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HORMONE REPLACEMENT THERAPY

For years, women have coped with menopause through hormone replacement strategies that addressed the problem instead of the patient. Recently, hormone replacement therapy has been refined so that current therapies are tailored and delivered directly to the patient. Dr. Neera Bhatia is pleased to offer one such therapy, BioTE, that is at the forefront of this design process. BioTE is widely regarded as one of the superior bio-identical hormone replacement therapies available.

Dr. Bhatia’s mission statement includes a focus on incorporating innovations that further patient welfare into her practice. With this commitment in mind, Dr. Bhatia is the ideal physician to guide patients through the process of bio-identical hormone replacement therapy. Through nearly 35 years in practice, Dr. Bhatia has seen the approach to hormone replacement therapy develop. Now, there is a solution for patients that she fully endorses and promotes – BioTE pellets.

Briefly, bio-identical hormones are plant derived and biologically engineered to match the patient’s own hormones. These hormones represent the most recent advancement in hormone replacement therapy and represents a solution for both women and men.

Dr. Neera Bhatia talks about the newest addition of Hormone Therapy to her practice and how it will help benefit you.
View Video

Dr. Bhatia is a longstanding female OBGYN whose clinic offers Bio-Identical Replacement Therapy for men and women. Call 210.222.2694 for more information.

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Drunk Biology: Does Drinking Alcohol Cause Hearing Loss? #alcohol #and #hearing #loss


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Drunk Biology: Does Drinking Alcohol Cause Hearing Loss?

Oct 21, 2015 06:00 AM

Inevitably, alcohol ends up becoming a part of many musicians’ lives regardless of you, yourself, consuming it. Many gigs take place in clubs and bars, and in many circles, drinking is a firm part of the culture and the ritual of the arts. Whether you’re a drinker or not, it’s there all around us, from the image of the whiskey-swigging rock star to the artist-endorsed and -owned brands (looking at you, Diddy!). It’s ingrained in the culture. And as we all know, either from personal experience and “research” or from the literature we get supplied with at a relatively young age, as one drinks, inhibitions go out the window, as do coordination and fine motor skills (and eventually, the not-so-fine motor skills) along with a plethora of other short-term side effects that tend to lead to a miserable morning after.

One effect that has recently gotten some attention and continues to be an issue of study is alcohol’s effect on hearing itself.

Turn up!

Staff from the Royal National Throat, Nose, and Ear Hospital and University College London Hospitals published an interesting study in 2007 regarding acute hearing loss while drinking. If you want the SparkNotes version, a study was done of 30 men and women between the ages of 20 and 40 years old. These 30 people were given the equivalent of “a few drinks”; none of them were outright wasted, and in fact, all of them would have been well within the legal limit to operate a motor vehicle in most parts of the world during the test. The subjects were then given a hearing examination to compare to their baseline hearing, and the results were certainly surprising: all subjects showed significant acute hearing loss. To see it visually:

The mean hearing loss in decibels for each frequency tested:

Sound Frequency (Hz)

Mean loss male n = 11 (dB)

As you can see, even a relatively small amount of alcohol had fairly significant impact on the hearing response of the subjects.

Is this going to be forever?

The medical community is still somewhat undecided on this one. Alcohol abuse definitely has an impact on the auditory system, but how and how much depends on who you ask.

As we age, we tend to experience a certain degree of hearing loss, so attributing how much of that loss to age/exposure to high sound pressure/alcohol is a bit hard to track. There are also two different schools of thought on this, one being that alcohol damages the auditory nerves’ ability to effectively do their job, and the other is that considering alcohol’s effect on the brain, it’s more likely that the brain is no longer able to interpret input to the central auditory cortex appropriately. Either way, there’s no debate that long-term heavy alcohol use will affect your hearing.

So, now that I’ve sufficiently been a buzzkill, should anyone serious about audio, music, and their hearing cease to consume alcohol? It doesn’t necessarily change the fact that consuming in moderation is a good practice. More importantly, it just goes to prove that you should think twice before drinking and mixing. (Man, things sound so much better with alliteration. No wonder “don’t drink and drive” sounds so catchy.) Live or in the studio, anytime you need to have your auditory wits about you, you should probably take it easy.

