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Discusses Women's Health

Patients often ask me why I don’t prescribe Cipro (ciprofloxacin) as the first line of antibiotic treatment when they have bladder infections. Well here is why: Since 2008 there have been warnings about the fact that this broad-spectrum antibiotic can impact the bacteria in the gut (and cause overgrowth of the “wrong” bacteria) and can…

Most of my patients for whom I prescribe hormone therapy know that I prefer to prescribe FDA approved transdermal estrogen via a patch, gel or cream rather than oral pills. I love it when an article comes out in a peer-reviewed journal that affirms my choice. A new “you’re right” study was published this March…

I just spent a delightful weekend with my sister who visited me from Chicago. As we hiked, ate in some great restaurants and watched agreed upon TV shows, we discussed family, politics, the Middle East and medicine. (She is a scientist.) Like most of my patients, she complained about the cost of medication. When I…

I am appalled by the utterances of Donald Trump. Pretty much all of them, but now that infamous statement that a woman should be punished for an attempt to terminate her pregnancy may be one of the worse. It is unfathomable that anyone in the civilized world would ever make such a statement even if…

I know that this website is geared to and read by women (mostly my patients), but many of us do have men in our lives. As they (and their partners) get older they question whether they need additional male hormone (testosterone) to feel as good as they felt when they were young. There is a…

Those of us who have never smoked or have not suffered from substance abuse don’t always understand why it is so hard to simply stop using a drug that is clearly harmful. A review article in this week’s New England Journal of Medicine discusses this in medical parlance (the neurobiology of addiction) and I thought…

I came back to LA about eight weeks ago from a visit in Israel and brought with me a bad upper respiratory tract infection. I know every sufferer’s first response (including my own … I couldn’t swallow and had a bad cough) is to get a prescription for antibiotics. I prudently waited a few days…

This used to be a DuPont mantra. And we all embraced it over the years as we wore synthetic fabric that hugged our bodies in stretch jeans and we took our prescription drugs. According to a recent article in JAMA, we are partaking in the latter more and more. So let me summarize last month’s…

A couple of years ago, I was asked to give the opening address for a conference on anti-aging and regenerative medicine in Las Vegas. I was intrigued by the fact that there was a large organization devoted to the topic (they had over 8,000 members worldwide), that the organizers wanted to pay me a substantial…

I have on-going discussions with patients who have been on hormone therapy for more than five years as to whether they should continue or stop. There is a valid concern about a potential increase in risk of breast cancer with long term estrogen and progestin therapy. (The use of estrogen only in women who have…

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