Fatty Liver Disease And Chronic Medication Use
Lately, I have been seeing several of my patients develop fatty liver disease or what has been termed non-alcoholic steatohepatitis or NASH. They have been on medications for multiple years due to underlying chronic illnesses. It seems that recently this problem
Recalcitrant UTIs And DNA Sequences
Recently I assisted a colleague with a patient that was having recurrent UTIs with the same bacteria, E. coli. The concern was that despite appropriate antibiotic therapy the E. coli UTI with Keflex symptoms would improve, but not completely resolve, and
Tirzepatide and Chronic Inflammation
When Cromolyn Sodium Isn't Enough Recently I saw a new patient who had been diagnosed with MCAS, where the diagnosis was confirmed with a positive biopsy of the gastric mucosa. The patient was prescribed cromolyn sodium, but unlike most of my
Sugar Blues
The title of this article is taken from a book written by William Duffy in 1975. Think about it, a book published over fifty years ago talking about the ills of sugar and how the food industry has abused it. Unfortunately,
MCAS Rising
Recently I was evaluating one of my Mast Cell Activating Syndrome (MCAS) patients, who I hadn’t seen in a while, because she was doing well. She has noticed, in addition to her worsening symptoms, that there are more people being diagnosed
Update on My Patient: Antibody Specific Immunoglobulin Deficiency
A few months ago, I wrote about a patient who had been told by several of her clinicians that her medical concerns were based on anxiety and depression. Back then, after listening to her history, especially with multiple hospitalizations for pneumonia,
Dismissing Symptoms in the Post Covid-19 Era
A new patient came to the office the other day. She is a forty year old woman with multiple vague complaints that began after her last bout of Covid-19 in 2023. Since that time she has experienced fatigue, decreased exercise tolerance
Another Example of the Importance of Diet
Recently, a patient had come to the practice with a long standing history of refractory Crohn’s Disease. She was seeing me because in addition to her Crohn’s Disease barely managed, she had an issue with recurrent Candidiasis in the esophagus, with