Author name: Diane

balanced diet
Nutrition and Weight Loss

Can Too Much Protein in Your Diet be Deadly?

We all need it but can too much protein in your diet be deadly? Almost all of us grew up hearing that you can have too much of a good thing. As children, we probably learned that the hard way by drinking too much soda, or by stuffing ourselves with extra Halloween candy. The result was never pleasant. Though overdoing sensible portions may not always be dangerous, it can certainly have disagreeable repercussions. This applies to most over indulgences, including food the body may need such as fats, carbohydrates — even proteins. What are Proteins and Why Do We Need Them? To imagine what a protein looks like, picture an open charm bracelet lying on a table from a distance. Each charm is visible but indistinguishable from the one next to it. As you get closer, those charms begin to have distinct shapes and sizes, each with their own meaning. Under a microscope, proteins resemble that bracelet. They are long strands linking together their own ‘charms’ called amino acids, and each one has its own unique formation and ‘memory’ to perform its purpose. There are twenty different amino acids essential to the human body, and each protein can have all or only some of the ones you need to remain healthy. All twenty of those amino acids linked to proteins are vital to overall health and body function. Some proteins have the complete twenty, while others have only a few. This explains the different sizes of strands attached to each protein. Any or all amino acids can also appear on the same strand hundreds to thousands of times in varying sequences. These amino acids literally keep you alive, creating enzymes, hormones, and multiple body chemicals. They build and repair tissue, blood, muscles, cartilage, and bones. Protein provides energy and even reproduces more protein such as your hair, skin, and nails. Where Do We Get Protein? Mother Nature, in her wisdom, has provided this planet with everything we need to sustain human life, and that includes numerous sources of protein. Though the body produces many of the twenty vital amino acids, you still need roughly half from various foods. There are only a few complete food sources, and these are: Poultry Seafood Red meat Dairy Eggs Quinoa Soy Other foods rich in protein include beans, pulses, nuts, seeds, and legumes. The following are only a fraction of foods that fall into these categories: Hummus Lentils Kidney beans Alfalfa Clover Fresh peas Chickpeas Edible Beans Sunflower seeds Pistachios Almonds Peanuts Pumpkin seeds Cashews Flax seeds Walnuts Sesame seeds Yet another excellent source is protein powder. How Much Protein Do I Need? The recommended daily protein guideline is 1.6 grams per kilogram of weight. This means that a woman weighing 50 kg or 110 lbs. would require 80 grams or 2.8 ounces. This amount is not carved in stone. Many factors, such as lifestyle, activity level and individual health come into play. You may need more if you are very athletic, or possibly less if you lead a more sedentary life. What Happens if I Don’t Get Enough Protein? Not enough protein intake can cause the body to work less efficiently, especially if the composition of those proteins does not meet your basic physical needs with the necessary amount of amino acids. Though they may be high in protein, nibbling on handfuls of walnuts all day, may make you deficient in the other amino acids it lacks. By doing this, you may find yourself experiencing such negative effects as: Sluggishness Difficulty focusing or concentrating Trouble learning or absorbing new information Fatigue or listlessness Lack of energy Lowered metabolism Mood swings Difficulty healing Joint, muscle, and bone pain Immune deficiencies Changes in blood sugar with a danger of developing diabetes Difficulty losing weight or gaining muscle mass. Can Too Much Protein be Deadly? Though ingesting too much protein may have undesirable effects, there are no reported cases of excessive amounts of protein resulting in death. In rare instances, when massive protein consumption was reported to be fatal, it was later learned that there was an underlying disorder or disease that contributed to the event. The body is unable to store protein for later use. Any surplus you don’t need is first turned into energy and then to fat. That, in turn, is stored away, causing weight gain. Overloading on protein rather than eating a balanced diet can also run the risk of you not getting other nutrients you need in the form of fiber, carbohydrates, vitamins, and minerals vital to good health. Too much protein won’t kill you. You may, however, have some unpleasant reactions such as: Irritability Brain fog Constipation Thirst Bad breath (Halitosis) Dehydration Copious amounts of protein are only usually dangerous if you have a genetic, hereditary, or pre-existing problem. Excessive protein intake may accelerate further problems if you already suffer from weakened or compromised kidneys, liver, pancreas, or heart. Tainted or diseased food containing protein can be lethal in small or large amounts depending on the severity of the toxin. In short, too much protein can contribute to complications, but simply eating too much of it does not have deadly consequences. If you have nutritional questions, call us at 770.720.7733.

