Dr Armando Lee

Dr Armando Lee Family Medicine Specialist

Yes, black chocolate from Cocoa is a healthy food for the brain but for diabetics make sure it's not sweetened
25/11/2025

Yes, black chocolate from Cocoa is a healthy food for the brain but for diabetics make sure it's not sweetened

03/11/2025

Seed oils, such as canola, soybean, corn, and sunflower oil, are high in polyunsaturated fatty acids (PUFAs), particularly omega-6 fatty acids. Consuming excessive amounts can lead to:
- *Imbalanced fatty acid ratio*: Overconsumption of omega-6s can disrupt the balance with omega-3s, potentially promoting inflammation.
- *Oxidation and free radicals*: PUFAs are prone to oxidation, which can generate free radicals and contribute to oxidative stress.
- *Refining process*: Many seed oils undergo high-heat processing, which can lead to the formation of unhealthy compounds like trans fats.

Some experts suggest limiting seed oil consumption and opting for more balanced sources of fat, such as olive oil or avocado oil. However, individual needs may vary, and moderation is key.

Doctor's medical attention and consultation is just a pm away. Prevent complications and hospitalization. Send pm ASAP f...
28/10/2025

Doctor's medical attention and consultation is just a pm away. Prevent complications and hospitalization. Send pm ASAP for immediate medical attention.

Lemon water has several benefits for people with kidney stones. The citric acid in lemons helps prevent kidney stone for...
28/10/2025

Lemon water has several benefits for people with kidney stones. The citric acid in lemons helps prevent kidney stone formation by:
- *Increasing citrate levels*: Citrate binds with calcium in urine, reducing the chance of calcium oxalate crystals forming, which are the leading cause of kidney stones.
- *Preventing stone growth*: Citric acid prevents salts and minerals from sticking to existing kidney stones, thereby preventing them from growing.
- *Breaking up small stones*: Lemon juice contains hydroxycitrate, which can break up small calcium oxalate stones, allowing them to pass through the urinary tract more easily.
- *Increasing urine volume*: Lemon water acts as a diuretic, increasing urine production and helping to flush out toxins and minerals that can form stones.
- *Alkalizing effect*: Lemon juice has an alkalizing effect on the body, reducing acidity in urine, which can help prevent uric acid stones.

To incorporate lemon water into your diet for kidney stone prevention, consider the following:
- *Recommended dosage*: Drink 2-3 glasses of lemon water daily to support hydration and kidney health.
- *Best recipe*: Mix 1 cup of warm or cold water with ½ fresh lemon juice (squeezed).
- *Consult a healthcare provider*: Before making significant changes to your diet, especially if you have advanced kidney disease or other health conditions.

Overall, lemon water is a natural and effective way to support kidney health and prevent kidney stones.

Lemon peels are often discarded without a second thought, but they are a powerhouse of nutrients and beneficial compound...
22/10/2025

Lemon peels are often discarded without a second thought, but they are a powerhouse of nutrients and beneficial compounds. In many ways, the peel is even more beneficial than the lemon juice itself.

Here’s a detailed look at the many benefits of lemon peels, from health to household.

Health and Nutritional Benefits

Lemon peels are packed with essential vitamins, minerals, and fiber.

1. Rich in Nutrients and Antioxidants:
· Vitamin C: A tablespoon of lemon peel provides about 9% of your Daily Value (DV). Vitamin C is crucial for immune function and skin health.
· Fiber: The peel is an excellent source of fiber, which aids digestion, helps regulate blood sugar, and supports gut health.
· Potassium: Important for heart health and fluid balance.
· Calcium: For bone health.
· Potent Plant Compounds: They contain powerful antioxidants like flavonoids (e.g., diosmin, hesperidin) and limonene, which fight oxidative stress and inflammation in the body.
2. Supports Oral Health:
· The peel contains citric acid and antimicrobial compounds that can help combat the bacteria that cause bad breath and cavities. Rubbing a fresh peel on your teeth (rinsing afterward) is a traditional remedy, but be cautious as the acid can also affect enamel.
3. Boosts Immune Function:
· The high concentration of Vitamin C and bioflavonoids in the peel works synergistically to strengthen the immune system and help your body fight off infections.
4. May Promote Heart Health:
· The fiber, potassium, and antioxidants (like hesperidin) in lemon peels can contribute to heart health by helping to lower LDL ("bad") cholesterol, regulate blood pressure, and improve blood vessel function.
5. Possesses Antimicrobial and Antifungal Properties:
· Studies have shown that the extracts from lemon peel have activity against various harmful microorganisms, including E. coli, S. aureus, and certain fungi like Candida.
6. May Aid in Cancer Prevention:
· Some test-tube and animal studies suggest that compounds in lemon peel, like limonene and flavonoids, may have anti-cancer properties. However, more human research is needed in this area.

