What is a Gartner's cyst
A Gartner duct cyst is a type of vaginal cyst. This is a soft-looking cyst, which can be seen through a microscope. It is also known as a mesonephric cyst. This cyst is usually small, with few symptoms. Women having a Gartner cyst or Gartner duct cyst can also cause severe pain during periods, as well as more pain when applying tampons. If care is taken in its treatment, then the size of the cyst also increases. Gartner's duct cyst and metanephric urine have a small resemblance to the ectopic ureter and ipsilateral renal hyperplasia. Symptoms of Gartner cyst include infection, bladder dysfunction, abdominal pain, vaginal discharge, and inability to hold urine.
Who gets Gartner Cyst?
A Gartner duct cyst or cyst in the vagina is a type of vaginal cyst. Gartner cyst is also known as a mesonephric cyst. This cyst is a soft-looking cyst. Which can be seen through a microscope. Gartner duct cysts of the vagina are mostly seen in adult women. In general, this type of vaginal cyst is more common during the age group of 20-75 years, with Gartner cysts accounting for about 12% of all vaginal cyst cases.
What causes Gartner cysts in the vagina?
When a woman is pregnant, the Gartner ducts or mesonephric ducts form on the walls of the vagina during fetal growth and development. These ducts are usually known to disappear after delivery. If it is present even after delivery, some liquid substance gets accumulated in it and due to which Gartner duct cyst occurs in the vagina. The cysts in the vagina or from the mesonephric ducts. The fact to keep in mind is that vaginal Gartner cysts are not caused by any sexually transmitted disease.
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What are the symptoms of Vaginal Gartner or Vaginal Cyst?
When a woman has a Gartner cyst or a Gartner duct cyst, she may experience the following symptoms. Although most of these cysts are benign, they do not show any specific symptoms or signs. But you can find out from the following symptoms, a woman may have Gartner cyst or Gartner duct cyst
Symptoms of a cyst in the vagina are usually a cyst that can be filled with liquid, it may contain pus, pus.
Gartner cysts are usually soft. Usually it can be like a polyp on the wall of the vagina.
Gartner cysts can be of different sizes.
When there is a cyst in the vagina, a lump is felt inside the vagina.
Pressure and pain in the affected area due to the large size of the cyst.
Pain or discomfort when using a tampon.
There is discomfort in the vagina while walking or sitting on the cyst.
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What problems can a Gartner cyst cause?
Although there is no special complication in the case of Gartner cyst, in some cases it can be the following problem.
Due to Gartner cyst, women remain under stress about the possibility of cancer.
Gartner cysts can also cause fever and infection.
Pain during intercourse due to Gartner cyst.
Gartner cyst causes more bleeding during periods.
In the case of Gartner cyst, one has to resort to C-section delivery in pregnancy.
How is Gartner cyst or vaginal cyst tested?
If a woman sees the symptoms of a Gartner cyst or a cyst in the vagina, then Gartner cyst can be identified and treated by examining it. The following procedures can be adapted to test for Gartner cyst in the vagina.
The medical history of the woman having Gartner cyst is evaluated and a thorough pelvic exam is done.
Tests (if necessary) to rule out sexually transmitted infections.
If the tumor is large, radiological testing may also be done.
An ultrasound scan of the abdomen may be done.
Transvaginal ultrasound of the uterus is performed.
MRI scans of the abdomen and pelvis may be done.
A vaginal biopsy is done.
How is cyst in the vagina treated?
If a woman has a Gartner cyst or a cyst in the vulva, it is important to be treated in time. When symptoms of Gartner cyst are seen in a woman, then Gartner cyst is treated by doing tests based on those symptoms. Gartner cyst in the vagina can be treated with the following procedures-
If the woman does not have any symptoms of Gartner cyst, then after examining a Gartner cyst may advise to wait and watch.
