Post-exertional malaise (PEM) is a feature of Chronic fatigue syndrome, fibromyalgia, long COVID, Epstein-Barr and Herpes infections, and other conditions. PEM is characterized by malaise following effort and lasting more than 24 hours.
It is not the same as muscle recovery, but may share some features such as nutrient depletion, toxicity, and hormonal dysfunctions.
Men’s Health Program
Our Men’s Health Program consolidates educational, diagnostic and treatment options. See the menu bar above for more links.
Video: Thyroid 201
Leaky Gut, Chemical Constipation, Defensive Diarrhea, Invasive SIBO, Baloonish Bloat and Hellish Heartburn
From Open AI
tell me about yeast and candida infection of the gastric mucosa with references
Yeast and Candida are types of fungi that can infect the gastric mucosa, which is the inner lining of the stomach. Candida infection of the gastric mucosa is known as gastric candidiasis, and it can occur in people with weakened immune systems or those who have taken antibiotics or acid-suppressing drugs.
Yeast and Candida infections of the gastric mucosa can cause a range of symptoms, including abdominal pain, nausea, vomiting, and bloating. In severe cases, the infection can lead to perforation of the stomach wall, which can be life-threatening.
The diagnosis of yeast and Candida infections of the gastric mucosa is usually made by taking a biopsy of the stomach lining and examining it under a microscope. Treatment typically involves antifungal medications, such as fluconazole or amphotericin B, which can be administered orally or intravenously.
Here are some references for further reading on yeast and Candida infections of the gastric mucosa:
Watanabe T, Ota S, Nishimura K, et al. Gastric candidiasis in non-immunocompromised patients. World J Gastroenterol. 2015;21(33):9848-9854. doi:10.3748/wjg.v21.i33.9848
Soliman S, Hammad H, Khalaf H, Gomaa M, Hassanein F. Gastric candidiasis: a rare disease presentation. J Gastrointestin Liver Dis. 2014;23(4):451-454.
Vuotto F, Donelli G. Pathogenicity of Candida species in the gastrointestinal tract. Molecules. 2015;20(5):9096-9118. doi:10.3390/molecules20059096
Aghili SR, Bagheri Lankarani K, Mehrzadi S. Gastric candidiasis in critically ill patients. Mycoses. 2017;60(10):669-678. doi:10.1111/myc.12663
Our Women’s Health Program consolidates educational, diagnostic and treatment options. See the menu bar above for more links.
COVID-19 insurance update 4/17/2020*
As of 4/17, most private plans cover telemedicine visits with your own doctor (or a new doctor) for all matters, not just coronavirus. To be sure, please call your plan to ask for their procedure or website. Please keep a record of who you spoke to and when, or any websites that state their policy. Some are waiving co-pays and co-insurance for all visits. Medicare and Medicare Advantage Patients: We can provide covered telemedicine visits to members in all states while the Health Emergency continues.
You can still come to the office if you need a visit. We can also offer an outdoor visit if weather permits. For essential office visits, we are masking, practicing physical distancing, use an enhanced sanitizer, and have no more than four people in the office at any time. We ask that any visitors wear masks. For help on making a simple mask, click here.
Dr. Cheikin is also offering private (non-covered) phone and telemedicine (Zoom) visits.
For more information on office and tele-visits, click here.
Yoga is now on Zoom! Limited on site space as well. CLICK HERE for more information.
Please check back for frequent updates.
*We are providing this information and service in a good-faith effort to help with this pandemic. Information and procedures are subject to change.
Low Back Pain can be acute, subacute or chronic. Low Back Pain has several patterns: muscular, facet, stenosis, disc, sciatica, hip and piriformis syndrome as examples. These will be further developed. More to come…
Thyroperoxidase (TPO) is an extremely important enzyme, mostly located in the thyroid gland. Since it is intimately involved in the production of thyroid hormone, it’s dysfunction can affect every cell of the body, and it often does. The epidemic of thyroid disease, more prevalent than diabetes, is in part due to the dysfunction of this enzyme.
In Hashimoto’s thyroiditis, the most prevalent thyroid disorder and one of the most prevalent autoimmune diseases, the body makes antibodies to TPO as well as to Thryoglobulin.
This post will collect information specific to TPO, while other posts will focus on Hashimotos, Iodine, and related topics as can be seen in the menu at the top of the page.