drximtiyaz

drximtiyaz Former CLINICAL PHARMACIST AT NOOR POLYCLINIC UPPER SOURA SRINAGAR and Currently Proprietor at BABUL SHIFA MEDICATE Chemists and Druggists Sarmarg Zachaldara.

updating contents about medical and health .

02/11/2025

đź’Š ADHD meds do a lot more than just help you focus...

ADHD medications like Ritalin do far more than improve focus, according to a new study published in the British Medical Journal.

Researchers from Sweden’s Karolinska Institute analyzed data from nearly 150,000 people aged 6 to 64 diagnosed with ADHD between 2007 and 2018.

They found that those who began medication within three months of diagnosis were significantly less likely to engage in dangerous or self-destructive behavior. The findings revealed remarkable reductions in risks of substance misuse, suicidal behavior, criminal activity, and even traffic accidents—showing that ADHD treatment can literally save lives.

In numbers, the impact is striking: medication reduced first-time substance misuse by 15 percent, suicidal behavior by 17 percent, and criminal acts by 13 percent.

Repeat offenses and recurring incidents dropped even more. Experts say this study strengthens the case for timely treatment, not just to manage focus and attention but to help protect long-term health and safety. As psychiatrist Samuele Cortese notes, “Now we have evidence they can reduce these risks”—a powerful reminder of how ADHD care can transform outcomes far beyond the classroom.

Source:
Cockerill, Jess. “ADHD Drugs Do Much More Than Help You Focus, Study Reveals.” ScienceAlert, 26 Oct. 2025.

28/10/2025

Smoking is an unhealthy habit that can lead to a variety of health issues, from respiratory problems like asthma and COPD, to heart disease and cancer. There are many different methods of smoking, such as ci******es, ci**rs, pipes, hookahs, and e-ci******es. Though some of these methods may seem like a healthier alternative to ci******es, they are still as unhealthy as ci******es and present the same health risks.

Ci******es are the most commonly used form of smoking, and they contain over 7,000 chemicals, many of which are toxic and cancer-causing.

Ci**rs contain more ni****ne than ci******es and can increase the risk of oral, esophageal, and lung cancer.

Pipes are typically used to smoke to***co, though they can also be used to smoke ma*****na. Pipe smoking is associated with increased risk of oral, esophageal, and lung cancer, as well as gum disease.

Hookahs are a form of waterpipe smoking typically used to smoke flavored to***co, and are associated with increased risk of cancer and respiratory illnesses.

E-ci******es are battery-powered devices that heat a liquid containing ni****ne, flavorings, and other chemical into an aerosol, or “v***r,” that is inhaled. Though the inhalation of v***r is considered to be less harmful than smoking ci******es, the v***r contains ni****ne and other chemicals that can still cause serious health risks.

Regardless of the method used, smoking is an unhealthy habit that can lead to numerous health issues, and should be avoided.

24/10/2025

🧠 People with ADHD really do have different brains – and now scientists can finally prove it.

Thanks to a better way of reading brain scans, researchers have found clear evidence that children with ADHD have smaller brain volumes in areas linked to focus, emotion, decision-making, and memory.

These structural differences were hard to see before because each hospital uses different scanning machines, which can distort results. But a team in Japan used a clever technique to remove that technical "noise", scanning the same people on multiple machines to figure out how much of the difference was due to the equipment. Once that scanner bias was removed, the patterns became clear: ADHD brains really are built differently.

This discovery could lead to earlier, more accurate diagnoses and better, more personalized treatments. Another study showed that people with ADHD are much more prone to boredom, not because they’re lazy, but because of how their brains handle attention and memory. Poor working memory and trouble focusing can make everyday situations feel dull or frustrating. This ties into the Cognitive Theory of Boredom, which says that boredom isn’t just a mood, it’s what happens when your brain can’t stay engaged. And for people with ADHD, that’s often tied to the way their brains are wired. Psychologist John Eastwood, who helped develop this theory, says boredom is actually a message – a sign you may need more purpose or control in your day-to-day life. For people with ADHD, learning to manage boredom with active strategies like mindfulness or gamifying tasks may be more helpful than just trying to avoid it.

Source:

Shou Q., Mizuno Y., et al. “Brain structure characteristics in children with attention-deficit/hyperactivity disorder elucidated using travelling-subject harmonization.” Molecular Psychiatry. August 2025.

