it contains high amounts of mercury and we do not recommend that pregnant women eat marine fish more than twice a week, because it is believed that these increased amounts of mercury can be dangerous to the fetus. in fact, there is a lot of talk about this. i have never met a clinical case of mercury poisoning through fish anywhere, but nevertheless. which exit. if you are pregnant or if you are just suspicious, but fish, you want small fish, small world products, shrimp and so on in small ones. no it's big predatory fish. here, there, the concentration of mercury, indeed, may be excessive. well, besides mercury. i will speak for myself. what is the problem when we eat fish bones swallowed with bones, so the fish still needs to be properly cooked, but of course, the fish is not marine, it is more fresh fish, which may contain parasites and so on, so it means that the fish should be good

cooked. see how fish is prepared in any exotic countries. this is the fish they give to tourists, but they themselves love small fish, they overcook. so you know, you don’t have to eat it, you take it and eat it just like chips, when they are generally deep-fried completely right with the bones with everything in their head. this is delicious. and so to speak it is useful. well, pisces, be careful. for example, i really love boiled fish and it is very tasty, very tasty, it is not necessary to boil it. there, somehow it can be said so, with a small amount of water for a couple , the bones are very easily separated, because those who choked on the bones. everyone knows who. my mom is always sold out. and i'm good. in general, by chance , i just had a bag with which i go on a trip; i always have it with me, if the medical instruments were corsa, there i managed to take out this bone. in general, this situation was quite acute. so, well, probably everything about the fish.

well, really, here's another thing, i ate everything a piece of salt, or everyone is good, but what a delicious salted fish, herring is an extremely useful thing, but also fatty fish also contains tut. well, i say again, any fish that is tasty contains salt, respectively, well everyone knows the fish ate in the morning. plus a kilo, that's good, give the microphone. the next question will be muesli interesting see? where did you get some french muesli from? i don’t know, well, i just don’t know what this word means. eh, any kind. here is cereal, or this is specific. by the way, i don't know, well, in general, we'll assume that we're talking ohlope. yes, all useful products to all, well , it is believed that it can also be harmful. here is a young man, so at once confidently raised his hand with sugar, well, it contains sugar. there, as it were, raisins with average is ok. yes yes. well, of course, here's

a hint sweet. but in fact, i want to say that yes, maybe they are probably sweet, but, firstly, there are no different eating cheese with the addition of sugar, eating absolutely not sweet muesli, or in any case, cereals are in the top five healthy foods, and we always say that cereal is for breakfast and generally made from whole grains. this is a storehouse of useful vitamins, microelements, fiber, a useful thing for everyone. but this is how breakdowns add salt deliciously and immediately add harmful sugar tasty but immediately harmful. well, you know the taste. here's the taste there is just so sharply three things. it is salt, sugar and fat. so, choose a grade of fat sugar, it will be like toilet paper. yes , fresh, something you chew it. and you take a piece, peppered the toilet paper napkins, salted it with butter, anointed it with lemon, sprinkled it. that's how it goes and then it depends on how much to eat. well, how much

sugar is here, well, yes, but immediately there is less sugar than, uh, in a glass of soda. so, but here i’m not sure myself, these are sprouts, what are they called there? well germinated in general. sprouted food is really a delicious thing, lettuce and so on and so forth. we say that it contains a lot of biologically active things, not high-calorie vitamins, just a storehouse. well, who has an idea, why they can be harmful? i have one assumption, maybe they washed it badly, and there some sand and dirt can get caught cleanly at such a moment. it is possible that the fertilizer that is used in cultivation during the germination of this plant, they can affect no seriously. but i'm not a hare, still i somehow like it. well i am i think that due to the fact that it is dampness. uh , it's stored, it might, there's still a breeding

ground for different bacteria. plus it can, unwashed land. let there be fertilizer. well , maybe something like that. the milk of the new microphone was not taken away. you know, you know, well, you say that i think that this is modern milk, but it is made from powdered milk. perhaps there are some substances that are harmful to the body. maybe some preservatives and the second option. i have uh, there are people who don't bring lactose. here, perhaps, here, too, by the way, the correct option, indeed. there are people who are lactose intolerant, moreover, many people do not know that they are lactose intolerant. in fact, nearly one in ten has some degree of unsolicited lactose. he just doesn’t know about it, so he often has some kind of discomfort. he does not understand what is the matter, and who else has a version? let's go to the end. i heard that adults should not consume whole