weight loss tape measure woman
Well Woman

Know Your BMR and Boost Weight Loss Over the Holidays

Statistics say that the average weight gain over the holidays is 15 pounds but understanding your BMR may help you boost weight loss over the holidays. You may have stumbled across the words, ’Basal Metabolic Rate’, more commonly referred to as BMR, in one of your many quests for a permanent weight loss program. The explanation regarding BMR probably seemed a little too scientific or complicated to completely understand, so you went on to look for something less confusing. If, instead, you researched and tried a few fad diets, lost weight and then gained it back with more, it might be time to take another look at that BMR information. With the holidays quickly approaching, your caloric intake is probably on your mind —along with the fear of caving once you get to that food-laden table. Grandma or Mom will start circling your favorite pie under your nose, using their other hand to wave that delectable scent to your nostrils; someone will insist you be the judge of the best of three stuffings – and, oh my goodness, did Aunt Carol say she was bringing her famous candied yams? What is BMR and Why is it Important Regarding Weight Loss? Very simply put, your body needs a certain amount of energy in order to function. Even while you’re sitting perfectly still or sleeping, calories are needed for all your organs to operate correctly – for your heart to beat, blood to circulate, kidneys to filter and flush waste. Even breathing requires energy. Your basal metabolic rate (BMR) is the minimal amount of calories necessary to perform these functions when your body is in a state of complete rest and inactivity. We’ve been taught that in order to maintain our ideal weight, women need to consume about 1,200 calories a day and that anything above and beyond that is excessive and leads to extra weight. This is not the case at all. The truth is that you may need more than that merely to keep your body running. Those factors include: Your Gender – Women typically have more fat and less muscle than men, so their BMR will be a lower number. Your Height Your Present Weight Your Age – As you age, activity levels typically drop, leading to more fat than muscle and a decline in metabolic rate. Your Body is a Well-Oiled Machine The human body doesn’t think. It’s a machine and its main function is to survive. It needs fuel (food and drink) to run properly. To do that, it needs a certain number of calories to do its job adequately. If you feed it more than it needs, it converts the excess into fat and stores it, much like a squirrel hiding nuts for the winter. If you begin dieting before knowing the minimal calories you need just to keep everything working, your body feels deprived and begins to deplete its stashed hoard until it runs out of fuel. Once that reserve is gone, it starts to work less effectively. It doesn’t know you are eating less because you want to lose weight. All it knows is that, suddenly, its accustomed level of mandatory nutrients has decreased and it doesn’t have enough ‘fuel’ to keep things running smoothly. By knowing your BMR, you have a starting point to begin a healthy lifestyle of diet and exercise with a greater potential for permanent results. Weight gain is usually a slow process. It stands to reason that weight loss will be equally slow. However, as you start to eat sensibly, cut back on calories safely, and work out a little, your BMR level will drop accordingly until you reach a desirable number and can maintain your weight. Are BMI and BMR the Same Thing? No, BMI stands for body mass index. The number calculated from the body mass index formula is used by physicians to measure the amount of muscle, fat and bone in an individual. It determines if a person is obese, overweight, underweight or right on target. BMI numbers alert doctors to identify if their patient is at risk for potential problems such as diabetes, heart disease, anorexia or other disorders. BMI, along with BMR, is also helpful for nutritionists and dieticians in helping you plan a healthy weight loss program. How is BMR Calculated? Many BMR calculators are available online, but if you prefer to figure it out manually, this is the formula based on a woman who weighs 140 pounds, is 5’4”’ tall (64”), and is 35 years old. Step 1) Multiply weight in pounds by 4.35.  (4.35 x 140=609.) Step 2) Add 655 to the total.  (609 + 655 =1264) write down this total Step 3) Multiply height in inches by 4.7. (4.7 x 64=300.8) Step 4) Add this total to the amount in step #2 (1264 + 300.8=1564.8) Write this total down. Step 5) Multiply age by 4.7. (4.7 x 35=164.5) Step 6) Subtract the total in step #5 from your total in step #4. (1564.8 – 164.5=1400.3). In short, based on this random woman’s gender, weight, height and age, this would be her formula to follow: 655+ (4.35 x 140) + (4.7 x 64) – (4.7 x 35) = 1400.3. The total of 1,400.3 is the basic number of calories she would need simply to maintain body function at complete rest. To determine your BMI number, you only need to substitute your own information. Your daily activity level is equally important in calculating this result, and once you have your BMR number, you need to multiply it by the following numbers based on your personal lifestyle: Very Inactive – If you work at a desk job with very little movement throughout the day, multiply BMR by 1.2. Mild – If you do minimal exercise or participate in light sports once or twice a week, multiply BMR by 1.375. Average Activity – If your exercise regimen or sports participation is moderate 3-5 days a week, multiply BMR by 1.55. Heavy – If

pregnant woman making heart on belly
High-Risk Pregnancy Education, OB

What is Placenta Accreta?

