Liquid formulations of levothyroxine offer the possibility of allowing patients with hypothyroidism to take their medication with meals or coffee and skip the currently recommended 30- to 60-minute waiting period before doing either, new data suggest. Because food, coffee, and certain medications can interfere with intestinal absorption of levothyroxine (also known as LT4), current guidelines recommend that the drug be taken in a fasting state, typically 30 to 60 minutes before breakfast. However, compliance may be difficult for some patients. Now, a potential solution may come from new evidence that liquid levothyroxine formulations that bypass the gastric dissolution phase of absorption may mitigate the interference with food and coffee.

@milind Headache is one of the main symptoms of COVID-19. A recent study of 214 patients with COVID-19 showed that approximately 13% of the participants had headache and 5% had anosmia. SARS-CoV-2 penetrates the cells through the ACE2 receptor, which is present throughout the body.

When it comes to knowing how much time should pass between having COVID and getting a booster, there are no set rules or solid findings from comparative studies to look to. In light of the Omicron wave, there are currently, and will continue to be, millions of people in Ibero-America and throughout the world who will need this information. "There's no clear consensus," Jarbas Barbosa, MD, PhD, assistant director of the Pan American Health Organization, told Medscape Spanish Edition. "Although the vaccine is totally safe to give a person who no longer has any symptoms, every country has its own recommendation as to when to give it. There are other factors at play as well, such as the availability of vaccines."

@moupiya It is time to turn to the tongue to learn why taste is affected and to start on how to reverse or repair the loss. Self-reports are more subjective and can be in the form of questionnaires, interviews, health records, for example. On the other hand, direct measures of taste are more objective. They are conducted using testing kits that contain various sweet, salty, and sometimes bitter and sour solutions given to participants via drops, strips, or sprays

If you or a loved one has suddenly developed hearing loss, see your doctor right away. While often downplayed as not serious, any new or sudden hearing loss should be taken seriously by you and your healthcare providers. What could be the causes of sudden hearing loss? Please elaborate on this.

@papiya One of the reasons has been said that considerable amount of catechin (also tannin, 60-70mg of which is contained in a serving of 100ml of Sencha) in tea prevents iron to be absorbed, producing multi-complex. However, VC in green tea promotes the absorption of iron (table1). Recently, it is said not to be that serious because not all iron reacts with catechin. But it is better to avoid tea to take medicine if anemia is caused by lack of iron because it often causes atrophy of mucous membrane of the digestive tract and decreases the secretion of digestive juices, which decreased the absorption rate of iron. Taking medicine with grapefruit juice is said to be a problem these days. The reason is that flavonoids in grapefruit juice prevents the activities of CYP3A4, which is a cytochrom P-450 molecule, and eventually prevents the metabolism of the medicine taken. For example, when taking jihidrobirijin calcium with grapefruit juice, its metabolism is prevented and the density in blood increases, which might cause sub-effects such as lowering blood pressure. In contrast, tea is said to have a selective deriving effect on CYP1 and CYP4 but no sub-effects have been reported.

Hello, What are the problems if I use emergency contraceptive pill frequently ? I don't use any contraception also except pill. Recently I learnt that there may be some side effects related to administration of contraceptive pills. Please leave your comments on this.

Hello, my belly aches when I eat prawns, what is the reason behind? I am 23 years old. I have noticed this quite a time. Shall I see a doctor? Do I need any medical intervention? Please suggest me.

@notan Steam inhalation is one of the most widely used home remedies to soothe and open the nasal passages and get relief from the symptoms of a cold or sinus infection. Also called steam therapy, it involves the inhalation of water vapor. The warm, moist air is thought to work by loosening the mucus in the nasal passages, throat, and lungs. This may relieve symptoms of inflamed, swollen blood vessels in your nasal passages. While steam inhalation won’t cure an infection, like a cold or the flu, it may help make you feel a lot better while your body fights it off. But as with any home remedy, it’s important to learn best practices so you don’t hurt yourself in the process. The main benefit of breathing in moist, warm steam is that may help ease feelings of irritation and swollen blood vessels in the nasal passages. The moisture may also help thin the mucus in your sinuses, which allows them to empty more easily. This can allow your breathing to return to normal, at least for a short period of time. Here’s the process:
Heat up the water to boiling.
Carefully pour the hot water into the bowl.
Drape the towel over the back of your head.
Turn on a timer.
Shut your eyes and slowly lower your head toward the hot water until you’re about 8 to 12 inches away from the water. Be extremely careful to avoid making direct contact with the water.
Inhale slowly and deeply through your nose for at least two to five minutes.

Hello, a 13-year-old boy presents to his primary care provider with a 5-day history of abdominal pain and a 2-day history of diarrhea and vomiting. He describes the quality of the abdominal pain as sharp, originating in the epigastric region and radiating to his back, and exacerbated by movement. Additionally, he has had several episodes of non bloody, nonbilious vomiting and watery diarrhea. His mother discloses that several family members at the time also have episodes of vomiting and diarrhea. What should be the treatment?