Also: Orban S.A., Blessing J.S., Sandone M.K., Conness B., Santer J. “Why Are Individuals With ADHD More Prone to Boredom? Examining Attention Control and Working Memory as Mediators of Boredom in Young Adults With ADHD Traits.” Journal of Attention Disorders. 2025

This is just a friendly reminder: Research shows exercise is more effective than medication for depression and anxiety.F...
22/10/2025

This is just a friendly reminder:

Research shows exercise is more effective than medication for depression and anxiety.

Fasting helps our body utilize its own cleansing and healing capacities to restore health and vitality (it's called autophagy).

A good night's sleep enhances cognitive abilities, creativity, and overall mental performance (you need at least 7 hours).

19/10/2025

The Hardest Substance in the Human Body is Actually Tooth Enamel:

It's even harder than bone. But it won't last against sugary foods.

Tooth enamel is a mineral fortress that protects teeth from the daily wear and tear of biting and chewing. Tooth enamel is the hard, outer surface layer of your teeth that serves as protection against tooth decay.

It's considered the hardest mineral substance in the human body, which makes it incredibly effective at protecting the sensitive inner layers of your teeth from daily wear and tear.

However, despite its strength, enamel can be damaged by decay if teeth are not cared for properly. Enamel is primarily made of hydroxyapatite, a crystalline calcium phosphate. This composition contributes to its strength, but also makes it vulnerable to demineralization by acids.

These acids can come from various sources, such as sugary and starchy foods that bacteria in the mouth turn into acids, or directly from acidic foods and drinks. Once enamel erodes, it cannot regenerate, making it crucial to protect and preserve its integrity. Protecting tooth enamel involves several practices focused on minimizing acid exposure and reinforcing the tooth's natural defenses.

Good oral hygiene is fundamental; this includes brushing teeth at least twice a day with fluoride toothpaste, flossing daily, and regular dental checkups. Fluoride plays a key role in enamel protection by helping to remineralize slight enamel erosions and making the enamel more resistant to acid attacks. A diet low in sugary and acidic foods can help preserve enamel.

Drinking plenty of water, especially after consuming acidic foods or drinks, can also help wash away acids and sugars, further protecting your teeth.

18/10/2025

If you sleep poorly, your brain may actually look older than it should, according to a large UK study that analyzed MRI scans and sleep data from over 27,000 adults aged 40 to 70.
Researchers found that people with unhealthy sleep habits had brains that appeared biologically older than their actual age, which could raise their risk for cognitive decline and diseases like dementia.
Using over 1,000 brain imaging markers, scientists trained a machine learning model to estimate brain age based on the healthiest participants. They then applied it across the full sample and compared the estimated brain age to each person’s actual age.
People with poor sleep habits, measured by five self-reported traits like sleep duration, insomnia, snoring, daytime sleepiness, and being a night owl, had brains that appeared nearly one year older on average than their real age.
Each drop in sleep health lowered brain health: for every one-point decrease in their sleep score, the brain appeared six months older. Among all traits, having a late chronotype and sleeping too little or too much had the strongest link to faster brain ageing.
While one year might seem minor, even small accelerations in brain ageing can build up over time and increase the risk of mental decline.
But because sleep is changeable, this is a hopeful finding. Better sleep habits, like going to bed and waking up at consistent times, reducing caffeine and screen use before bed, and sleeping in a dark, quiet room, could help protect the brain from premature ageing.

Source: Miao, Yuyang, et al. "Poor sleep health is associated with older brain age: the role of systemic inflammation." EBioMedicine (2025).

What's the difference between X-Ray, CT scan, and MRI? X-rays use electromagnetic radiation to create images of bones an...
15/10/2025

What's the difference between X-Ray, CT scan, and MRI?

X-rays use electromagnetic radiation to create images of bones and dense structures within the body. It is commonly used to detect fractures, infections, tumors, and other abnormalities.

X-rays are quick, relatively inexpensive, and readily available.

CT scans use X-rays and advanced computer processing to create cross-sectional images of the body. They provide more detailed information than traditional X-rays and can show bones, organs, blood vessels, and soft tissues.

CT scans are useful in diagnosing conditions such as internal injuries, tumors, infections, and blood clots.

MRI uses a strong magnetic field and radio waves to create detailed images of soft tissues, organs, and structures inside the body. It provides excellent contrast between different types of soft tissues and is particularly useful for imaging the brain, spinal cord, joints, and muscles.