When blood vessels and other parts of the placenta attach too deeply to the uterine wall during pregnancy, you have what’s known as placenta accreta. As many as 1 in 2,500 pregnancies experience this condition. Placenta accreta is a serious pregnancy condition that can cause serious blood loss after childbirth. This condition can also be called placenta increta, or placenta percreta depending on the severity of the and deepness of the placenta attachment. Symptoms Associated with Placenta Accreta Generally, there are no symptoms or signs of this condition early on. During the third-trimester, some women who have placenta accreta may experience vaginal bleeding. If you do experience bleeding, consult your doctor to discuss your risk level. If bleeding is severe, seek immediate medical care. Who is at Higher Risk? Placenta accreta is thought to be caused by abnormalities in the lining of the uterus. These abnormalities can be caused by a number of things such as scarring due to a past C-section or other uterine surgery. You may at a higher risk for placenta accreta if you have any of the following risk factors: If you suspect you may be at risk for this serious medical condition, ask your physician about your risk factor. How is Placenta Accreta Diagnosed? Fortunately, some indicators of this condition can be spotted early on during initial ultrasounds. If your doctor suspects you may be at higher-risk for placenta accreta, they will schedule a follow-up visit to discuss the condition and form a plan to manage it. A follow-up visit may also include: Your doctor may suggest a scheduled C-section as early as 34 weeks to avoid an emergency premature birth. How Can Placenta Accreta Affect Delivery? After normal childbirth, the placenta typically detaches from the uterine wall. However, with placenta accreta part of the placenta remains firmly attached. Women with this condition can experience severe blood loss after the birth of their child. Placenta accreta can also cause premature birth. If you’ve been diagnosed with placenta accreta, your physician may recommend an early C-section. You may also need a hysterectomy (the surgical removal of the uterus). Final Thoughts Placenta accreta can be a scary medical condition. Maintaining an open dialog with your doctor throughout your pregnancy can help alleviate some of your fears. Together you can develop a plan for a safe delivery. Don’t hesitate to contact us with any questions or concerns regarding placenta accreta or any other pregnancy-related condition. A trained staff member will be happy to answer any questions or schedule a consult.

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GYN Problems, STD/STI Screening

Can Mouthwash Cure Gonorrhea?

Sexually transmitted diseases and infections (STDs/STIs) have accelerated to alarming levels. Disturbing statistics show that, in the United States alone, 20 million cases are reported annually. Half of these are found in millennials, which are younger people between the ages of 15 to24. Syphilis, chlamydia and gonorrhea are the three top STDs affecting the younger population today. 820,000 cases of sexually transmitted infections are attributed to gonorrhea alone. What is the Difference Between an STD and an STI? Though used interchangeably, there is a difference, albeit a slight one.  An STD is a catch-all term for all sexually transmitted diseases. An STI is an infection that has not yet become a disease. Since most STIs can be treated with the proper medications when caught in time, they do not always evolve into a disease. For example, if you are unaware you have the STI, chlamydia, or are staying quiet hoping it will go away, it can blossom into an STD called pelvic inflammatory disease. The term STI is used more often now to counteract the stigma that was once associated with STDs. It’s a gentler and more optimistic acronym, since people associate the word ‘infection’ with ‘cure’, thus implying the condition has a hopeful outcome. Other Than Intercourse, How Does One Get an STI or STD? Bacterial and viral STIs are typically transmitted sexually via oral, vaginal or anal sex. Exposure to infected blood, skin, mucous membranes, seminal or vaginal fluids, bodily secretions, and open sores place you at high risk for STIs. Unclean shared needles used for tattooing, piercing and drug injection render you highly susceptible as well. Other STIs, such as pubic lice and scabies can be spread via physical personal proximity or infested fabrics. Who Gets STDs? From birth to death, no one is immune. There is no racial, economic, age or gender barrier. Sexually transmitted infections are impartial, in that they don’t discriminate. What are the Symptoms? Each STD/STI has its own list of multiple symptoms. You may have some or all of them. In many cases, there are no symptoms at all. If you are sexually active, especially with plural partners, or if you indulge in oral sex, pay attention to your body’s signals. Sudden pelvic, abdominal, back, tongue, mouth or throat abnormalities, should always be reported to your physician. Even your dentist can detect oral STI issues. It is important to insist your partners use protection or provide proof of ‘cleanliness’. Use condoms and/or a dental dam regularly. Have yourself tested on a regular basis. Just as you can get an STI, you can also unknowingly transmit one. What are the Risks of Untreated STIs? Repercussions can be severe, even fatal. Untreated STIs can lead to STDs, affecting you physically and mentally, destroying your nervous system, organs, bones, joints, tissues—every part of you. Some may lie dormant for years. If you have an STI and are pregnant, your baby can be born with that same condition, or be stillborn. Even if you firmly believe you are in a completely monogamous relationship and are suddenly afflicted with some of the tell-tale symptom associated with STIs, see a physician. It’s always better to be safe than sorry. What are the Treatments? Treatments vary based on the individual infection you have. Only your physician can prescribe the correct regimen after proper diagnosis. Antibiotics are usually effective for bacterial, parasitic or yeast STIs. There are however, some resistant strains of gonorrhea emerging that have become immune to antibiotics. Early intervention is important. Viral STDs cannot usually be cured, but they can be managed with antiviral medications. Vaccinations can help prevent hepatitis and some HPV types. Remember, STIs can recur. Even if previous treatment cured your gonorrhea, you can still contract it again from another partner. Why are so Many Young People Suddenly Getting STDs/STIs? There are a number of reasons for the astronomical rise: I Heard That Mouthwash Can Cure Oral Gonorrhea. Is This True? In a word, NO! Though research has shown that mouthwash does indeed kill some gonorrheal bacteria in the mouth and a little past the tonsils into the throat, there is no evidence to support that it has any healing qualities beyond that. Believing a quick gargle will make you spit out all traces of gonorrhea is a dangerous assumption to make. This home remedy is as effective on oral STIs as covering an atomic bomb in bubble wrap to muffle the explosive sound. In fact, using mouthwash as a cure or preventative may actually mask some important symptoms that your physician needs to know about in order to identify and treat you effectively. Statistic show that one in four Americans will contract an STD in their lifetime. Many won’t even know it. If you think you may have an STI or STD and wish to schedule an appointment for screening, call 770.720.7733.