Aaron Staniulis is not only a freelance live sound and recording engineer, but also an accomplished musician, singer, and songwriter. He has spent equal time on both sides of the microphone working for and playing alongside everyone from local bar cover bands to major label recording artists, in venues stretching from tens to tens of thousands of people. Having seen both sides at all levels gives him the perfect perspective for shedding light on the “Angry Sound Guy.” You can find out more about what he’s up to at aaronstaniulis.com .


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ISM also wishes to inform you that your Personal Data may be disclosed to third parties, such as service providers for reasons relating to the Purpose.

Please note that it will be necessary for ISM to process your Personal Data for the Purpose, without which ISM will not be able to provide you and you will not be able to use the ISM Public NCD Enquiry services.

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What car has the cheapest insurance #rental #car #insurance, #deductible #insurance, #cdw, #ldw, #cdw/ldw, #collision #damage #waiver, #loss #damage #waiver


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CDW, LDW.

Have you ever come across these terms? Do you know what they mean? When renting a car either locally or abroad the truth is that not all car rental companies offer you the same coverage. It all depends where you travel to and which car rental company you use.

Collision Damage Waiver and Loss Damage Waiver

You may be responsible for purchasing your own Collision Damage Waiver/Loss Damage Waiver (CDW/LDW) insurance which provides coverage for the full value of the vehicle that you are renting as well as covering some of the additional losses to the rental company if your accident results in the rental vehicle being unavailable to rent out.

If you turn up to the car rental desk without your own Loss Damage Waiver insurance, your car rental company may insist that you purchase their car rental insurance policy before they let you drive away in the car. Why not buy your car rental insurance before travelling to make sure you’re not surprised with unexpected extra costs at the rental desk?

Rental companies will usually try and sell you their CDW/LDW coverage which can cost up to $15 per day, where as coverage from Insuremyrentalcar.com starts at $9.75 per day!

We are clear, competitive, and comprehensive!

Why buy from Insuremyrentalcar.com?

Insure My Rental Car’s mission is simple…we aim to make it easier for drivers to understand their insurance options and save them money. The message is always the same wherever you live – buy your rental car insurance before you get to the rental desk!

Insuremyrentalcar.com offers insurance covering Loss Damage Waiver (LDW) up to $100,000 if the car is damaged or stolen. Daily policies start at $9.75 per day agency. The website will also offer single trip policies starting at $17.50 and annual policies starting at $93.99. Annual policies offer particularly good value for regular users and have the added advantage of covering US residents for vehicles rented outside of the USA.

Our aim is simple. provide customers with competitively priced Car Rental Insurance without compromising on the levels of coverage!

Rental Car Insurance

Now, with Insure My Rental Car, you can buy valuable and effective loss damage and theft coverage away from the Rental Car counter.

Better yet, you get primary damage coverage that automatically kicks in without the need to submit a claim to your personal auto insurance policy.

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Insure My Rental Car’s insurance policies can be used by US residents at home and overseas, and can also be used by Non-US residents when renting a car in the United States. So whether you are a permanent US Resident or are simply looking for Car Rental coverage to insure yourself while visiting the US, we could have a policy to suit your needs!


Weight Loss Surgery Salt Lake City #weight #loss #surgery, #obesity #surgery


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Weight Loss Surgery

Home Services Weight Loss Surgery

Severe obesity is a difficult medical condition to treat and, as most of us have found, is resistant to traditional diet and exercise programs. In some cases, where severely overweight individuals have been unsuccessful with more conservative treatments, bariatric or weight loss surgery offers long-term success and the chance to begin a new lifestyle focused on improving health and feelings of well-being.

Bariatric surgery is a tool that helps people with the lifestyle changes necessary to lose weight and improve their health. Like any tool, it must be selected carefully and used properly to be effective. At Surgical Weight Loss Center of Utah, Dr. Medlin. Dr. Cottam. Dr. Richards and Dr. Belnap are experienced in all available methods of surgical weight loss, allowing you to select the bariatric procedure that is the best choice for you.