Practical and Household Uses

Beyond health, lemon peels are incredibly versatile around the home.

1. Natural Cleaner and Deodorizer:
· All-Purpose Cleaner: Soak lemon peels in a jar of white vinegar for a few weeks. Strain the liquid, dilute with water, and use it to clean countertops, glass, and other surfaces. It cuts through grease and leaves a fresh scent.
· Garbage Disposal Freshener: Toss a few frozen lemon peels into your garbage disposal and run it with cold water. It will clean the blades and eliminate foul odors.
· Room Freshener: Simmer lemon peels in a pot of water with herbs like rosemary or mint for a natural, chemical-free air freshener.
2. Culinary Uses (The Zest is Best!):
· Flavor Booster: Use a microplane or zester to add fresh lemon zest to salad dressings, marinades, baked goods, pasta, seafood, and cocktails. The zest contains the most potent essential oils and flavor.
· Lemon Sugar/Olive Oil: Add strips of peel to a jar of sugar to make lemon sugar for baking, or to a bottle of olive oil for a citrus-infused cooking oil.
· Candied Lemon Peel: A delicious treat that can be eaten on its own or used as a garnish for desserts.
3. Beauty and Personal Care:
· Skin Exfoliant: Mix dried, powdered lemon peel with honey or yogurt to create a gentle, brightening face mask or scrub. The citric acid can help exfoliate dead skin cells.
· DIY Bath Soak: Add a handful of fresh or dried lemon peels to your bath for a refreshing and invigorating soak.

Important Precautions and How to Use

· Wash Thoroughly: Always wash lemons scrubbing the skin under running water to remove dirt, bacteria, and pesticide residues.
· Buy Organic When Possible: If you plan to consume the peel regularly, opting for organic lemons is best to minimize pesticide exposure.
· Moderation is Key: Due to the high citric acid content, consuming large amounts of lemon peel can be harsh on tooth enamel and the digestive system. Start with small amounts, like a teaspoon of zest.
· Not a Substitute for Medical Advice: While beneficial, lemon peels are not a cure-all and should be part of a balanced diet.

How to Prepare and Store

· Zesting: Use a fine grater or a special zesting tool to remove the outer, yellow layer. Avoid the bitter white pith underneath.
· Peeling: Use a vegetable peeler to remove long strips of peel for infusions.
· Drying: Spread the peels on a baking sheet and dry them in a low-temperature oven (around 150°F / 65°C) or in a dehydrator. Once completely dry and brittle, you can store them in an airtight container for months and grind them into a powder as needed.

In summary, don't throw away that lemon peel! It's a fragrant, flavorful, and functional part of the fruit that can boost your health, enhance your cooking, and clean your home.

Signs and symptoms of Diabetes....
19/10/2025

Signs and symptoms of Diabetes....

Yes, napping is healthy! Do it more often.
19/10/2025

Yes, napping is healthy! Do it more often.

Don't use seed oils in cooking.Use coconut oil and extra virgin olive oil instead!!!
19/10/2025

Don't use seed oils in cooking.
Use coconut oil and extra virgin olive oil instead!!!

15/10/2025

DO NOT SELF MEDICATE WITH COLCHICINE!!!

Colchicine itself is not directly nephrotoxic (toxic to the kidneys) in the way that drugs like NSAIDs or aminoglycosides are. Its primary toxicity is directed at other organs, like the gastrointestinal tract and bone marrow.

However, colchicine can cause acute kidney injury (AKI) indirectly, and its dosing is critically dependent on kidney function.