healthy foods
Well Woman

Probiotics and Nutrition

You may have heard friends, family, or co-workers talking about ‘probiotics’. If so, you likely thought that this was the next big trend in weight loss and nutrition. Well, you may be happily surprised to learn that probiotics are gaining traction in the medical world as well. Numerous studies have been done on the benefits of introducing probiotics into your lifestyle. It turns out, probiotics can help a number of conditions while aiding in weight loss management. In this article, we’ll dive into how you can use probiotics to achieve and maintain your health and nutrition goals. What are Probiotics? Probiotics are ‘good’ bacteria that can be found in within your body already. Adding these ‘good’ bacteria to your daily routine can improve your overall well-being in many ways. Probiotics support weight management and promote a healthy immune system. Typically you can get enough probiotics through foods like: Yogurt Cheese Saurkraut Kimchi Kombucha However, those with an aversion to foods that contain healthy probiotics, or if you are lactose intolerant, you can easily get your health on track with dairy-free probiotic supplementation. How do Probiotics Work? When there are too many ‘bad’ bacteria in your gut and not enough ‘good’ (usually due to a poor diet), the imbalance can have adverse effects on your body. Not having enough ‘good’ bacteria in your diet to counteract the bad can lead to weight gain, constipation, diarrhea, skin conditions, and other various health conditions. There are several ways probiotics can be used to improve your overall health. 1)   Introduction of Good Bacteria When you introduce friendly bacteria into your digestive tract, they instantly begin to work to improve your overall immune system by making short-chain fatty acids (SCFA). The SCFA create a colonization microbiota that teaches the immune system to increase its tolerance to harmful bacteria. Secondly, microbiota that can help break down otherwise indigestible foods. 2) Enhance Existing Bacteria Many probiotics are not only designed to introduce new bacteria into your system but also enhance the bacteria that is already there. Intensifying the prebiotic fiber keeps your body trained to produce more on its own.  3) Encourage Nutrient Absorption Probiotics allow you to get more out of your food. Introducing new bacteria into your stomach can break down the food you eat more easily. Ensuring you have a healthy digestive tract is the best way to increase the performance from the other foods you eat. Taking probiotics alongside other supplements is also beneficial. Many dieticians recommend stacking these supplements to enhance the absorption of your vitamins. Probiotics improve digestion which raises the bio-availability of the nutrients in the foods and other supplements you take. Probiotics and Weight Loss Obesity has been shown to be closely linked to your gut flora. Probiotics are helpful in supporting proper weight management and can even combat the weight gain typically associated with aging adults. Maintaining a healthy balance of probiotics such as Lactobacillus helps the body reduce inflammation which helps keep metabolic diseases at bay. One study showed that Lactobacillus amylovorus decreases the ‘bad’ gut bacteria Clostridium leptum. As a result, subjects were able to achieve and maintain a total fat loss of 4%. Final Thoughts Probiotics can aid in your battle against obesity by supporting the maintenance of a healthy well-balanced diet. Feel free to call our office if you have questions regarding nutrition or probiotics.

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Sterilization, Well Woman

Tubal Ligation: When Should I Get my Tubes Tied?

