Is the ultimate low-carb diet—the ketogenic diet—good for you?

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 these days, several of my patients have inquired about the ketogenic diet. Is a ketogenic diet safe for weight loss? Would you advise against it? Despite the present hoopla, a ketogenic diet is not always a novel idea. We have been utilizing it in medicine for for a century to treat drug-resistant epilepsy, particularly in children. Dr. Atkins made his extremely low-carbohydrate weight loss strategy, which started with a very stringent -week ketogenic section, popular in the 1970s. Over time, a similar weight loss strategy was incorporated into other fad diets. What exactly is a ketogenic (keto) diet plan? The body releases ketones into the circulation as a result of a diet, in essence. Most cells opt to use blood sugar, which is derived from carbs, as the primary source of energy for the body. When blood sugar from meals isn't present in the body, we start converting stored lipids into ketone bodies (the method is known as ketosis). Maximum cells will utilise the ketone bodies in...

Treating uterine fibroids


 Information on Uterine Fibroids in Women that you should know

Why do uterine fibroids occur?

Cells that develop from the uterine muscle are known as uterine fibroids. Uterine fibroids can develop on the uterine wall and exert pressure on the bladder or intestine. They are also known as "myocardial infarctions." Additionally, it can develop inside the uterine wall or even protrude from the uterine wall as a mass suspended from a slender leg into the uterine cavity or the ectopic.

Fibroids can range in size from a pea to a soccer ball, but whatever of size, they are always benign in nature. Cancer risk does not rise as a result of fibroids. The uterus may occasionally be pushed aside if the fibroid is obviously huge or is developing on the outside surface of the uterine wall. The bladder or intestines may become compressed due to the uterus' development.

Rarely, the uterus may shut if the fibroid is big or if it develops in the lower portion of the uterus. Pregnant women may need to have a cesarean birth in this circumstance.

Why do uterine fibroids develop? What causes fibroids in women?

Although the exact etiology of uterine fibroids is unknown, the fluctuation in estrogen levels seems to contribute to their development. The development rate of fibroids accelerates when estrogen levels are high, as they are during pregnancy or when taking birth control pills, for instance. Fibroids affect around 20% of women who are reproductive age, however they are uncommon in those under the age of 30. Early menstruation in young females is an uncommon occurrence.

Uterine fibroids are likely to lessen or nearly vanish in women as they approach menopause and their estrogen levels fall. However, women of reproductive age were the only ones whose risk of fibroids was shown to be increased.

What Are Fibroids in Women's Symptoms?

Many females who have fibroids are completely unaware of it. If there are clear signs, they could include:

   1.monthly menstruation that hurts

   2.The menstrual cycle lasts for a very long period and is quite bloody (which may lead to iron deficiency or anemia)

   3.Pressure on the bladder might cause frequent urination or the impression that urination is disturbing.

   4.experiencing pressure or fullness in the lower abdomen

   5.Pelvic pain

   6.Back pain

   7.Constipation

   8.Infertility (inability to conceive) (inability to conceive)

   9.Miscarriage


How is it identified?

The majority of uterine fibroids are found during a regular internal check when your doctor feels lumps in the uterus or when the uterus's shape is atypical. In order to identify fibroids from tumors and other blockages that may form in the pelvic area, your doctor could want to place you on an ultrasound imaging session if you exhibit signs of persistent pain. A thin, lighted tube called a hysteroscopy, which is placed into the vagina to inspect the cervix and interior of the uterus, can also be used to see fibroids if they have formed on the inner lining of the uterus or within the uterine cavity.

What Is The Treatment?

The majority of fibroids do not require treatment unless the symptoms are bothersome and problematic for you. Your physician will base his or her advice on the following:

   1. The intensity of your period's discomfort or the volume of blood you shed
   2. The fibroids' pace of expansion
   3. Your age, as fibroids decrease as menopause approaches
   4. You want to start a family.

In rare instances, fibroids can cause infertility, and in some surgical procedures, they can prevent women from becoming pregnant and having children. There are several choices you might take into consideration if you require therapy (some of which are more widely available). These consist of:
 
   1. Endometriosis removal can be carried out with a laser, a hot wire loop, electromagnetic waves, or the hot balloon method for fibroids that have developed in the inner layer of the uterus.
 