Understanding your weight loss surgery options along with the benefits and possible drawbacks of each procedure is the first step in deciding if weight loss surgery is an appropriate treatment choice for you.

Endoscopic Sleeve Gastroplasty

The Endoscopic Sleeve Gastroplasty is a purely endoscopic procedure, (no incisions or stomach stapling), that reconstructs your stomach into a smaller chamber. It is performed using a video scope placed through the mouth that works in conjunction with a suturing device.Learn more »

Adjustable Gastric Band Surgery

Adjustable gastric banding is a surgical technique that uses a silicone gastric band to create a second stomach pouch, thereby limiting food intake without making any permanent changes to the stomach or digestive tract. Learn more »

Lap Band Surgery

Lap Band surgery is the leading type of adjustable gastric banding surgery. This form of weight loss surgery is minimally invasive and does not require any permanent changes to the stomach or digestive tract. The Lap Band system is both adjustable and reversable for long term weight management. Learn more »

Gastric Bypass Surgery

Roux-en-Y gastric bypass has the longest history of any weight loss procedure in the United States and remains the most frequently performed of the bariatric surgeries. Learn more »

Duodenal Switch Surgery

Duodenal Switch surgery is a highly effective surgical procedure that combines both restrictive and malabsorptive components allowing patients to experience maximum weight loss results quickly and maintain them long-term. Learn more »

Sleeve Gastrectomy Surgery

Sleeve gastrectomy modifies the size and shape of your stomach to limit the amount of food that can be eaten. It is used as a stand alone procedure as an alternative to adjustable gastric banding or as the first part of a two stage procedure. Learn more »

Imbrication / Bandication

Gastric imbrication is a new weight loss technique that allows surgeons more control over how much stomach restriction is accomplished during surgery, while providing the patient with a reversible solution to obesity. Learn more »

Gastric Balloon for Weight Management

ORBERA TM Gastric Balloon is a weight loss solution that focuses on developing long-term weight loss through balloon placement in the stomach. This restricts the amount of food that can be consumed along with a sustainable healthy habits program. Learn more »

Bariatric Revision Surgery


Affordable Laser Hair Removal Results: Pittsburgh, Cranberry Township, PA #laser #hair #removal,reduction,removals,pittsburgh,treatments,excess #hair,permanent,,ingrown,unwanted,back,bikini,legs,arms,armpits,fingers,lip,toes,wax,waxing,shave,pluck,tweeze,bleach,razor #rash,laser #hair #removal #reviews,scarring,medical #spa,fast,hair #removal #systems,dark #hair #color,safe,coarse #hair,fda,hair #follicle,shave #bumpsdiode #laser,ipl,hair #loss,body,melanin,treatments,bengin #lesions,angeomos,red #spots,fine #hair,dying,hair #dye,sclero,folliculitis,electrolysis,cost,price,side #effects,comfortable,laser #hair #removal #at #home,laser #hair #removal #cost,laser #hair #removal #prices,laser #hair #removal #reviews,laser #hair #removal #side #effects


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Laser Hair Removal

Permanently remove unwanted hair

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    Body Beautiful distinguishes itself as one of the only medical spas in Western PA offering the newest permanent hair removal technology, the VECTUS. This system has been proven preferable over other lasers due to these unique features:

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    New methods of laser hair removal delivers more efficient energy, twice the speed for shorter treatment times and is safe on the darker skin types. Hair can be removed from virtually any area on the body.


    Weight Loss Surgery: What to Expect the First Year #weight #loss #surgery, #lap #band #surgery, #bariatric #surgery, #weight #loss, #results


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    Weight Loss Surgery: What to Expect the First Year

    With bariatric surgery, the most dramatic changes happen in the first year. Here’s what to expect.

    WebMD archives content after 2 years to ensure our readers can easily find the most timely content.