Commonly referred to as “getting your tubes tied,” tubal ligation is a permanent surgical procedure that is performed to prevent pregnancy. More formally, it’s also known as female sterilization. In recent years, the term “tubal sterilization” is most accurate, since the technical definition of the word “ligation” refers to a specific surgical technique that is no longer used in most sterilization surgeries. Whatever the term you prefer, the procedure involves closing off a woman’s fallopian tubes to prevent eggs from traveling down to the uterus, and prevents pregnancy. When Can Tubal Ligation be Performed? Tubal ligation can be done in conjunction with childbirth, since the advantage is that it can be performed at the same time as a C-section or within 48 hours of a vaginal delivery. Many surgeons prefer to do the surgery after birth because you’re already in the hospital, and your abdominal muscles are still relaxed from having just given birth. If you decide later on that a tubal sterilization is the procedure for you, it can also be done as an outpatient procedure separate from childbirth via interval tubal ligation. This process uses a laparoscope, a thin tube with a camera lens and light on the end. The procedure involves general anesthesia to prevent any pain or discomfort. What to Expect During the Procedure If you have an interval tubal ligation as an outpatient procedure, either a needle is inserted or an incision is made through your navel so your abdomen can be inflated with gas (carbon dioxide or nitrous oxide). Then the laparoscope is inserted into your abdomen. In most cases, your doctor will make a second small incision to insert special instruments. Using these instruments passed through the abdominal wall, your doctor seals the fallopian tubes by destroying segments of the tubes or blocking them with plastic rings or clips. If you have a tubal ligation after vaginal childbirth, your doctor will likely make a small incision under your navel, providing easy access to your still-enlarged uterus and fallopian tubes. If you have a tubal ligation during a C-section, your healthcare provider will use the same incision that was made to deliver the baby. What to Expect After a Tubal Ligation Procedure If your abdomen was inflated with gas during the interval tubal procedure, the gas will be withdrawn. You may be allowed to go home several hours after the procedure. If you have the procedure in combination with childbirth, the tubal ligation isn’t likely to add to your hospital stay. You may have some discomfort at the incision site afterwards. Other symptoms you may experience include: Abdominal pain or cramping Fatigue Dizziness Gassiness or bloating Shoulder pain You may take acetaminophen (e.g. Tylenol) or ibuprofen (Advil, Motrin IB, others) for pain relief, but avoid using aspirin, since it may increase bleeding. Your doctor will most likely permit you showering or bathing 48 hours after the procedure, but will advise against straining or rubbing the incision for a week. You should also avoid strenuous lifting and sex for one to two weeks, but can resume your day-to-day activities gradually as you begin to feel better. Your stitches will dissolve and won’t require removal. If you have any concerns that you aren’t healing properly, it’s important to call your doctor to see if you need a follow-up appointment. Additionally, contact your health care provider immediately if you experience: A temperature of 100.4 F (38 C) or greater Fainting spells Severe abdominal pain that’s persistent or gets worse after 12 hours Bleeding from your incision that’s persistent or gets worse after 12 hours, despite use of pressure and bandages Discharge from your incision that’s persistent or gets worse. Who is the Ideal Candidate for Tubal Ligation? Tubal sterilization is considered a permanent surgery, so it’s a good option only if you’re completely sure you don’t want any more children. If you’re not entirely sure if you’re done having children, you might consider other less permanent forms of birth control. While you may have heard of women who successfully get their tubal sterilizations reversed, it isn’t guaranteed to be effective, and involves a second invasive surgery. Additionally, because tubal sterilization is a surgery, your doctor may advise against the surgery if you’re obese, have chronic health conditions such as heart disease, or if you’ve had complicated abdominal surgeries in the past. Complications If you think you may be pregnant after your tubal ligation procedure, you should contact your health care provider immediately. While tubal ligation is highly effective in preventing most pregnancies, it isn’t an absolute in preventing pregnancy. An estimated 1 out of every 200 women will become pregnant after tubal ligation. Complications related to tubal ligation include an increased risk of an ectopic pregnancy, which happens when a fertilized egg implants in the fallopian tubes instead of traveling to the uterus. An ectopic pregnancy can be dangerous, and can cause a rupture in the fallopian tube, resulting in internal bleeding. Contact Us In 95% of cases, tubal ligation is an effective permanent form of birth control. Before deciding if this procedure is the best fit for you, it’s important to consider all the possibilities and know your options. If you think tubal ligation might be the right permanent birth control option for you, we invite you to call us at 770.720.7733 or schedule an appointment online with one of our board-certified obstetricians.

pregnant woman
OB

Opioid Use During Pregnancy

Imagine you’re pregnant and you wake up with a horrible backache, or have lingering pain from a previous injury. You think, “I may still have some hydrocodone that my doctor prescribed for me, that might do the trick.” But stop. Before you take any medicine, it’s imperative that you learn the dangers of opioid use during pregnancy or if you’re considering starting a family. Why? Opioid Use Disorder is on the rise in pregnant women, and many have no idea of the potential dangers. Opioid use during pregnancy has increased dramatically over the past ten years. In fact, according to a recent United Nations report, Americans use more than 99% of the world’s hydrocodone. These startling facts are the reason more and more OB/GYNs are alerting patients to the serious complications associated with opioid misuse and opioid disorder. While many people are familiar with hydrocodone, there are lot of different drugs that fall under the category of opioid. Many of them are prescription medications used for pain relief, often prescribed after surgery, dental work, or an injury. In addition to hydrocodone, other opioids include oxycodone, hydromorphone, codeine, methadone, propoxyphene, and buprenorphine. You may be surprised to learn that heroin is also an opioid. The Dangers of Opioid Use During Pregnancy Opioid Use Disorder is another name for opioid addiction. Symptoms of opioid addiction include using more than the amount of the drug that is prescribed for you; having work, school, or family problems caused by your opioid use; and feeling a strong urge or desire to use the drug. Taking opioids during pregnancy can cause serious complications for the baby, including a drug withdrawal known as neonatal abstinence syndrome after the delivery. NAS occurs when your newborn baby, who is no longer receiving the drug from your bloodstream, may have withdrawal symptoms for days to weeks after being born. Symptoms of the syndrome include: shaking/tremors, crying, fever, poor feeding, diarrhea, vomiting, and sleep problems. Other complications for babies related to opioid use during pregnancy may include: Spina bifida Hydrocephaly (excessive fluid in the baby’s brain) Glaucoma Gastroschisis (a hole in the abdominal wall from which the baby’s intestines stick out) Congenital heart defects Placental abruption, growth problems, preterm birth, and stillbirth Opioids: If You’re Pregnant It’s very common for women to experience pain during pregnancy, such as pelvic pain, low back pain, or migraines. At your first pregnancy well-check visit, your doctor will provide you with a list of approved medications that are safe to take during pregnancy. If you’re experiencing pain during pregnancy, it’s very important to have an honest and thorough discussion with your doctor, especially before deciding on a pain management option. This is because there are many unknowns surrounding safe opioid doses for pregnant women. Because of these unknowns, even if you use an opioid per the exact instructions from your healthcare provider, it still may cause NAS in your baby. Additionally, if you’re pregnant and are on opioids, it is not recommended to stop taking them without talking to your healthcare provider first. Attempting to quit “cold turkey” or without any warning can cause severe problems for your baby, including preterm labor or death. The most important step is to talk to your doctor about your opioid use, and together, come up with a plan to keep you and your baby as healthy as possible. Treatment for Opioid addiction during pregnancy involves medication-assisted therapy, or opioid-assisted therapy. Long-acting opioids are given to reduce the “cravings”, but they do not cause the pleasant feelings that other opioids cause. Examples of these medications are methadone and buprenorphine. Treatment for opioid addiction also includes drug counseling, which helps people avoid and cope with situations that might lead them to relapse. Opioids: Trying to Conceive If you’re trying to conceive or are considering getting pregnant and are currently using an opioid medication, use effective birth control until you’re no longer taking the medicine. Let your doctor know all of the medications you take to make sure you are as healthy as possible before getting pregnant. At Cherokee Women’s, it’s important to each of our physicians to have open, honest communication with our patients. If you’re concerned about opioid use during pregnancy, contact our office to schedule an appointment to discuss your concerns with one of our physicians.

