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Dr. Nisrine Makarem

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Dr. Nisrine Makarem

Family medicine specialist at . Certified & trained in lifestyle medicine & Integrative Health.

Advocate of evidence-based information in the holistic & ethical treatment of patients 🩺.

08/10/2025

Here are 5 take-home messages from the presentation I gave at the 51st Middle East Medical Assembly (MEMA) held at last week:

1. Heart disease isn’t only about cholesterol and blood pressure—-it’s also about connection, sleep, and peace of mind
2. The brain and the heart are in constant conversation—-chronic stress can literally inflame your arteries
3. Sleep is not a luxury: it’s a biological necessity for cardiovascular repair and resilience: aim for 7-9 hours of uninterrupted sleep
4. Loneliness is as harmful as smoking 15 ci******es a day
5. Strong social ties buffer the effects of stress and lower inflammation—-human connection is medicine

03/09/2023

No level of alcohol consumption is safe for our health

The World Health Organization has now published a statement that says that when it comes to alcohol consumption, there is no safe amount that does not affect health.

Alcohol is a toxic, psychoactive, and dependence-producing substance and has been classified as a Group 1 carcinogen by the International Agency for Research on Cancer decades ago.

Alcohol causes at least seven types of cancer, including the most common cancer types, such as bowel cancer and female breast cancer.

Some studies show that drinking three or more alcoholic drinks per day increases the risk of stomach and pancreatic cancers.

When you drink alcohol, your body breaks it down into a chemical called acetaldehyde. This chemical damages your DNA and prevents your body from repairing the damage. When DNA is damaged, a cell can grow out of control and create a cancer tumor.

The risk of developing cancer increases substantially the more alcohol is consumed. However, latest available data indicate that half of all alcohol-attributable cancers are caused by “light” and “moderate” alcohol consumption.

So far, there is no so-called safe level of alcohol use. It doesn’t matter how much you drink – the risk to the drinker’s health starts from the first drop of any alcoholic beverage. The only thing that is known for sure is that the more you drink, the more harmful it is.

28/08/2023

The most frequently asked question about diabetes is often what’s the difference between type 1 vs type 2 diabetes?

Type 1 and type 2 diabetes may have similar names, but they’re different diseases with unique causes.

Let’s compare the diagnosis, treatment, and common symptoms of type 1 vs type 2 diabetes.

15/04/2023

A 𝙘𝙖𝙧𝙘𝙞𝙣𝙤𝙜𝙚𝙣 is any substance or agent capable of 𝙘𝙖𝙪𝙨𝙞𝙣𝙜 𝙘𝙖𝙣𝙘𝙚𝙧. Some may only cause cancer in people who have a 𝙘𝙚𝙧𝙩𝙖𝙞𝙣 𝙜𝙚𝙣𝙚𝙩𝙞𝙘 𝙢𝙖𝙠𝙚𝙪𝙥 that makes them 𝙢𝙤𝙧𝙚 𝙫𝙪𝙡𝙣𝙚𝙧𝙖𝙗𝙡𝙚 𝙩𝙤 𝙘𝙖𝙧𝙘𝙞𝙣𝙤𝙜𝙚𝙣𝙨.

In addition to the 5 𝙘𝙖𝙧𝙘𝙞𝙣𝙤𝙜𝙚𝙣𝙨 I talk about in the video above, remember that the 𝙒𝙃𝙊 has classified 𝙥𝙧𝙤𝙘𝙚𝙨𝙨𝙚𝙙 𝙢𝙚𝙖𝙩 like 𝙨𝙖𝙡𝙖𝙢𝙞, 𝙝𝙤𝙩 𝙙𝙤𝙜𝙨 and 𝙗𝙖𝙘𝙤𝙣 as a group I 𝙘𝙖𝙧𝙘𝙞𝙣𝙤𝙜𝙚𝙣 which means there is strong evidence that it causes cancer.

I know that some 𝙘𝙖𝙧𝙘𝙞𝙣𝙤𝙜𝙚𝙣𝙨 are impossible to avoid especially with all the pollution we live in, but we should try as much as possible to minimize our exposure. Stay safe!