Gartner cyst can also be treated with the procedure of sitz bath. Multiple dips in a tub filled with warm water for a period of 3-4 days can rupture the cyst and allow the liquid to drain on its own. However, this treatment is not effective in all cases of Gartner cyst.
In some cases of Gartner cysts, the cyst is also infected, if it is infected with bacteria then it is treated with antibiotics.
If you have a Gartner cyst, if antibiotics do not clear the infection, surgery can also be used to remove the cyst.
If there is a problem with Gartner cyst during pregnancy, then C-section delivery can be done.
Care should be taken from the outset with regular screenings and check-ups to avoid cysts.
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What is Cholecystectomy?
Gallstones are formed in the bladder and can be transferred over generations. The chances of getting gallstones to increase with increasing age. It can be transferred from one generation to another. If you are taking more fat and oil then its chances are more.
Apart from cholecystectomy surgery, there are many other ways to cure bladder stones. Stones can be cured with other medicines but the failure rate of these medicines is very high. Antibiotics can be used to cure gallbladder infection. Eating less fat food will reduce the pain. But they will not cure completely and the symptoms can also happen again.
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Why do laparoscopic cholecystectomy?
This is done by using lots of small incisions instead of using very big incisions. If you have done gallbladder surgery before and there is a lot of bleeding, in that case the doctor will not be able to see the gallbladder properly. In this case, open surgery will be more useful for you.
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What are the dangers of laparoscopic cholecystectomy?
In cholecystectomy, you may have bleeding, infection, and injury. Injury to the duct can cause the bile to come out of the gallbladder. Laparoscopic cholecystectomy can result in injury to the intestine and blood vessels when instruments are inserted into the abdomen. Some specific complications that can happen:
- Injuries to the bowel, bladder and blood vessels.
- Having a hernia near the cuts.
- surgical emphysema
- Leaking of bikes and stones.
- agglomeration of stones
- Too much pain
- diarrhea
- Infection in the lining of the abdomen
- allergic reaction
- bile duct injury
- bowel injury
- Serious liver damage.
Before getting this surgery done, it is important to understand the risks and problems associated with it. For any further questions or information, please consult your doctor.
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How to prepare for Laparoscopic Cholecystectomy?
Do not eat or drink anything for eight hours before the test.
The doctor may forbid you to take medicines. Therefore, before the procedure, take medicines only after asking the doctor.
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What happens during laparoscopic cholecystectomy?
This operation is done under anesthesia and it takes 1 hour. The surgeon makes four small cuts in the abdomen. Surgical instruments are inserted into the abdomen with a telescope. Your surgeon will free the cystic duct and artery. This separates the gallbladder from the liver.
For any further questions or information, see the doctor and surgeon.
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Rotator cuff repair surgery in India
In adults, a rotator cuff tear is a common source of discomfort and dysfunction. The rotator cuff is a set of four tendons that support and maintain the shoulder joint. Each tendon attaches muscle to bone, and when one or more tendons are torn, the arm loses strength and range of motion. The cost of rotator cuff repair surgery in India is affordable with great results.
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Types of rotator cuff tear
Acute tear – If you fall on your outstretched arm or lift something heavy with a jerky motion, you can tear your rotator cuff.
Degenerative tears- Most tears are the result of tendon wear that occurs gradually over time. This degeneration occurs naturally as we age.
Partial tear- This type of tear is also called incomplete tear. This damages the tendon, the tendon no longer fully attaching to the head of the humerus.
Full-thickness tear- This type of tear is also called a complete tear, with a full-thickness tear basically a hole in the tendon.
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Symptoms of rotator cuff tears
Pain at rest, especially if lying on the affected shoulder
pain and weakness when lifting and moving the arm
crackling sensation during shoulder movements in certain positions
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Diagnosis
Medical history - The doctor will discuss your symptoms and medical history.
Physical examination - the doctor will check for tenderness, measure the range of motion of your shoulder, and test the strength of your arm.
Imaging tests – these tests help confirm the diagnosis
Magnetic resonance imaging (MRI) - can show soft tissues such as the rotator cuff as well as where the tear is located within the tendon and shape of the tear.