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Ablation Education, GYN Problems

Is It an Ovarian Cyst or a Fibroid?

You think you may have an ovarian cyst. Or, could it be a uterine fibroid? Ovarian cysts and fibroids have many of the same symptoms and can be difficult to self-diagnose. You may experience pelvic pain during certain activities, dull or sharp pain in your abdomen, or no symptoms at all. Unless you’re a trained professional, you probably don’t know the differences between the two. In fact, many women often don’t know they’ve got either until their OB-GYN does a routine pelvic exam. Ovarian cysts are very common and typically go away on their own. While uterine fibroids are not an issue for some women, others experience problems such as changes in their menstrual cycle and even infertility. In this article, we’ll discuss the most obvious ways to tell which of the two you have. We’ll also cover several treatment options to consider for both. Overview: Ovarian Cysts An ovarian cyst is a sac or pouch filled with fluid or other tissue and is caused by your menstrual cycle. As you’ve probably guessed it forms directly on your ovary. Each month your body grow normal follicles (a cyst-like structure). These follicles produce hormones such as estrogen and regulate the timing of releasing an egg during ovulation. Cysts occur when a normal follicle continues to grow. Because of this, ovarian cysts are most common for women who are at the childbearing age or going through menopause. You are also at a higher risk of getting ovarian cysts if: Most ovarian cysts go away on their own within 1-2 menstrual cycles. You may experience little to no symptoms when you have an ovarian cyst. However, they can also cause dull or sharp pain in your abdomen during certain activities. Treating an Ovarian Cyst When your doctor diagnoses you with an ovarian cyst they will typically suggest treatment if your cyst becomes large, is causing problems such as pain, or if cancer is suspected. There are two types of treatments for ovarian cysts. Overview: Uterine Fibroids A uterine fibroid is a growth from muscle tissue. Fibroids can appear as single growths or clusters. They vary in size, shape, and location. Some grow rapidly, while others take years to form. Unlike ovarian cysts, fibroids can form anywhere throughout the uterus. Fibroids can be found within the uterine walls, on the outer surface, or even attached to the stem-like structure. Doctors still aren’t exactly sure what the cause of uterine fibroids is. However, research has led to several factors being involved such as genetic changes and hormonal changes. Women of childbearing age are most affected by uterine fibroids. Often, fibroids will decrease in size after menopause due to reduced hormone production. Although most women have had at least one uterine fibroid throughout their life, many aren’t aware because often symptoms don’t occur. Other women aren’t as lucky. Fibroids can have numerous adverse health effects including: You may experience one, all, or none of the above symptoms if you have a uterine fibroid. It’s important to have regular visits to your doctor including routine pelvic exams. Treatment for Uterine Fibroids Your healthcare provider will suggest seeking treatment for your fibroid if you’re noticing symptoms. Rarely are uterine fibroids found to be cancerous. There are a few treatment options available to you. Talk to your doctor about which of the following is the best approach. More abrasive approaches include: Final Thoughts Women experiencing pain or other symptoms from either ovarian cysts or uterine fibroids should seek medical advice. Once you get an official diagnosis, your healthcare provider can help you decide on a plan for treatment. Still have questions? Don’t hesitate to contact us with questions regarding your symptoms or to schedule an appointment. A member of our trained staff will be happy to help you in any way possible.

post pregnancy exercise
OB

Is Post Pregnancy Exercise a Baby Fat Eraser?