milk at all, rather than sour-milk yogurts, but since there is an opinion that in adults it is generally, no matter how digested in its pure form, milk with reduced fat content, reduced fat content, it is harmful. no, on the contrary, it is useful. very often, a cow has mastitis, and then blood is formed in the milk. well, by the way, by the way, we are talking here, of course, about pasteurized store-bought milk, because milk from a cow and blood, and it contains blood that dilutes certain agents, so children, maybe the enemy contains estrogens, respectively, this may be eaten constantly on this milk. you girls. maybe earlier maturation of female sex hormones and infections up to tuberculosis. you crossed the internal organs. intestine. it used to be associated with milk. therefore, you do not drink such milk. we drink, pasteurized, yes, always

said low fat, because the increased amount of fatty monounsaturated e animals. uh, fat is not good. today they say that it does not play the role of this heart. uh, diseases, although for decades they said that fat milk harmful you are suicidal. taking milk there is six percent. today. true, they said that we do not have such accurate data, but judging by logic, of course, i would still choose less fat content. and so you are fat among us a lot of fat. not the most helpful here. and, of course, men have a large amount of milk, to this day. e raises concerns that it cannot be an additional risk factor for, e, the possible development of prostate cancer, there are explanations for it. someone accepts them, someone does not accept them, but statistically. eh, that's right, that's why we say limit it to two cups of milk a day. eh, you have to drink in the evenings . well, well, last but not least, we have yogurts with

fruits, but i won’t even raise you, because it’s clear here in favor initially no, well, you know this yogurt, i don’t know how this one is. well , everything that it costs and costs for months in boxes, what is there, maybe, what live bacteria are not there yogurt, the most useful thing should be live bacteria without additives. you think there are blueberries here, and here there are strawberries, but in pieces they cut fruit there, but in this chemical composition of which it floats, it’s just spenders, sugar, and in general there is no benefit. so, i don’t understand why it is here in useful products and initially harmful, fermented milk products, yoghurts , matsoni, kefirs, ayrans, and so on. these are extremely useful things - this is the strongest thing for immunity, so to speak, for digestion, but when starting with these chemists with the addition of pieces, fruits and something, which are themselves stored on glass for months , there is no benefit from this. well, this is the topic we are that

we eat, therefore, we will be attentive to our food, then everything will be fine with us. further stones in the gallbladder what to do so that they do not appear in which cases they need to be removed, and in which they do not and why do some people need to have an operation to remove the gallbladder pebbles that a chik wears he sits there two women with stones. i'm really afraid. are you a living continuation of the legendary epic? look how my child is. below

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have a gallbladder stone. i need to delete it. so gallstones. there are practically. every tenth person has a banal examination, ultrasound, but now there will be cells, especially if there are 10 women, we will definitely find one. or maybe two women, because the risk factors for stones in the gastric bladder is that the female gender is overweight. the woman is usually under 40 and with multiple pregnancies. she's a classic, you know how she's described overweight woman under 40 with multiple pregnancies. when i entered internships in america and gave certain exams, and already when i was studying, they worked for us. uh, already at the interns, a new form of exams for actors, that is

, various actors were brought to the political chamber, who told the symptoms. and while you were watching him, how you ask questions. right. you ask questions as you look around. and in the end, you must write down the diagnosis. you must write an examination plan and a treatment plan . such an exam, and you must each pass after three patients, but they selected very accurate miners; for example, i had one. and this, by the way, in black women more often it was full. a woman , also about forty years old, an african, and such a classically described the pain of a gall thorn. so like this, ah, therefore, if you watch now, then one out of ten will definitely be found. in fact, in italy they somehow took and brought all the inhabitants of a small town through ultrasound, there were all 10,000 of them there, in my opinion, well, all 10,000 were brought through and it turned out that seven people had stomach stones

percent of the population. well, there, men have a little less, women have a little more, on average, every seventh had a fatty bladder stone. well, by the way, i’ll say right away that the risk factors for the formation of gallbladder formation include diabetes, overweight, physical inactivity during the fasting period. contraceptive pills , hormonal, a certain kind of blood disease with sickle cell anemia, she basically. here in america, african americans have taken the disease out of africa and from here. it's clear from here question. what exactly? make. by the way, a question. and what is the gallbladder doing in general, what is it for? well, the liver produces bile. and this is just a reserve already taught. she is dosed, like a syringe dozap bile is needed for the digestion of food she ate, she begins to skip it. uh, so this is a