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Process
The type of repair depends on a number of factors considering the type of tear, age, activity level, general health, the surgeon's experience of a particular procedure. The surgeon will discuss with you the best procedure to meet your individual health needs.
The most commonly used techniques for rotator cuff repair include:
- open repair,
- arthroscopic repair
- Mini-open repair.
Open repair - an open surgical incision is performed if the tear is large or complicated. The surgeon makes an incision in the shoulder and detaches one of the shoulder muscles (deltoid) to gain access to the torn tendon.
Arthroscopic repair – This is a less invasive procedure. During arthroscopy, the surgeon inserts a small camera, called an arthroscope, into the shoulder joint to guide you through the surgery, while other miniature surgical instruments are inserted to repair the torn rotator cuff.
After allowing the repair fluid to drain from the shoulder, a sterile bandage is applied to provide a sling to stabilize the shoulder muscles.
Mini-open repair The repair is done through a small incision. The incision is usually 3 to 5 cm long. When repairing a tendon, the surgeon looks directly at the structures of the tendon rather than with a monitor.
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Full recovery may take several months.
Pain Management- You will feel pain after surgery which will be controlled with the use of NSAIDs
Rehabilitation- Rehabilitation is important in getting you back to your daily activities. Physiotherapy will help you regain strength and range of motion in the shoulder.
Immobilization – Initially the repair needs to be immobilized while the tendon heals, you will be given a sling to avoid using your arm for the first 4 to 6 weeks.
Passive exercise- Passive exercise is usually started within the first 4 to 6 weeks after surgery.
Active exercise- After 4 to 6 weeks you will be doing active exercise.
Factors Affecting the Cost of Rotator Cuff Repair Surgery
Patient cost depends on several factors such as:
- Hospital chooses the patient
- Room - Standard Single Room, Deluxe Room, Super Deluxe Room for specified number of nights (including nursing fee, meals, room rate and room service)
- Doctors team fees and OT charges
- Standard Testing and Diagnostic Procedures
- Cost of follow-up care required after the procedure
- physiotherapist cost
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Cost of Coronary Angiograms in India
Coronary is a procedure that uses X-ray images to test whether your coronary arteries are blocked or constricted with the extent and location of these affected areas. In coronary angiograms, a contrast dye is injected through a catheter within the blood vessels and then the flow of blood is assessed through the center on an X-ray display.
On the other hand, plaque made of cholesterol, calcium, cholesterol and other compounds can disrupt the source of blood vessels. If a plaque is produced, severe coronary artery disease such as a heart attack can occur.
The coronary angiogram will help diagnose heart diseases, plan future therapies, and perform specific procedures.
Signs of coronary angiogram
Coronary angiograms help diagnose heart conditions, plan future treatments, and take some steps. Indications are:
When symptoms of coronary artery disease such as chest pain (angina) appear
Unstable angina
A heart disorder with which you were born (congenital heart disease)
Abnormal effects of nonstop heart disease test
Extra blood vessels difficulty or torso injury
You have valvular heart disease
You are diagnosed with a heart attack
You have aortic stenosis
- Diagnosis and Evaluation:
- Electrocardiogram (ECG)
- stress test
- chest X-ray
- Blood test for cholesterol, triglycerides and blood sugar
- cardiac catheterization
process
Further process
Complete physical examination including blood pressure test and heartbeat
Your doctor will assess all your medical background
Diagnostic tests to be performed
You should tell your doctor if you have diabetes, are pregnant, or have had an allergic reaction to the first dye
Specific medications can be stopped briefly
You should not eat or drink 8-12 hours before the procedure
You must remove your bladder before angiogram
Your arm or waist hair can be shaved
Do not wear contact lenses, jewelry or makeup of any kind.
during the process
This process takes about an hour
An IV line will be inserted into the vein of your arm
You will be provided with local anesthesia which will help you relax with medications and fluids.
