EPISODE SUMMARY
In this episode of our weekly live Q&A, I answer your pressing health questions, covering a range of topics from measles outbreaks to arthritis treatments. We discuss how to navigate common health conditions, identify where you have agency over your well-being, and make informed choices about your care.
KEY CONCEPTS DISCUSSED
MEASLES: UNDERSTANDING IMMUNITY AND PROTECTION
Measles is a highly contagious respiratory virus causing fever, cough, congestion, and a characteristic rash.
Outbreaks are occurring in various parts of the U.S., including the Southwest and the DMV (DC, Maryland, Virginia).
The MMR (measles, mumps, rubella) vaccine is highly effective, offering 97% protection with two doses.
If unsure about immunity, options include a blood test for measles antibodies or getting a booster dose, particularly before travel to outbreak areas.
People born between 1957 and 1989 may need to check their immunity since vaccine efficacy was lower during that time.
PREDIABETES: WHAT IT MEANS AND HOW TO TAKE CONTROL
Prediabetes is defined by an elevated hemoglobin A1C (5.7-6.4), indicating higher-than-ideal average blood sugar.
Unlike diabetes (A1C of 6.5+), prediabetes doesn’t always progress to diabetes and can often be reversed.
Key risk factors include genetics, age, metabolic inefficiency, diet, and physical activity levels.
Stress and poor sleep can elevate blood sugar by increasing cortisol levels.
Strategies for lowering A1C: reducing processed carbohydrates, increasing fiber, building muscle mass, and improving cardiovascular fitness.
CONTINUOUS GLUCOSE MONITORS: WHO SHOULD USE THEM?
CGMs provide real-time blood sugar data, which is invaluable for people with diabetes.
Non-diabetics sometimes use CGMs for insight into how food, stress, and lifestyle affect their blood sugar.
While CGMs can be empowering, they should be used with a clear purpose—self-awareness, not unnecessary optimization.
Many learn that stress, sleep deprivation, and alcohol significantly impact glucose levels.
The rise of health tracking tech reflects people’s desire for control over their health but should be balanced with medical guidance.
ARTHRITIS: MANAGING JOINT PAIN AND INFLAMMATION
Osteoarthritis (wear-and-tear arthritis) is common, especially in weight-bearing joints like hips and knees.
First-line treatments include anti-inflammatory medications (NSAIDs like ibuprofen), ice, and physical therapy.
Strengthening surrounding muscles (quads for knees, glutes for hips) can reduce joint strain.
Cortisone injections may be needed for severe cases, but frequent use suggests the need for a joint replacement.
When pain and disability become significant, a knee or hip replacement can dramatically improve quality of life.
THYROID HEALTH: UNDERSTANDING HYPOTHYROIDISM AND HYPERTHYROIDISM
The thyroid is a butterfly-shaped gland in the neck that regulates metabolism, energy, digestion, and more.
Hypothyroidism (underactive thyroid) symptoms include fatigue, weight gain, constipation, swelling, and slow metabolism.
Hyperthyroidism (overactive thyroid) can cause jitteriness, weight loss, and heart palpitations.
The TSH and free T4 blood tests determine thyroid function.
Many symptoms of thyroid dysfunction overlap with other conditions, so proper testing is crucial before assuming a thyroid problem.
GASTROESOPHAGEAL REFLUX DISEASE AND BARRETT’S ESOPHAGUS
GERD occurs when stomach acid refluxes into the esophagus, causing heartburn and chest discomfort.
Triggers include stress, certain foods (acidic, spicy, alcohol), eating too fast, and medications like NSAIDs.
Lifestyle adjustments such as elevating the head of the bed, reducing acidic foods, and using acid-blocking medications (e.g., pantoprazole) can help.
Chronic reflux can lead to Barrett’s esophagus, a precancerous condition where the esophageal lining changes due to prolonged acid exposure.
Not everyone with GERD develops Barrett’s, but it’s important to monitor symptoms and consult a doctor if needed.
Final Thoughts
This episode covers a broad spectrum of health concerns, emphasizing the importance of understanding your body, knowing where you have control, and making informed decisions about prevention and treatment. If you have questions for next week’s Q&A, send them in!
Thanks for tuning in, and see you next time!!
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