Search results for "Nutrition"
Explaining the increase of eosinophilic esophagitis
The prevalence of eosinophilic esophagitis, a disease virtually unknown 25 years ago, has risen dramatically as more endoscopies are done and more early-life exposures occur that can induce the condition.
https://immattersacp.org/archives/2019/09/explaining-the-increase-of-eosinophilic-esophagitis.htm
1 Sep 2019
ACP: Best practice for diabetes is diet, then metformin, then any second drug
New diabetes guidelines from the American College of Physicians recommend prescribing a drug when lifestyle changes don't lower hyperglycemia. Specifically, start with metformin first and then add any second oral agent.
https://immattersacp.org/weekly/archives/2012/02/07/4.htm
7 Feb 2012
Nearly 50% of older U.S. adults reported taking aspirin preventively
A study of National Health and Nutrition Examination Survey data from 2011 to 2018 found that 46.7% of respondents ages 60 years and older used aspirin for primary or secondary cardiovascular disease prevention and suggested potential overuse in certain groups.
https://immattersacp.org/weekly/archives/2021/06/29/4.htm
29 Jun 2021
MKSAP Quiz: Evaluation for newly developed ascites
A 50-year-old man is evaluated for newly developed ascites. He has cirrhosis due to nonalcoholic steatohepatitis. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/31/3.htm
31 Aug 2021
Room for improvement in clinicians' weight-loss advice for patients with obesity, study finds
An analysis of audio recordings of consultations from the Brief Interventions for Weight Loss trial found that primary care clinicians who were trained to provide weight-loss advice in around 30 seconds commonly advised a general “Eat less, do more” approach.
https://immattersacp.org/weekly/archives/2022/12/20/4.htm
20 Dec 2022
Melatonin use increased among U.S. adults in recent years
Use of more than the recommended daily dose of 5 mg also became more common from 2009-2010 to 2017-2018, potentially raising safety concerns, according to authors of an analysis of National Health and Nutrition Examination Survey data.
https://immattersacp.org/weekly/archives/2022/02/08/4.htm
8 Feb 2022
MKSAP Quiz: Discuss bariatric surgery
A 39-year-old woman comes to the office to discuss bariatric surgery. She has been unable to lose weight with diet and exercise, including supervised weight loss programs. Following a physical exam, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2022/02/15/3.htm
15 Feb 2022
New guideline targets preventing obesity in midlife women
A guideline from the Women's Preventive Services Initiative recommends physicians counsel women ages 40 to 60 years about healthy eating and physical activity to maintain weight or prevent weight gain.
https://immattersacp.org/weekly/archives/2022/08/02/2.htm
2 Aug 2022
Overweight, obesity poorly managed in type 1 diabetes
While U.S. adults with type 1 diabetes have rates of overweight and obesity virtually identical to those in the general adult population, only about 50% received lifestyle recommendations for weight management from clinicians or tried lifestyle modifications.
https://immattersacp.org/weekly/archives/2023/02/14/4.htm
14 Feb 2023
MKSAP Quiz: Episodic nausea, bloating, epigastric pain
A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021