    To find the most current information, please enter your topic of interest into our search box.

    “>From the WebMD Archives

    If you’re considering weight loss surgery. prepare to make changes that last a lifetime.

    “When you’re seriously overweight. it affects your social life, your health,” says Atul Madan, MD, chief of bariatric surgery at the University of Miami School of Medicine. “This surgery helps people get past their cravings. They’re much healthier, their social interactions get better. It affects them in so many ways.”

    But bariatric surgery is only one tool to help achieve weight loss. You’ll still need to make many lifestyle changes to stay healthy and keep the weight off.

    “The most successful people do not look at this surgery as a quick fix,” says Madelyn Fernstrom, PhD, director of the University of Pittsburgh Medical Center’s Weight Management Center and a frequent contributor on NBC’s Today Show. “It does not replace lifestyle. You’ve got to be willing to face lifestyle changes that last forever.”

    To make those changes successfully, it helps to understand the milestones you can expect three months, six months, or a year later. To learn about these, WebMD talked to the professionals, and to people who had bariatric surgery.

    Preparing for Weight Loss Surgery

    Well before having bariatric surgery, patients begin taking steps in the right direction. Most insurance companies now require six months of presurgical patient education to prepare them, says Fernstrom.

    You must come to grips with eating patterns that have doomed you in the past, she explains. “Every severely obese person says they eat because it’s fun, they’re bored, they’re at the movies and it’s a social thing. They eat when they’re happy, they eat when they’re sad.”

    There is also the commitment to eating very small portions. If you overeat, you risk vomiting. Also, too frequent overeating can eventually stretch the new stomach pouch, which means you won’t lose weight — and could regain weight, explains Madan.

    “It’s not a punitive lifestyle. You simply become a taster of many things,” Fernstrom tells WebMD. “You find that you’re perfectly full with one egg, maybe a couple of strawberries for breakfast. It’s just enough.”

    • Immediately After Weight Loss Surgery. For the first two weeks after surgery, Madan prescribes a liquid protein diet. Then, patients start eating pureed and soft food — food the consistency of scrambled eggs.

    Continued

    You’ll start walking — even just five minutes at a time, working up to 30 minutes a day, he says. “That can be a huge deal for some people.” If you have arthritis. especially if it’s in hips and knees. he advises water aerobics .

    • One to Three Months Post-Surgery. At this point, people start trying “regular food” to see what they can tolerate. The timing depends on the type of weight loss surgery. “Try different foods, to see what will go down easily,” says Madan. “If it doesn’t, just stay away from it for awhile. Wait a month and try again.”

    Don’t set yourself up for disappointment, says Beverly P. a Memphis patient who lost 200 pounds with gastric bypass surgery. “It takes awhile to train your mind not to want much food. Don’t fill up a big dinner plate, use a smaller plate. Eating can still be enjoyable — but you don’t need to eat enough to feed several more people.”

    • Six Months Post-Surgery. At six months, you’ll have lost a lot of weight. If you’ve had gastric bypass surgery. you will have lost about 30% to 40% of excess body weight. With gastric banding surgery, you lose 1 to 2 pounds a week — so by six months, you’ll have lost 25 to 50 pounds.
    • Nine Months Post-Surgery. If you had any problems at the six-month visit, your surgeon will want to see you at this milestone, too. Vitamin deficiencies or lack of sufficient weight loss are the typical issues being addressed at this point, says Madan.
    • One Year After Surgery. Between 12 to 18 months after surgery, you will have lost a great deal of weight, says Madan. With gastric bypass surgery. you likely are close to your goal. If you had gastric banding surgery, you should have lost over 100 pounds. If weight loss has lagged, it’s important to find the cause — like eating too many snack foods.

    Medical Milestones After Weight Loss Surgery

    Follow-up with your surgeon is critical after bariatric surgery, says Madan. “These checkups help to identify nutritional deficiencies and to ensure you’re losing weight at a normal pace.”