MRI does not involve ionizing radiation, making it a safer option for imaging, especially for pregnant women and children.

However, MRI scans take longer to perform, are more expensive, and may not be suitable for individuals with certain medical implants or metal objects in their bodies.

14/10/2025

🧠 Scientists just found the brain’s hidden “off switch” for hunger.

This tiny protein could change how we treat obesity.

A team of international researchers has discovered a key mechanism in the brain that could revolutionize how we control appetite and treat obesity.

The study, published in Nature Communications, reveals that a small protein called MRAP2 acts as a molecular guide, helping a crucial hunger-regulating receptor—MC4R—reach the cell surface where it sends stronger "I’m full" signals. MC4R is already known for its central role in appetite control, and genetic variations in this receptor are among the most common causes of severe obesity.

Using advanced imaging and molecular biology tools, scientists found that MRAP2 is essential for the proper placement and functioning of MC4R. Without it, the receptor doesn’t make it to the cell surface, weakening appetite-suppressing signals. This insight could pave the way for a new class of obesity treatments aimed at boosting MRAP2’s effects or mimicking its function. Researchers say the findings represent a new layer of control in hunger regulation—offering a potential "off switch" for excessive appetite.

Source: Sohail, I., et al. (2025). MRAP2 modifies the signaling and oligomerization state of the melanocortin-4 receptor. Nature Communications.

13/10/2025

Helicobacter pylori infection
🔍 Testing options for H. pylori
• Urea breath test: Very accurate. Used for diagnosis and follow-up after treatment (4–6 weeks later).
→ Stop PPI 2 weeks before the test and fast for 6 hours.
• Stool antigen test: Very accurate and cheaper than breath test.
→ Stop PPI 2 weeks before.
• Serum IgG test: Can’t tell if infection is old or new.
→ Not affected by PPI or antibiotics.
• Endoscopic biopsy: Used when needed for rapid urease test or pathology (if no PPI in past 2 weeks, no antibiotics/bismuth in past 4 weeks).

đź’Š Common Proton Pump Inhibitors (PPIs)

(Used in treatment; all are equally effective)
• Omeprazole 20 mg twice daily
• Lansoprazole 30 mg twice daily
• Esomeprazole 20 mg twice daily
• Pantoprazole 40 mg twice daily
• Rabeprazole 20 mg twice daily

⚕️ Management
• All regimens are taken orally.
• Duration: 14 days.
• Treatment choice: Should depend on antibiotic resistance results when available.

👉 First-line treatment options:
1. Bismuth quadruple therapy:
• PPI + Bismuth + Metronidazole + Tetracycline
2. Non-bismuth quadruple therapy:
• PPI + Amoxicillin + Metronidazole + Clarithromycin
3. Triple therapy (where resistance is low):
• PPI + Amoxicillin + Clarithromycin

đź’ˇ Notes:
• Always stop PPIs 2 weeks before testing for cure.
• Do not replace antibiotics unless stated.
• For treatment failure, alternative regimens may include levofloxacin or rifabutin-based therapy.

đź§« Antimicrobial Stewardship
• Choose the treatment based on:
• Local antibiotic resistance rates
• Previous antibiotic use
• Avoid using Clarithromycin-based triple therapy as the first choice if resistance is high.
• Example sequential treatment:
• PPI + Amoxicillin, then add Metronidazole + Clarithromycin later.

âś… Summary:
• Test using urea breath or stool antigen test.
• Treat for 14 days using PPI-based combination therapy.
• Choose antibiotics based on resistance.
• Re-test after 4–6 weeks to confirm eradication.

13/10/2025

Cortisol is a steroid hormone with a wide variety of functions. It belongs to the glucocorticoid class of hormones produced by a pair of adrenal glands located above each kidney. Specifically, cortisol is released by the zona fasciculata of the adrenal glands under the control of adrenocorticotropic hormone (ACTH), which is released by the anterior portion of the pituitary gland.

Usually, cortisol secretion is pulsatile throughout the day, peaking in the morning around 6 am. However, cortisol is also secreted in response to various stressful stimuli, including hypoglycemia, infections, caffeine, sleep deprivation, and psychological stress.

Once secreted, cortisol travels via the blood and binds to glucocorticoid receptors, which are generally intracellular receptors within nearly every cell in the body. As a result, cortisol affects every organ system.