Electrodes are used to inspect your chest during the operation.
Blood pressure cuffs and pulse oximeters will be used to visualize your blockages and the amount of oxygen in your blood.
Either from you personally, a small thin tube called a catheter is inserted into your blood vessel until it reaches the arteries and heart.
A special dye called contrast picture is injected inside the catheter and X-ray images are shot.
Your doctor will identify blockages
The catheter is removed, the incision closed with a cone or small plug.
One time process
You will be under observation and monitoring for some time and lie flat to stop the bleeding.
You can go home the same day or stay in the hospital at night
The doctor will assess the procedure and suggest the best way to start the arteries.
You have to drink a lot of water to get the dye out of the body.
If you want to eat something you will eat
You will often experience injury or discomfort
Avoid strenuous and lifting exercises for a while.
Do not maintain a bath in the tub or pool for a couple of days, only bathing is recommended.
You must follow up with your doctor.
Do not smoke or drink alcohol at home.
Threats and complications
Coronary angiograms are usually very safe but cannot occur without complications like any procedure, for example:
Allergic to contrast dye
Bleeding at the place where the catheter was inserted
Damage to the artery in the hands or feet, kidney damage, heart attack, or a small risk of stroke.
- Blood clots
- low blood pressure
- Irregular heartbeat
- Infections
Factors Affecting the Cost of Coronary Angiograms
Factors influencing the cost of coronary angiograms are:
- Hospital option
- Hospital location
- Surgeon's fees
- Cost of blood tests and diagnostic tests
- Process only
- Medicinal cost
- Duration of stay
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Percutaneous transvenous mitral comisurotomy in India(PTMC )
The procedure used in the treatment of mitral valve stenosis is popularly called percutaneous trans-mitral comisurotomy. Mitral stenosis is a condition in which the mitral valve in the center becomes thick due to bacterial infection — beta hemolytic streptococci in young people. Valvular thickening causes a radical blockage to the blood flow that causes breathing problems, arrhythmia and clot formation resulting in stroke or paralysis.
Steno mitral valves can be treated with valve replacement operation or removal of stenosis via a balloon in the PTMC procedure. But, surgical valve implantation should be prevented as the disease is sought using anti-coagulants for the remainder of life, with the risk of bleeding in an accident or trauma. In addition, another risk is that cubes form in the uterus when medications are not taken frequently.
Therefore PTMC is valuable for open heart operation. But, surgical valve implantation should be prevented as the disease is sought using anti-coagulants for the remainder of life, with the risk of bleeding in an accident or trauma. In addition, another risk is that block build up in the valve when medications are not taken frequently. Therefore PTMC is valuable for open heart operation.
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The signal
Patients with mitral valve stenosis and demostrating symptoms
Older patients with aortic valve stenosis, but cannot perform the operation.
Some patients with pulmonic valve stenosis
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Before process
A total blood test, electrocardiogram, a chest X-ray are probably being done the day before the procedure.
Routine medications such as antihypertensive and anti-inflammatory should be advised to the physician and indications are needed to correct them on the day of their evaluation.
Anti-coagulants are administered in some patients on the guidance of the surgeon prior to the procedure.
Eating and drinking should not be performed after the day of the procedure.
An allergic reaction to some previous medication should be reported.
A comprehensive functional disability and echo Doppler study should be completed in patients with 24–48 hours of PTMC procedure.
During the process
Inuay Balloon using only self-space is being used for the comisurotomy procedure.
The balloon's tapered diameter comes with an upper border that is chosen based on the patient's body weight.
This process will be carried out with all stages with balloon inflation to at least 2 mm which is much less than the diameter.
The diameter of the balloon is being raised and this process will be repeated when the result becomes sub-toothed.
When the hemodynamic parameters are optimal, the balloon tip will probably be ejected through the intra-atrial septum using a tight cannula that facilitates passage into the left atrium of the balloon.
Through the left atrium, the balloon will be placed in the left ventricle.