    • With gastric bypass surgery, visits are scheduled for the 3-month, 6-month, and 1-year mark (and possibly at the 9-month mark).
    • With gastric banding surgery, follow-up visits occur more frequently, typically monthly — especially during the first year, says Madan. “We see patients often to make sure it’s not too loose or too tight — and to make sure they’re eating right.” If the band is too tight, it can cause vomiting .

    Continued

    2 Keys to Surgery Success: Healthy Food and Exercise

    Your food choices must change, too, to ensure that you’re losing weight — and that you’re getting proper nutrition. Too much of a sweet, sugary food will move through the small intestine too quickly. This causes “dumping” — running to the bathroom with diarrhea. or simply a feeling of nausea.

    You can’t ignore exercise any longer. “If you’ve always been a couch potato, you’ll have to do things differently after surgery,” she adds. “When you expend more calories, you keep weight off. We see people who have gotten their lives back. They’re in aerobics classes, yoga classes. They become an inspiration to others.”

    Getting moral support is definitely a plus. Organize a circle of friends to cheer you along the way, advises Joy R. a member of WebMD’s message boards. “My friends made it much easier. just being there and telling me I was doing great!”

    Your Relationships After Weight Loss Surgery

    Be prepared to explain your new eating habits to family and friends, Madan says. “No matter what you tell Grandma, she’s going to know better. Be respectful, but learn to ignore it.”

    • Tell them: “Four ounces is the normal amount of food I can eat now. Be glad that I’m going to lose this weight. If I don’t lose the weight, there’s a good chance I’m going to get diabetes [if you don’t have it already].”
    • Emphasize other positives: If you have sleep apnea. you likely won’t have to deal with that anymore. If you’ve been too heavy to play with your kids, that will change.

    If a friend or family member is overweight, you may feel their jealousy, Madan says. If your social life has been built around food, things will have to change.You may need new friends. You definitely will have to change your social activities.

    • Go to the movies instead of a restaurant. Find interests and activities that aren’t focused on food. You can still dine out, but order an appetizer as your entrée — or box most of your dinner to take home, he suggests.
    • Prepare for changes in intimate relationships . A bad relationship may get worse. A good one will become stronger. If your mate liked your old weight — or liked the control they had because you were overweight — he or she may feel insecure or jealous. You may need a counselor to deal with these changes.

    Your children will be affected — in a good way. “They develop healthier eating patterns, eat healthier food,” Madan tells WebMD. “A teenager is smart enough to see that if Mom or Dad is going through major surgery to lose weight, they don’t want to be there themselves.”

    WebMD Feature Reviewed by Brunilda Nazario, MD on 2/, 009

    Sources

    SOURCES: Madelyn Fernstrom, PhD, director, University of Pittsburgh Medical Center’s Weight Management Center. Atul Madan, MD, chief of bariatric surgery, University of Miami School of Medicine. WebMD Medical Reference in collaboration with Cleveland Clinic: “Gastric Bypass Surgery” and “Weight Loss: Restrictive Surgery.”

    © 2008 WebMD, LLC. All rights reserved.


    Single Sided Deafness – SSD – Single sided hearing loss #online #dating #agencies


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    Single Sided Deafness – SSD – Single sided hearing loss

    The loss of hearing in one ear – single sided deafness – SSD – is more common and more troublesome than most people realize.

    Single sided deafness, also known as SSD, is typically caused by viral infections, Meniere’s disease, head or ear injuries, or through surgical intervention to remove brain tumours.

    The symptoms of single sided deafness / SSD vary. In addition to impaired hearing on one side, some people may have difficulty determining the direction of sounds. This can make it dangerous to cross a street or otherwise navigate in traffic. Others may be unable to hear sounds from a particular direction. The most common symptom is an inability to separate background noise from the sounds you want to hear.

    For those who have not experienced single sided deafness / SSD. it is difficult to appreciate the handicaps presented and the lifestyle changes that occur for the victims of this type of hearing loss. Many patients learn to live with single sided deafness / SSD. Others have to make major life changes as they may feel highly uncomfortable and no longer easily able to cope in everyday environments, such as business meetings, busy restaurants or family gatherings.