If you’re like many new moms, you’re ready to shed that extra baby weight… and now! It’s a perfectly natural feeling but if you’re not careful it can lead to a never-ending cycle of harmful weight loss that doesn’t last. There is hope, however. A healthy combination of nutrition and exercise can get you back to pre-baby weight in a matter of mere months. Be sure not to rush it though. Remember, it took 9-months to get to where you are now. Don’t expect lasting weight loss to happen overnight. Incorporate Exercise into Your Daily Routine Exercise can be a wonderful tool for new moms for many reasons. Physical activity can help reduce stress and help you sleep while keeping your muscles and bones strong. Before starting a new routine, take care to get proper guidance on what to you can expect from your post-baby body. Heading to the gym for a workout right away can be harmful to your body, especially if you’ve had a c-section. So what can you do? Start slow. Having a newborn doesn’t leave you much time for anything, much less exercise. Try incorporating 30 minutes of walking into your daily routine broken into short 10 minute breaks as you can. Incorporate strength training into your routine. Strength training with medium to light weights can help increase bone density as well as building muscle. Don’t go it alone. You’re more likely to stick to an exercise program if you’ve got support from friends, family, or other new moms. Try joining a gym that has classes dedicated to new mothers. Avoid jumping into old routines. Instead of worrying about what you could do before your pregnancy, focus on what your body can handle now. While you’re pregnant your body releases hormones that loosen your ligaments, making giving birth easier. It can take time for them to get back to normal. Remember, don’t start any exercise until you feel ready. Women that have had c-sections or complicated births should consult a medical professional before starting any exercise programs. Create A Healthy Diet Plan Although exercise plays a strong role in meeting your weight loss goals, healthy nutrition is a primary factor for lasting weight loss. No matter how much you workout, exercise does not counteract an unhealthy diet. It’s often hard to eat right when balancing life with a newborn. But it doesn’t have to be. Try some of the following tips to get on the right track for reclaiming your body through healthy eating. Eat at least 1,800 calories a day, especially if breastfeeding. Avoid crash diets. Pushing yourself to the max can leave you stressed which actually promotes weight gain. Stock up on healthy snacks. Noshing on foods like sliced fruits, veggies or wheat crackers throughout the day is a healthy way to keep cravings at bay. Choose a well-balanced variety of foods. Stick to foods high in the nutrients you need while low in calories and fats. Try a variety of lean meat, chicken, and fish as your primary source of protein to keep your energy levels up. Drink lots of water. Not only does water keep you feeling full but some studies have shown that water can also aid in speeding up your metabolism. When you were pregnant you likely changed your eating habits to support your baby’s growth and development. Making the change back to your old routine can seem daunting. Seek support from friends, family, or other new moms when necessary. Final Thoughts Don’t be afraid to ask for help with your post-baby weight loss. Every woman and every situation are unique. Here at Cherokee Women’s Health, we have a medically supervised weight loss program designed especially for women. We can help nursing moms like you find a sustainable diet plan. Feel free to give us a call to learn more about our weight loss programs tailored just for you.

bmi and prediabetes
Nutrition and Weight Loss

Is Prediabetes Stalking You? Recognize the Danger

by James Haley, MD, FACOG, FPMRS As many as 86 million people in the United States have prediabetes, yet 90% of them don’t even know it. Prediabetes is the condition that exists when you have higher than normal blood sugar levels, but not high enough to classify as diabetes. Someone with prediabetes has a higher risk of developing Type 2 diabetes and other serious health issues, including stroke and heart disease. Since this condition has no symptoms, it can easily go undiagnosed. However, there are risk factors to look for, and certainly ways you can decrease your risk of becoming a Type 2 diabetic. Type 2 diabetes is a major public health issue, and more people need to know they are at risk. Know the Risk Factors for Prediabetes The American Diabetes Association (ADA) has guidelines that list a total of 11 specific risk factors that determine if you should be screened for prediabetes. They include: High Blood Pressure High Cholesterol Body Mass Index (BMI) over 25 History of Heart Disease Physical Inactivity 1st Degree Relative with Diabetes Over 45 years old Had Diabetes in Pregnancy (gestational diabetes) African-American race Latino ethnicity Asian-American race If you’re over 45 and have any of the other risk factors, you should see your doctor. A simple blood test can let you know if you are prediabetic. Unfortunately, most Americans these days have a body mass index (BMI) over 25, not realizing the risks associated with it. If you have a calculator, you can easily figure your BMI. Below is the standard formula. If you are in good shape and have extra muscle, it may be a little off. Nevertheless, it is still a good method and will give you a close estimate. How to Calculate Your BMI Figure out how many inches tall you are. (Example: if you are 5’4″ you are 64 inches). Multiply the number by itself. (Example: 64 x 64 = 4096) Write the total down and clear your calculator. Now, punch in your weight in pounds and divide by that saved 4-digit number (For a 125 woman, 125 divided by 4096 = .03051758) Multiply your result by 703. (.03051758 x 703=21.4538) Here, 21.45 is the BMI If the result you get is less than 18.5, you are considered underweight. If your BMI is between 18.5-24.9, you are normal weight. But if your BMI is 25-29 you are considered overweight, and over 29 is considered obese. No matter how undesirable you find your calculations, don’t despair. Make today the first day of positive changes. It’s never too late to start a sensible diet and exercise plan. Change begins with that first step. Get committed!! Get going! For guidelines on nutrition and weight loss, discuss your concerns with your doctor at your next annual exam.