04/03/2023

Are you still suffering from 𝙙𝙞𝙯𝙯𝙞𝙣𝙚𝙨𝙨 𝙖𝙛𝙩𝙚𝙧 𝙩𝙝𝙚 𝙚𝙖𝙧𝙩𝙝𝙦𝙪𝙖𝙠𝙚?

If yes, watch my video to know more about what the Japanese call 𝒋𝒊𝒔𝒉𝒊𝒏-𝒚𝒐𝒊 or earthquake drunk.

14/02/2023

Do you suffer from 𝙛𝙚𝙫𝙚𝙧 𝙥𝙝𝙤𝙗𝙞𝙖? Do you try to lower your child’s temperature as fast as you can? Or you simply watch and wait?

A child who is 𝙚𝙖𝙩𝙞𝙣𝙜 𝙖𝙣𝙙 𝙨𝙡𝙚𝙚𝙥𝙞𝙣𝙜 𝙬𝙚𝙡𝙡 and 𝙝𝙖𝙫𝙞𝙣𝙜 𝙥𝙡𝙖𝙮𝙛𝙪𝙡 𝙢𝙤𝙢𝙚𝙣𝙩𝙨 often 𝙙𝙤𝙚𝙨 𝙣𝙤𝙩 𝙣𝙚𝙚𝙙 𝙖𝙣𝙮 𝙛𝙚𝙫𝙚𝙧-𝙡𝙤𝙬𝙚𝙧𝙞𝙣𝙜 𝙩𝙧𝙚𝙖𝙩𝙢𝙚𝙣𝙩.

What I do with my kids and my patients is that I 𝙢𝙖𝙠𝙚 𝙨𝙪𝙧𝙚 𝙩𝙝𝙚𝙮 𝙨𝙩𝙖𝙮 𝙝𝙮𝙙𝙧𝙖𝙩𝙚𝙙 since fever can cause dehydration and I try not to overdress.

Practices to reduce fever such as alcohol rubs or ice packs and sponging are no longer recommended.

𝘾𝙤𝙢𝙢𝙤𝙣 𝙢𝙮𝙩𝙝𝙨 𝙖𝙗𝙤𝙪𝙩 𝙛𝙚𝙫𝙚𝙧 𝙞𝙣𝙘𝙡𝙪𝙙𝙚:

➡️If you don’t treat it, it will keep going higher.

➡️If the fever doesn’t come down, the cause has to be something serious.

➡️Treating a fever will prevent febrile seizures.

➡️Fever can cause brain damage.

11/12/2022

Are you ready for my next live with ? Please send us any questions you have about Ozempic and we will be ready to answer.

03/11/2022

Yesterday, and I talked about e-ci******es and heat-not-burn to***co products (mainly IQOS).
The main points we focused on are the following:
1. Both methods are not safe especially when used among teens as Ni****ne has direct detrimental effects on the developing brain

2. None of these methods are FDA approved for smoking cessation
3. Long term health consequences of these devices are still not known
4. Parents should talk to their children about the dangers of va**ng
**ng **e **rs

15/10/2022

I’m sure by now you all know about how to screen for 𝙗𝙧𝙚𝙖𝙨𝙩 𝙘𝙖𝙣𝙘𝙚𝙧 and how to detect it early, but in my opinion 𝙥𝙧𝙚𝙫𝙚𝙣𝙩𝙞𝙣𝙜 𝙗𝙧𝙚𝙖𝙨𝙩 𝙘𝙖𝙣𝙘𝙚𝙧 in the first place is even better!

𝑾𝒂𝒕𝒄𝒉 𝒎𝒚 𝒗𝒊𝒅𝒆𝒐 𝒂𝒃𝒐𝒗𝒆 ⬆️⬆️𝒕𝒐 𝒌𝒏𝒐𝒘 𝒂𝒃𝒐𝒖𝒕 5 𝒍𝒊𝒇𝒆style 𝒄𝒉𝒂𝒏𝒈𝒆𝒔 𝒕𝒉𝒂𝒕 𝒘𝒊𝒍𝒍 𝒍𝒐𝒘𝒆𝒓 𝒚𝒐𝒖𝒓 𝒓𝒊𝒔𝒌 𝒐𝒇 𝒃𝒓𝒆𝒂𝒔𝒕 𝒄𝒂𝒏𝒄𝒆𝒓.

