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ALERT for patients on Hormone Replacement Therapy:

Please be aware that as of August 1, 2010, all female patients that elect to have their Hormone Replacement Therapy prescribed through our office will be required to maintain their annual exams (pelvic/pap, breast exam, etc.) and mammograms directly through our office.

Weight Management, GERD, and Osteoarthritis
Doc Talk excerpt
Symptoms of GERD (gastro-esophageal reflux) can be reduced by even a small amount of weight loss. With less intra-abdominal fat, there is less pressure on the stomach and thus, less reflux of stomach contents into the esophagus. Further, weight loss and decreasing dietary carbohydrates should help improve insulin resistance.

Lowering insulin levels can help improve muscle tone at the gastro-esophageal junction, making it more difficult for stomach juices to bubble back into the esophagus. Even further benefits from weight loss are available if you have knee pain from osteoarthritis. Only ten pounds of weight loss can decrease arthritic knee pain by up to 50 percent! That can be improved even further by adding specific knee strengthening exercises. Seventy percent of the weight load at the knee can be supported by the leg muscles.
-- Will Corell, M.D.

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Touch is the landscape of what is possible.
Kate Green