Let’s discuss a few of the ways that cortisol affects the body. In adipose tissue, cortisol triggers lipolysis, which is the breakdown of fats for energy. On the other hand, in the liver, cortisol promotes gluconeogenesis, which is the production of new glucose molecules.

Cortisol affects the musculoskeletal system and connective tissues. For example, it decreases bone formation by inhibiting new bone production by osteoblasts, suppressing calcium absorption in the bowel, and decreasing the production of type I collagen. Additionally, it inhibits fibroblasts, which leads to poor wound healing.

Cortisol can also affect the cardiovascular and nervous systems. For example, it helps maintain blood pressure levels since it up-regulates alpha-1 adrenergic receptors in blood vessels, which causes vasoconstriction. In the nervous system, cortisol increases brain performance and mental alertness while it inhibits retrieval of already stored long-term memory.

Learn more about cortisol and try Osmosis from Elsevier for free at the link in our bio.

13/10/2025

When you don’t sleep well, your brain literally begins eating itself:

Researchers found that prolonged sleep loss causes the brain's immune cells to go into overdrive, potentially leading to long-term damage.

The brain's glial cells, responsible for housekeeping functions, become hyperactive in sleep-deprived mice. Astrocytes, which normally eliminate unnecessary synapses, begin breaking down more brain connections and debris in sleep-deprived animals.

While this may initially serve as a protective mechanism, clearing potentially harmful debris and rebuilding worn circuitry, it could be detrimental in the long run. Microglial cells, which remove damaged cells and debris, also show increased activity after chronic sleep deprivation. This is particularly concerning, as excessive microglial activity has been linked to various brain disorders, including Alzheimer's disease and other forms of neurodegeneration. The research suggests that sleep loss triggers astrocytes to start breaking down more of the brain's connections and their debris, with portions of synapses literally being eaten by astrocytes due to sleep loss. Most of this remodeling appears to target larger, more mature synapses that are used more intensively. It’s still unclear whether getting more sleep could reverse the effects of sleep deprivation. The findings may explain why lack of sleep increases vulnerability to dementia and other neurological disorders. Notably, Alzheimer's deaths have increased by 50% since 1999, highlighting the potential link between sleep deprivation and neurodegenerative diseases. Sleep plays a crucial role in maintaining brain health and function, serving as a vital period for neural restoration and cognitive processing. During sleep, the brain undergoes essential maintenance tasks, clearing away toxic byproducts accumulated during wakefulness and consolidating memories. Research has shown that sleep deprivation can lead to impaired cognitive function, decreased attention span, and reduced problem-solving abilities. Chronic sleep loss may contribute to the development of neurological disorders such as Alzheimer's disease. Sleep allows for the strengthening of neural connections important for learning and memory formation, while pruning unnecessary synapses to optimize brain function. The glymphatic system, which removes waste products from the brain, is particularly active during sleep, highlighting its importance in maintaining neural health. Adequate sleep also supports emotional regulation, with sleep-deprived individuals often experiencing mood swings, irritability, and increased stress levels. The brain's plasticity, or its ability to adapt and change, is enhanced during sleep, facilitating learning and skill acquisition. Different sleep stages serve unique purposes, with the REM sleep being particularly important for creativity and emotional processing, while slow-wave sleep contributes to physical restoration and memory consolidation. Sleep also plays a role in hormone regulation, including those that affect appetite, stress response, and growth. Insufficient sleep has been linked to increased risk of obesity, diabetes, and cardiovascular diseases, emphasizing its importance beyond just cognitive function. Furthermore, sleep supports the immune system, with sleep-deprived individuals being more susceptible to infections and illnesses. The brain's energy consumption is carefully regulated during sleep, allowing for the replenishment of energy stores depleted during wakefulness. This process is crucial for maintaining optimal cognitive performance and overall brain health. In essence, sleep is not merely a period of inactivity but a dynamic state that is fundamental to our brain's ability to function effectively, adapt to new experiences, and maintain long-term health.

11/10/2025

Drug Interactions/Timing: Levothyroxine must be taken consistently, ideally in the morning on an empty stomach, at least 30-60 minutes before breakfast or other medications.
Many common substances interfere with absorption, including:
• Calcium supplements
• Iron supplements/multivitamins with iron
• Antacids (aluminum or magnesium hydroxide)
• Biotin (can interfere with TSH assay results).

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