woman on weight scale
Nutrition and Weight Loss

Is Snacking Feeding Your Insulin Levels and Leaving You With the Weight?

by James Haley, MD FACOG, FPMRS As a physician and fitness enthusiast, I’ve read a plethora of articles, books, and journals on weight loss. My patients continually tell me their struggles with dieting, lamenting that the weight always returns, usually along with a few extra pounds. Personally, I can relate. It’s not a dilemma exclusive to women. Men struggle, too. As you age, you just can’t eat like you used to—ven if you exercise regularly. After reading numerous books and trying different diets myself, I finally discovered an author who not only pinpoints the problem of obesity, but also the answer to those last ten pounds. In his book, ‘The Obesity Code’, Dr. Jason Fung, a nephrologist, states that the real culprit of weight gain isn’t overeating. It’s excessive insulin. He is emphatic that many of his patients would need less medical intervention if they lost weight. Since most of his patients are Type 2 Diabetics, a disease associated with too much insulin, he has been able to determine the common link – SNACKING. In the past few decades, the number of times we eat daily has increased. People have gone from eating three meals a day to about six, counting snacks. Go on, admit it. It’s what you do—what I’ve done. it’s a cycle, and it makes sense once you understand the reason why. Every time you eat, you stimulate insulin, keeping it at a constant high level. This fools the body into thinking it’s always hungry. Your body is constantly thinking you are hungry because your insulin stays in a high range. Obesity is a hormonal disease. Insulin, a hormone, tells you how much to eat and how much to burn. The body behaves as if the weight is set on a thermostat. So, obesity is not about caloric imbalance. Thus, it makes sense that the idea of cutting calories is totally wrong. You may not be obese. Maybe you have a few obstinate pounds that won’t melt—a jiggle around the middle resistant to diet and exercise. ‘Fat’, ‘plump’, ‘chubby’—whatever you call it, a surplus of insulin is causing it. The longer you have higher amounts of it, the more resistant your body becomes, which produces even more and causes that crazy, never-ending cycle. So what’s the solution? Avoid insulin-stimulating foods like sugar and refined grains. These are the enemy. Eliminate between-meal snacks. Designate mealtimes. Meal timing and insulin levels work together to regulate our weight. We need periods of time when we aren’t eating, so insulin can go down, leaving our bodies in energy burning mode. If we leave more time between meals…. we burn energy. And when we burn energy, we lose weight. To learn more about the other secret to regulating insulin for weight loss, read here.  

healthy foods
Nutrition and Weight Loss

How to Starve Insulin Through Fasting

by James Haley, MD, FACOG, FPMRS I have always had a personal interest in nutrition and fitness, and more so after I became a doctor and needed that knowledge to benefit my patients. After reading volumes of research on these subjects and hearing my patients’ struggles with weight gain, I came across nephrologist Dr. Jason Fung’s book, ‘The Obesity Code’. Most of Dr. Fung’s patients are Type 2 diabetics, and he explains clearly how obesity is a problem due not to caloric intake, but to constant high levels of insulin in the body retained through frequent eating. In short, Dr. Fung states that the more often you eat, refueling with snacks between meals, the longer your insulin levels remain elevated. Since insulin is a hormone that tells your body how much to eat and how much to burn, high insulin levels fool the body into thinking you are always hungry. Those messages cause you to eat more, and of course, gain weight. How Do You Overcome This Vicious Cycle?  1. Stop Snacking This is the first step. Avoid especially the sugary and refined, processed foods which make your insulin levels spike and fall all day, perpetuating the cycle of hunger and sluggishness, making you think you’re hungry. 2. Stay Hydrated and Eat Well   Drink plenty of water and eat healthy foods like vegetables, nuts, salads, fruit and protein-rich chicken and fish, which keep your insulin levels steady. 3. Fast Fasting! The word may make you shudder. I’m not talking about a three-week, Gandhi-type fast. Dr. Fung suggests a “mini- fast”: going without breakfast. And yes, this goes against everything you’ve ever been told, that breakfast is the most important meal of the day. You don’t need to do it daily, but skipping breakfast gives your body about 14 hours of fasting from the night before. We need periods of time when we aren’t eating, when insulin can go down, leaving our bodies in energy burning mode. This one step will dramatically lower your insulin, which in turn acts to lower the body’s set weight. You’ll start to feel better, have more energy – and you may just get rid of that last, lingering ten pounds. 4. Consult Your Doctor Fasting is never recommended for pregnant women, breastfeeding mothers, or people with certain diseases. If you simply need a jump start to weight loss, try the mini-fasting route and let your body’s insulin levels drop to burn energy. You will be surprised at how much better you feel. Once you change your mindset about food, regulate your insulin, and time your meals, you will see many positive results. Whether you need to lose weight or not, you will definitely have more energy, and hopefully live a longer, healthier life.

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