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Detailed Explanation

1. The Primary Risk: Rhabdomyolysis (Muscle Breakdown)

This is the most common way colchicine leads to kidney injury.

· Mechanism: Colchicine can cause severe, toxin-induced rhabdomyolysis (breakdown of skeletal muscle). When muscle tissue breaks down, it releases a protein called myoglobin into the bloodstream.
· Kidney Damage: The kidneys filter myoglobin, but in high concentrations, it is directly toxic to the renal tubules, causing acute tubular necrosis (ATN) and leading to acute kidney injury.
· Risk Factors for Colchicine-Induced Rhabdomyolysis:
· Pre-existing Chronic Kidney Disease (CKD): This is the single biggest risk factor.
· Concomitant use of other drugs that also cause muscle injury or interact with colchicine, most notably statins (e.g., atorvastatin, simvastatin) and fibrates.
· Overdose: Taking too much colchicine, either accidentally or intentionally.

2. Other Indirect Mechanisms Causing AKI

· Hemodynamic Effects: In cases of severe colchicine poisoning, the resulting profound dehydration from vomiting and diarrhea can lead to prerenal azotemia (reduced blood flow to the kidneys).
· Sepsis and Multi-Organ Failure: In massive overdose, colchicine can cause bone marrow suppression (leading to sepsis) and multi-organ failure, which includes kidney failure.

3. The Critical Importance of Kidney Function for Dosing

This is the most crucial clinical point. While colchicine doesn't directly poison the kidneys, impaired kidney function drastically increases the risk of severe, life-threatening toxicity.

· Reduced Clearance: Colchicine is primarily eliminated from the body via the kidneys and the liver. In patients with CKD, the drug and its metabolites are cleared more slowly, leading to higher and more prolonged levels in the blood.
· Increased Toxicity Risk: These higher blood levels significantly increase the risk of the toxic effects mentioned above: severe GI upset, bone marrow suppression, and rhabdomyolysis, which in turn can cause AKI.

Because of this, dosing must be carefully adjusted in patients with CKD, and it is often contraindicated in patients with severe (End-Stage) renal disease unless under very close supervision.

---

Summary of Key Points

Scenario Risk of Kidney Injury Mechanism
Normal Kidney Function & Correct Dose Very Low No direct nephrotoxicity.
Pre-existing CKD & Incorrect (High) Dose Very High Reduced clearance leads to systemic toxicity, including rhabdomyolysis, which causes AKI.
Acute Overdose High Combination of dehydration (from GI loss) and rhabdomyolysis leading to ATN.
Drug Interaction (e.g., with Statins) Increased Risk Synergistic effect, increasing the risk of rhabdomyolysis.

Conclusion for Patients and Clinicians

· Colchicine is not a direct kidney toxin, but it can be a dangerous drug if not used correctly.
· The main concern for the kidneys is indirect injury via rhabdomyolysis.
· Proper dosing based on kidney function is absolutely essential.
· Patients, especially those with kidney problems or on statins, should be aware of symptoms like unusual muscle pain, weakness, or dark urine (signs of rhabdomyolysis) and report them to their doctor immediately.

Disclaimer: This information is for educational purposes only. Always follow the dosing instructions provided by your doctor or pharmacist and inform them of all your medical conditions and medications.

10/10/2025

HUMMING is a simple yet powerful way to boost NITRIC OXIDE production in your body. Research shows that humming can increase nasal nitric oxide levels by up to 15-20 times compared to quiet exhalation. This is because the vibrations from humming create a resonance effect in the sinus cavities, promoting airflow and stimulating nitric oxide release.

Nitric oxide is a vital molecule that plays a crucial role in various bodily functions, including:
- *Vasodilation*: widening blood vessels to improve circulation
- *Immune response*: fighting off pathogens and reducing inflammation
- *Neurotransmission*: supporting brain health and function

To experience the benefits of humming, try incorporating it into your daily routine. You can practice Bhramari Pranayama, also known as Humming Bee Breath, by inhaling deeply and exhaling slowly while making a humming sound. This ancient technique can help reduce stress, improve mental clarity, and support overall well-being.

09/10/2025

What is a "Mini Stroke" or Transient Ischemic Attack (TIA)?

