How to lose weight and about the treatment of heel spurs: Saturday collection of questions

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Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. In this article I will answer questions about diet, cholesterol, spur and all that stuff ...

Question: How to lose weight correctly?

Answer: Limit sweet and saturated fats. Add fruits, vegetables, nuts, fish, low fat dairy, whole grains. Put the whole lunch in front of you and figure out if it's too much at a time. If you lost 2 kg in a month, then everything is correct.

Question: I do not understand, so how to lose weight?

Answer: Slowly reducing calorie content at the expense of those foods from which there is little benefit.

Question: And how to eat right then?

Answer: There are fewer calories, but with foods rich in nutrients and vitamins. Instead of sugar - whole grains, instead of butter - nuts.

Question: Is it not true that you need to drink 2.5 liters of clean water a day?

Answer: It depends on the person's weight and environmental conditions. A 46 kg girl needs less water. A man weighing 112 kg needs more. More in the desert. You need to focus on thirst and the type of urine. The urine should be light yellow. If the urine is dark, this is a sure sign that the water is low. It is better for a person without complaints to drink more water.

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Question: Will it be possible in this way to prevent blood thickening and thrombus formation?

Answer: No. Excess water does not prevent blood clots. It will be a kidney game. The kidneys usually cope with excess water. We prescribe vitamins in the same way - too much. We hope that this is how they are guaranteed to work. But there is no additional benefit from this.

Question: Is it true that people yawn from lack of air?

Answer: No. Not true. A tale about lack of air and yawning was invented at the beginning of the eighteenth century by the Dutch physician Johannes de Gorter. Since that time, the oxygen theory has become very popular among some parts of the medical community. It got to the point that back in the nineties of the last century they tried to prove something like that. But it didn't work out. It's not about oxygen.

Question: Why in small children cholesterol scales, but it is not harmful for them?

Answer: Small children with very high cholesterol die from the same heart attack as adults. This happens with hereditary characteristics.

Question: What does cholesterol have to do with it, if 80% of it is produced in the liver?

Answer: Food has to do with it, because no one eats cholesterol alone. It is eaten with a bunch of unhealthy fats. It turns out a harmful mixture that raises the level of bad cholesterol in the blood.

Question: Why diet and medications, if atherosclerotic plaques are already present in all adults?

Answer: Diet and medications stabilize the plaque. If the plaque is not stabilized, it will literally burst like a balloon, and its contents will enter the bloodstream. Blood will instantly begin to clot in that place. You will get a blood clot. The blood clot will block the blood flow or travel further into the artery and also block the blood flow. This is how heart attacks and strokes are obtained.

Question: Is it true that blood cholesterol rises from butter?

Answer: From butter or other saturated fat. The worst are trans fats, which are added to industrial food.

Question: Can a heel spur be treated with radiation?

Answer: There was such a method. It is theoretically present even now, only from it (officially recognized) the bone marrow and something else can suffer. Now it is considered bad form to send there. But the technique remained.

Question: What harm can there be from irradiation of the leg if the dose there is less than from a lung x-ray?

Answer: If the dose was less than from the image, then from the image of the lungs your ribs and spine would atrophy more than the bone spur on the heel. Do you understand? There, a huge dose of radiation acts on the heel during X-ray therapy. It just acts locally on the heel.

Question: Does shockwave therapy help with heel spurs?

Answer: We used to think that it helps. Manufacturers have made expensive devices. Then it turned out that there was no great benefit from them. Morning pain decreases slightly. But it hurts very much during the procedure. Therefore, shock wave therapy is now considered a method of treatment with unproven efficacy. It definitely helps someone. Only everyone is no longer appointed. That time has passed. The devices remained. They are expensive. Manufacturers and owners of devices need to fight off money.

Question: Does Shockwave Therapy Crush the Spur?

Answer: No, it's not like that there. The spur is part of the plantar fascia. Only ossified. If you crush it, then the arch of the foot will rinse. UHT works differently. It damages the places of old breaks, and the healing process starts in them. This is a cure through aggravation. But the spur isn't going anywhere.

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