The balloon will be inflated with a tapered contrast material until the midsection of the balloon is invisible.
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Post process
Hemodynamic measurements will be repeated after the PTMC procedure.
An eco-Doppler analysis will be followed 24 hours post procedure that is via transethoracic or transocephal echocardiography.
Wilkins scores are being employed to evaluate valve morphology.
The patient will feel drowsiness and will have pain after the first few weeks of operation. Some brief and severe pain will appear on each side of your chest. The chest area, shoulders, and upper back may ache for a few days. An incision on the chest provides some soreness and may swell which will be improved within 4-6 weeks.
The patient can perform normal activities after 4 to 6 weeks of this procedure. Lifting heavy weights for 6 weeks should be avoided which will strain the chest muscles and will need to be broken very often.
This procedure usually repairs the mitral valve, but still eating a heart-healthy diet, smoking, and reducing anxiety is extremely important. Heart medications should be taken frequently.
Sometimes cardiac rehabilitation will help the patient recover faster.
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What is Fatty Liver, its causes, symptoms and Treatment
What is Fatty liver
Our liver is the second largest organ in the body, which works by extracting nutrients from the diet and fluids you are consuming and removing harmful substances from the bloodstream. However, some people get fatty liver problems, which causes the liver to stop functioning properly. When severe, this problem is also called hepatic steatosis, in which liver damage occurs due to excessive fat accumulation and inflammation in the liver. Untreated fatty liver problems can also lead to liver failure later.
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What can be the type of fatty liver disease?
Fatty liver disease can be mainly of the following types. like-
Non-alcoholic fatty liver disease (NAFLD) is a problem when fat in your liver begins to accumulate without a history of alcohol consumption and it causes inflammation in the liver.
The history of alcohol consumption in alcoholic fatty liver disease (AFLD) causes the liver to accumulate fat and cause liver inflammation.
In addition, a rare type of liver disease is acute fatty liver of pregnancy (AFLP). Which usually happens during the third trimester and the real reason behind it is not yet known. When left untreated it poses a threat to the health of the mother and the baby.
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What are the symptoms of fatty liver?
Due to this liver disease, a person has to face the following symptoms. like-
- Increased insulin levels in the body
- Mild pain or feeling full in the middle of the abdomen or on the side of the straight hand
- Increased liver enzyme levels
- Fatigue and weakness
- Triglyceride levels rise
- Vomiting or nausea
- Yellowing of eyes or skin
- Loss of appetite
- Stomach ache
- Palms turn red
- Large veins under the skin
Keep in mind that it is not necessary that everyone has the same or all symptoms. In addition, people may show symptoms other than those described above, which are not described here. If you have any doubt or question about the symptoms associated with fatty liver, then discuss it with your doctor.
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What causes fatty liver?
The following reasons may be due to fatty liver.
If you have insulin resistance in your body and high blood sugar levels in the body, then you may have a complaint of fat accumulation in the liver with type-2 diabetes.
If you are consuming too much of refined carbs, it can increase the process of fat stores in the liver. There is a greater risk in individuals affected by overweight and insulin resistance.
Excessive alcohol consumption
If you have a normal body weight and are very fat around your stomach, you may still have fatty liver.
Obesity involves low-grade inflammation, which can increase the process of fat stores in the liver. It is estimated that 30 to 90 percent of obese adults suffer from non-alcoholic fatty liver disease (NAFLD).
You may also have non-alcoholic fatty liver disease (NAFLD) due to problems with gut bacteria.
Also, consuming sugary liquids such as soda or energy drinks can cause you the problem of this disease. Because, the fructose present in them increases the fat freezing process in the liver of adults and children.
Apart from these reasons, chronic viral hepatitis, age and malnutrition can also cause fatty liver.
The Diagnosis
What test does fatty liver detect?