    No reliable figure exists for the number of people with single sided deafness / SSD. But in the United States alone, an estimated 60,000 people per year acquire this condition, and in the United Kingdom, it is estimated that more than 9,000 new cases are diagnosed every year.

    Treatment options for single sided deafness / SSD are available, but many patients remain untreated, in part because of lack of awareness of this condition among family doctors and the general public.

    Sources: www.Audiologyonline.com. Single Sided Deafness: Issues and Alternatives, 5/31/2004, by Teri Sinopoli, M.A. CCC-A, AAA, and BBC News, 13 June, 2003.

    Read more


    Single Sided Deafness – SSD – Single sided hearing loss #christian #dating #websites


    #single side

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    Single Sided Deafness – SSD – Single sided hearing loss

    The loss of hearing in one ear – single sided deafness – SSD – is more common and more troublesome than most people realize.

    Single sided deafness, also known as SSD, is typically caused by viral infections, Meniere’s disease, head or ear injuries, or through surgical intervention to remove brain tumours.

    The symptoms of single sided deafness / SSD vary. In addition to impaired hearing on one side, some people may have difficulty determining the direction of sounds. This can make it dangerous to cross a street or otherwise navigate in traffic. Others may be unable to hear sounds from a particular direction. The most common symptom is an inability to separate background noise from the sounds you want to hear.

    For those who have not experienced single sided deafness / SSD. it is difficult to appreciate the handicaps presented and the lifestyle changes that occur for the victims of this type of hearing loss. Many patients learn to live with single sided deafness / SSD. Others have to make major life changes as they may feel highly uncomfortable and no longer easily able to cope in everyday environments, such as business meetings, busy restaurants or family gatherings.

    No reliable figure exists for the number of people with single sided deafness / SSD. But in the United States alone, an estimated 60,000 people per year acquire this condition, and in the United Kingdom, it is estimated that more than 9,000 new cases are diagnosed every year.

    Treatment options for single sided deafness / SSD are available, but many patients remain untreated, in part because of lack of awareness of this condition among family doctors and the general public.

    Sources: www.Audiologyonline.com. Single Sided Deafness: Issues and Alternatives, 5/31/2004, by Teri Sinopoli, M.A. CCC-A, AAA, and BBC News, 13 June, 2003.

    Read more


    Single Sided Deafness – SSD – Single sided hearing loss #professional #dating #service


    #single side

    #

    Single Sided Deafness – SSD – Single sided hearing loss

    The loss of hearing in one ear – single sided deafness – SSD – is more common and more troublesome than most people realize.

    Single sided deafness, also known as SSD, is typically caused by viral infections, Meniere’s disease, head or ear injuries, or through surgical intervention to remove brain tumours.

    The symptoms of single sided deafness / SSD vary. In addition to impaired hearing on one side, some people may have difficulty determining the direction of sounds. This can make it dangerous to cross a street or otherwise navigate in traffic. Others may be unable to hear sounds from a particular direction. The most common symptom is an inability to separate background noise from the sounds you want to hear.

    For those who have not experienced single sided deafness / SSD. it is difficult to appreciate the handicaps presented and the lifestyle changes that occur for the victims of this type of hearing loss. Many patients learn to live with single sided deafness / SSD. Others have to make major life changes as they may feel highly uncomfortable and no longer easily able to cope in everyday environments, such as business meetings, busy restaurants or family gatherings.

    No reliable figure exists for the number of people with single sided deafness / SSD. But in the United States alone, an estimated 60,000 people per year acquire this condition, and in the United Kingdom, it is estimated that more than 9,000 new cases are diagnosed every year.

    Treatment options for single sided deafness / SSD are available, but many patients remain untreated, in part because of lack of awareness of this condition among family doctors and the general public.

    Sources: www.Audiologyonline.com. Single Sided Deafness: Issues and Alternatives, 5/31/2004, by Teri Sinopoli, M.A. CCC-A, AAA, and BBC News, 13 June, 2003.

    Read more