07/10/2022

Could the breakdown in safe water, hygiene, and health services along with the power cuts and overall deterioration in the living standards that we are witnessing in 𝙇𝙚𝙗𝙖𝙣𝙤𝙣 lead to a 𝘾𝙝𝙤𝙡𝙚𝙧𝙖 𝙤𝙪𝙩𝙗𝙧𝙚𝙖𝙠?

A 𝘾𝙝𝙤𝙡𝙚𝙧𝙖 𝙤𝙪𝙩𝙗𝙧𝙚𝙖𝙠 was declared in Syria with reports showing more than 10,000 suspected cases and 39 deaths.

In Lebanon, one case was declared yesterday in a patient in the North.

𝘾𝙝𝙤𝙡𝙚𝙧𝙖 is a 𝙫𝙚𝙧𝙮 𝙨𝙚𝙫𝙚𝙧𝙚 𝙙𝙞𝙨𝙚𝙖𝙨𝙚 𝙘𝙖𝙪𝙨𝙚𝙙 𝙗𝙮 𝙞𝙣𝙜𝙚𝙨𝙩𝙞𝙤𝙣 𝙤𝙛 𝙘𝙤𝙣𝙩𝙖𝙢𝙞𝙣𝙖𝙩𝙚𝙙 𝙛𝙤𝙤𝙙 𝙤𝙧 𝙬𝙖𝙩𝙚𝙧 𝙬𝙞𝙩𝙝 𝙩𝙝𝙚 𝙗𝙖𝙘𝙩𝙚𝙧𝙞𝙪𝙢 𝙑𝙞𝙗𝙧𝙞𝙤 𝙘𝙝𝙤𝙡𝙖𝙧𝙖𝙚 and can be transmitted from individuals who have cholera.

It can affect both adults and children.

Most people with 𝙘𝙝𝙤𝙡𝙚𝙧𝙖 do 𝙉𝙊𝙏 have symptoms yet they continue to shed the bacteria infecting others.

When symptoms occur, these include vomiting, watery diarrhea and severe dehydration.

The characteristic symptom of 𝙨𝙚𝙫𝙚𝙧𝙚 𝙘𝙝𝙤𝙡𝙚𝙧𝙖 is the 𝙥𝙖𝙨𝙨𝙖𝙜𝙚 𝙤𝙛 𝙥𝙧𝙤𝙛𝙪𝙨𝙚 "𝙧𝙞𝙘𝙚-𝙬𝙖𝙩𝙚𝙧" 𝙨𝙩𝙤𝙤𝙡, 𝙖 𝙬𝙖𝙩𝙚𝙧𝙮 𝙨𝙩𝙤𝙤𝙡 𝙬𝙞𝙩𝙝 𝙛𝙡𝙚𝙘𝙠𝙨 𝙤𝙛 𝙢𝙪𝙘𝙪𝙨.

Treatment includes the administration of appropriate rehydration therapy which reduces the mortality of severe cholera from over 10 percent to less than 0.5 percent. Patients are also given antibiotics.

If left untreated, 𝙘𝙝𝙤𝙡𝙚𝙧𝙖 can kill within hours.

A clean water supply and appropriate hygiene are the cornerstones of cholera prevention.

𝑷𝒆𝒐𝒑𝒍𝒆 𝒘𝒊𝒕𝒉 𝒃𝒍𝒐𝒐𝒅 𝒈𝒓𝒐𝒖𝒑 𝑶 𝒕𝒆𝒏𝒅 𝒕𝒐 𝒉𝒂𝒗𝒆 𝒎𝒐𝒓𝒆 𝒔𝒆𝒗𝒆𝒓𝒆 𝒄𝒉𝒐𝒍𝒆𝒓𝒂 𝒊𝒏𝒇𝒆𝒄𝒕𝒊𝒐𝒏𝒔.

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