A Transient Ischemic Attack (TIA), often called a "mini-stroke," is a temporary period of symptoms similar to those of a stroke. A TIA doesn't cause permanent brain damage because the blockage is temporary, but it is a critical warning sign that a full-blown, major stroke may be coming.

The Core Difference from a Stroke:

· TIA: The blockage (a clot) in a blood vessel to the brain clears up on its own, usually within minutes to a few hours. Blood flow is restored, and the symptoms resolve completely.
· Stroke: The blockage is persistent, leading to a lack of blood flow that causes brain cells to die, resulting in permanent damage.

Think of a TIA as a "warning stroke" or a "glitch" in the brain's blood supply. It's your body's way of sending a major alarm that there's a problem with your circulatory system that needs immediate attention.

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Causes and Underlying Mechanisms

A TIA is primarily caused by a temporary disruption of blood flow to part of the brain. The most common causes are:

1. Blood Clots (Embolism): This is the most frequent cause. A clot forms elsewhere in the body (often in the heart or the carotid arteries in the neck) and travels to the brain, where it gets stuck in a smaller artery, blocking blood flow. The clot then quickly breaks up, restoring flow.
2. Atherosclerosis (Narrowed Arteries): Fatty deposits (plaque) can build up in an artery supplying the brain, severely narrowing it and reducing blood flow. A small clot can form on this plaque, causing a temporary blockage.

Key Risk Factors:
The risk factors for a TIA are identical to those for a stroke and include:

· High blood pressure
· High cholesterol
· Atrial fibrillation (an irregular heartbeat)
· Diabetes
· Smoking
· Obesity
· Physical inactivity
· Family history of stroke/TIA

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Symptoms of a TIA

The symptoms are sudden and mirror those of a major stroke. The key to identifying a TIA is that they are temporary and typically last less than an hour. The acronym F.A.S.T. is a crucial tool for recognition:

· F - Face Drooping: Does one side of the face droop or is it numb? Ask the person to smile.
· A - Arm Weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one drift downward?
· S - Speech Difficulty: Is speech slurred or strange? Ask the person to repeat a simple sentence.
· T - Time to Call Emergency Services: If you see any of these signs, even if they go away, call for an ambulance immediately.

Other possible symptoms include:

· Sudden numbness or weakness in the leg
· Sudden confusion, trouble speaking or understanding speech
· Sudden trouble seeing in one or both eyes
· Sudden trouble walking, dizziness, loss of balance or coordination
· Sudden severe headache with no known cause

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Why a TIA is a Medical Emergency

You cannot tell in the moment if it is a TIA or a stroke. The symptoms are identical. Furthermore, a TIA is a powerful predictor of a future major stroke.

· About 1 in 3 people who have a TIA will eventually have a stroke, with almost half occurring within the first two days after the TIA.
· Seeking immediate medical evaluation allows doctors to identify the cause and start treatment to prevent a major, disabling stroke.

Diagnosis and Treatment

When you go to the hospital for suspected TIA, doctors will act quickly to:

1. Diagnose the Cause: This may involve a physical exam, neurological tests, imaging scans (like an MRI or CT), carotid ultrasound, heart monitoring (EKG), and blood tests.
2. Initiate Preventive Treatment: The goal is to prevent a future stroke. Treatment depends on the underlying cause but may include:
· Medications: Antiplatelet drugs (like aspirin, clopidogrel) or anticoagulants (like warfarin) to prevent clots.
· Surgical Procedures: In cases of severe carotid artery narrowing, a procedure called a carotid endarterectomy may be performed to clear the plaque.
· Lifestyle Changes: Managing risk factors through diet, exercise, quitting smoking, and controlling blood pressure, cholesterol, and diabetes.

Summary

Feature Transient Ischemic Attack (TIA) Ischemic Stroke
Nature Temporary "warning stroke" Major, permanent brain injury
Duration Symptoms last a few minutes to hours (usually

Alamin ang tungkol sa Hypertension. Ano ito at paano malaman kung mayroon ka nito pati na ang mga maaring idulot nito sa...
30/09/2025

Alamin ang tungkol sa Hypertension. Ano ito at paano malaman kung mayroon ka nito pati na ang mga maaring idulot nito sa iyo.

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