   2. Laparoscopy or endoscopy, two common operations, can be used to electrolyze the fibrous tumor (electrotherapy). The surgeon infects the fibroblast and the blood vessels nearby by inserting a tool or probe in the form of a needle or by sending a direct electrical current into the fibroblast.

   3. Surgery is used to surgically remove fibroids while protecting the uterus from injury. Women who still intend to have children go through this process. It can cause greater blood loss than a hysterectomy and is actually quite difficult.

   4. Laparoscopic fibroids removal is an option in some circumstances, particularly when the fibroids extend outside the uterine cavity. The fibro-hysterectomy will be carried out by a hysterectomy that is introduced through the vagina if the fibroids grow inside the uterine cavity.

   5. The whole uterus is removed during a hysterectomy. Women are thus unable to become parents. Despite the fact that hysterectomy was originally the only choice for treating uterine fibroids, it is now only strongly advised for women who are close to menopause, are not worried about infertility or their inability to have children, or who have severe symptoms.

    6. Radiologists perform the uterine fibroid embolization (UFE) operation. It prevents blood from reaching uterine fibroids. The procedure is also known as uterine artery embolization. UFE is an alternative to surgery for fibroids for women who do not want to become pregnant in the near future.

    7. Drugs: Women can temporarily slow or stop the growth of fibroid tumors by taking drugs that lower estrogen levels, particularly prior to surgery. The treatment cycle often only lasts 3-6 months due to the fact that these medications frequently trigger menopausal symptoms, such as hot flushes, vaginal dryness, and decreased bone density. Once this hormone medication is stopped, fibroids frequently continue to develop.
 
   8. Herbs and green tea have been shown to be effective in treating uterine fibroids and assisting in the tumor's shrinkage.

There are certain therapies that work better than others. For instance, there is a 25% possibility of new fibroids developing within 10 years of the surgery following the excision of the fibroids. The tumor-blocking artery is thought to stop tumors from developing again, but further study on this relatively new procedure is required before any conclusions can be made. Hysterectomy is the only operation that guarantees that fibroids won't return.

Frequently Asked Questions on Uterine Fibroids:

Can Women's Fibroids Affect Fertility?

There is proof that decreased fertility and fibroids are related. Premature delivery is more likely as a result of an increased chance of miscarriage in the first and second trimesters of pregnancy. Additionally, the poor success rate of reproductive therapies has been connected to fibroids.

There is no consensus on how or why this happens, though, because some women get pregnant and deliver a healthy baby despite having womb fibroids that are rather big. According to one view, fibroids damage the uterus in a way that prevents conception or fertilization, while according to the other, the tumor's effects on blood flow make it harder to endure and maintain pregnancy. Consult your doctor if you are having trouble becoming pregnant and you are aware that you have uterine fibroids so she may refer you to a fertility expert. If other reasons of the reproductive issue need to be addressed, the initial portion of the work will be dedicated to finding them.

Less than 3% of women may experience reproductive issues as a result of fibroids alone. If this is the case, your doctor could encourage you to keep trying to get pregnant naturally for up to two years, provided you are under 34 years old. Given that fertility tends to diminish quickly with age in this situation, it is preferable to begin the therapy as soon as possible.

Since there is minimal proof that artificial insemination increases the likelihood of a successful pregnancy, it is unlikely that you will be asked to do it very away. Whether a procedure aids women with fibroids in becoming pregnant and carrying a child to term is likewise unproven. The ideal course of therapy for your disease will be suggested to you by your doctor.


How are symptoms treated?

Consult your doctor right away for options if menstrual discomfort or bleeding from fibroids persists or gets worse. To ease discomfort in the meantime, try the following:

  1. To ease physical pains and cramps, use medicines.
  2. When symptoms worsen, stay in bed and rest.
  3. To prevent anemia brought on by heavy monthly bleeding, consume iron-rich foods (such as lean red meat and spinach) and iron supplements, as recommended by your doctor.
  4. To ease the discomfort, apply a bottle of hot water to your stomach or take a warm bath.

What steps may women take to prevent uterine fibroids?

Sadly, there is no known way to stop fibroids from multiplying or developing.


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