To detect fatty liver, the doctor can take the help of the following tests in addition to your medical history and physical examination, such as pressing on the liver on the abdomen, etc. like-
Blood enzyme levels are tested in your body with the help of blood tests. The increased level is a sign of inflammation in the liver, due to which there is an increased risk of liver disease and the doctor may suggest other tests related to fatty liver.
With the help of ultrasound, CT scan, MRI test, a photo-examination of the liver can be done. In addition, Vibration-controlled transient elastography can also be performed to detect liver stiffness.
Liver biopsy can be done to check the severity of any liver disease. In this, the doctor removes a tissue of your liver for examination.
Control and caution
How to control fatty liver?
The following methods can be adopted to control fatty liver. like-
If you are overweight, control your weight.
Fatty liver usually occurs due to the consumption of alcohol. Therefore, you should stop taking it to control fatty liver.
Exercise regularly at least 30 minutes daily.
Control the level of blood sugar in the body.
Eat a balanced and nutritious diet. Which includes fruits, green vegetables, pulses, legumes etc. and reduce the intake of sweets, rice, bread etc.
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Treatment
How is fatty liver treated?
There is currently no authentic medicine available to treat fatty liver. However, it can be identified at the beginning and controlled or corrected with the help of lifestyle changes. Subsequently, if this problem later turns into cirrhosis or liver failure, then liver transplant remains the only option.
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Risk of Osteoporosis after Menopause
Wonder what the relationship between menopause and osteoporosis will be? If you think they are not related to each other, then you are completely wrong. Menopause and osteoporosis go hand in hand. In general, women are more likely to develop osteoporosis than men. As women age and reach menopause, they are at greater risk of getting osteoporosis. Therefore, it is important to take safety measures to prevent bone loss.
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What is osteoporosis
Osteoporosis is a disease that weakens bones, increases bone fragility and the risk of fractures. It often grows without any symptoms or pain. During the aging process, the bone mass density decreases which leads to osteoporosis; There is an increased risk of sudden and unexpected fractures. Unfortunately, osteoporosis is not discovered until weakened bones cause painful fractures. And if people have osteoporotic fractures, the risk of another is higher.
Since bone loss occurs without any symptoms, osteoporosis is often referred to as a "silent disease". A regular bone mineral density (BMD) test can provide information about bone health. In addition to measuring bone health, BMD testing can determine how severe osteoporosis is.
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What do you need to know about post-menopausal osteoporosis?
When we discuss postmenopausal osteoporosis, we have to take two main factors into consideration. There are two major factors affecting the likelihood of osteoporosis:
The amount of bone women have when they reach menopause: a woman with greater bone density is less likely to develop osteoporosis. Women with low bone mass or other risk factors are more likely to have osteoporosis that can lead to bone loss.
How fast women lose bone after reaching menopause: The rate of bone loss varies from woman to woman. In some women, bone loss can occur faster than others. If a woman loses her bone mass quickly, she is more likely to develop osteoporosis.
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How can osteoporosis be prevented after menopause?
If a woman wants to prevent menopause-related osteoporosis, she should follow the pre-menopausal plan as well as the post-menopausal plan to strengthen her bones. Some tips that help a woman prevent postmenopausal osteoporosis include:
Long before menopause, women should prioritize bone health at an early age. This helps them strengthen bones and reduce the risk of osteoporosis.
During menopause, women need to increase their intake of calcium as well as vitamin D. We all know that calcium builds strong bones and vitamin D helps in absorbing calcium. Although essential vitamins should be obtained through diet, women of menopausal age are given calcium supplements to maintain bone health.
Women should cut back on caffeine. Since caffeine causes our body to flush out calcium more quickly, it is good to avoid high-caffeine energy drinks.
Like caffeine, salty foods can cause the body to lose calcium and increase bone loss. Women are at greater risk of osteoporosis after menopause after consuming too much salt. Therefore women should limit salt intake.
Strong and balanced exercises improve balance and help reduce the possibility of deterioration. Taking steps to reduce falls may reduce the risk of bone fractures.
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