare because as

you can see based on how I have things set up that if you're on a laba you're

either going to be coupling it with an inhaled corticosteroid when you're

treating asthma or you're gonna be coupling it with a long-acting

muscarinic antagonist if you're treating COPD now as you can probably imagine

it's not gonna be long before and they have already started working on this all

three of these medications in one so you can now look up basically any inhaler

look at the contents of the inhaler in terms of the medications and you should

be able to very quickly tell first of all what type of a medication it is and

what it should be used for and now with your patients you'll be able to see

whether or not you need to escalate therapy or de-escalate therapy the one

thing that I will say is in the case of asthma if I am going down I go to an

inhaled corticosteroid and that doesn't work I will add a long-acting beta

agonist but there are exceptions to this for instance if I have a patient who has

atrial fibrillation and I'm worried that I'm gonna speed up their heart rate very

quickly instead of adding a long-acting beta agonist which could speed up their

heart I may decide to increase the dose of the inhaled corticosteroid from a low

potency to a medium or even to a high potency medication alternatively I could

also add a leukotriene receptor antagonist and I didn't put that in here

but I'll just put it up here in the corner leukotrienes

receptor antagonist and that's the type 4 okay so these are other things that

you can think about but this is the general modality that you'll see in the

treatment between asthma and COPD thanks for joining us

For more infomation >> Inhalers (Asthma & COPD Treatment) Explained Clearly - Duration: 11:31.

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Waste water treatment site begins emergency spraying ahead of storm - Duration: 1:21.

For more infomation >> Waste water treatment site begins emergency spraying ahead of storm - Duration: 1:21.

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Vaginal Treatment May Prevent Herpes ✘✘✘ Vitamin Health USA - Duration: 12:09.

For more infomation >> Vaginal Treatment May Prevent Herpes ✘✘✘ Vitamin Health USA - Duration: 12:09.

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Aesthetic treatment with dental veneers in a dental clinic from Moldova - Duration: 1:13.

Hi. My name is Janet Bell. I came here with John last year when he started his treatment.

I was very impressed with the clinic; the accommodation was wonderful, as it is this time.

And I decided when we came back to finish his treatment

that I have several teeth on the lower jaw that I wasn't happy with so,

I decided to go ahead and have some cosmetic treatment done,

and it's probably the best I have ever done,

because now I got protected the teeth and I have definitely a better smile..

I hope.I am extremely happy, staff here are brilliant, surgery is brilliant, the dentist…

It is just wonderful, it's an experience and it is a good one. Thank you!