no condom can be a Russian roulette situation

These are the STIs that are most likely to be transmitted despite consistent condom use because they spread via contact with skin, mucosal surfaces, or lesions in areas the condom does not cover. Despite this, using condoms is still emphatically recommended!!!!!! Consistent use is associated wi

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at risk for sti w/oral alone?

Oral-to-genital transmission of: 1. HSV-1 is well established. In fact, this is the dominant route! Most of the genital HSV-1 infections are attributed to oral-to-genital transmission rather than genital-to-genital contact. 2. HPV may cause genital warts, or worse - but overall, uncommon.

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vitamin d rules

Be mindful that you will likely need more vitamin D if you fall in either of these categories 👇 • aging • obesity • sunscreen use • indoor/sedentary lifestyle • being darker-skinned • smoking #vitamind

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lemme see sumn

#medhumor #doctor

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Based on one RCT, omeprazole + amoxicillin dual therapy alone ONLY achieved a ~57% eradication rate, which is quite low. H pylori is a nasty bug. Go with the big gun quadruple therapy or one of the other 1st line regimens. #hpylori

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A fixed defect like fibrosis or degeneration at your conduction system can cause a chronic LBBB, and it’s generally NOT reversible at the tissue level. LVH = structural defect to heart’s muscle -> -> -> heart failure aortic or mitral regurgitation = structural defect at heart valve -> -> ->

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Replying to @sunsearayapaul a left bundle branch block (LBBB) is reversible if whatever caused it in the first place is a reversible. So, fix the underlying condition. #heart #ekg #ecg

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Replying to @Cathy Williams277 Unfavorable structural changes at any of your heart valves -> Valvular heart disease = stenosis OR regurgitation #heart #heartvalves #aorticstenosis

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at risk for std w/no penetration?

All of these STDs / STIs can be transmitted through direct skin OR mucosal contact without sex+. #std #sti

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Not only is douching associated with infectious outcomes, but it’s also associated with adverse reproductive outcomes. Why? douching -> disrupts normal vaginal microbiome -> depletes protective Lactobacillus species -> potential problems #womenshealth #bv #bacterialvaginosis

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poor diabetes -> neuronal damage at peripheral nerves that innervate the bladder damaged = autonomic neuropathy -> poor bladder sensation + poor bladder contractility -> a host of urinary problems in men and women #bladder #diabetes #urinaryhealth

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silent epidemic

I hope y’all know: Black + Hispanic people 95% of my demographic is yall, so you know I know

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Much to the contrary, I am very much sensitive to your needs and compassionate and wanting you to become a healthier person - so much so, I tell you 18 ways to fix something no matter how small the issue. I tell you the what/why/how… Plus, I don’t leave you hanging. I do NOT let you walk anyway con

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Replying to @lolza015 For those experiencing withdrawal symptoms from caffeine, you may need to consider gradual tapering. Side bar: I lost my light source at the end of video. 😬 #caffeine

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Of note, *maybe* topical imiquimod can be considered for off-label use for certain advanced cases of high-risk HPV-associated cervical infections (although I’ve personally never seen it used for this). It’s probably not used for this reason because it’s so inferior to surgical excision. #hpv

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#hpv

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And of course, abstaining from any sexual activity is the most reliable method for preventing a genital HPV infection. #hpv

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Replying to @Bizzy heart attack (men) -> HPA axis activated -> increased stress hormones (cortisol, epinephrine, norepinephrine) -> suppresses HPG axis -> reduced LH -> reduced testosterone #heartattack #testosterone

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dr.q | the social M.D.