bile dispenser until tomorrow of a liquid that helps digestion, respectively, it can thicken here, what kind of cholesterol stones have formed, or pigment stones, they are quite loose. here you can see pigmented. cholesterol stones, who carry a check in themselves, by the way, about the fact that every seventh person is rough every seventh person has gallbladder stones, then this study is based on ultrasound on the examination results, uh, pathologists anatomical autopsies, so here he is, just writing about. every tenth person was found at the autopsy of a gallbladder stone. so the statistics, and this book is pre-war, therefore, apparently, the situation e has not changed very much with

every tenth. well, plus or minus women have more, men have less. there are these stones, by the way, in the same book with my grandfather, among the pre-war risk factors, he wrote about why japanese women had a large number of gallstones, and even at that time they were contacted. the manner of dressing a kimono and now they have a train quite high. yes, it was overtightened , it was believed that this was a constant overtightening. here it causes stagnation in the gastric gallbladder , and, accordingly, the more stagnation, the more the precipitate is concentrated by bile these things are formed. i don't remember if i said that the factors of a close person are a sharp weight loss diet periods of starvation, because, starting with just concentrating on burning hedgehogs, it does not release traces. no. here it stagnates in a bubble, respectively. well, what to do with all this ? if you are asymptomatic, yes, a stone, maybe

a stone can get stuck, cause inflammation of the gallbladder , the bladder is already very swollen, it hurts, sometimes it suppurates. if there are symptoms - this is one thing, and the symptoms are counted, only everyone the twentieth person with stones, that is, let's count, if we still have a deformation, there is watering, but not for me, and watering of what size is up to 2 mm, he is sitting there two women with stones. yes , here you are who are laughing in the blue below. well , how much we have from an adult today 60 80 million. well , let's say 80 million. if every tenth we get eight million with you. a man with stones, well, well, neck. well, well. 6 million. and if , as we did before, any stone was an indication for surgery, we get it prophylactically

operate because six million people have to empathize. i already take it to the minimum, we understand that the symptoms come from the initiative of one, that is, already 300,000 people with whom we decide what to do with surgery or try to treat with medication, but you must agree six million and 300,000. this is a big difference, which is why the whole world has moved away from prophylactic stone removal, that is, stone surgery, and now operates only on those who have had symptoms, given that the symptoms appear for the first time. they are usually moderate. well, yes, maybe the pain is the only thing i want to say is that if there is pain, pain in the abdomen is enough, usually it does not flow with some changes in the biochi. and a severe mine only if not severe for cholecystitis. and if it's colic, it's pain that radiates to the back in the shoulder blade. you just need to understand that not always. this is exactly what can be attributed to a stone. there is even a

stone. there is pain, think, because it may be, with shortness of breath. it may not give in the back, but in the jaw, it may be the heart, it may be pancreatitis, moreover, one of the complications of gallstone disease, just pancreatitis, the stone closes the outflow, and it is common to the gallbladder from e, through the gastric gland and, accordingly, pancreatitis occurs on respectively. here are the complications of such things - pancreatitis, but this is inflammation of the bladder, a large stone, if it is large in size 3 cm. this already increases the risks of gallbladder oncology, therefore large stones. we always remove either stones along with polyps. here you have polyps and a stone. here, probably, also delete. well, we have there is a guest with some similar problems with valery filatov's questions. 33 years old, rostov-on-don valeriya works as a marketing manager, but

devotes all her free time to sports. she is actively engaged in the fitness room, but recently another workout. ended with a violent bout. the pain was in the right hypochondrium. for about half an hour i took painkillers without pain, but, unfortunately, they did not help and called an ambulance to inject painkillers. and since it was impossible to endure, the girls prescribed an ultrasound of the abdominal cavity and found stones in the gallbladder. in the bladder, doctors assure physical activity can again provoke an attack and advises valeria to remove the gallbladder. she is in shock. the girl does not want to give up sports, but she is also afraid to remove the bile. i'm afraid that six will not be the same, that there will be a limitation. i came to myasnikov with such a problem; they found stones in my gallbladder. what to do with them or observe or delete, as i am very afraid that this

field crossing will be repeated. hello, doctor. i came to you with such a problem. i had an attack more in the right side, and ultrasound showed the presence of stones in the gallbladder 19 mm and 4 mm on the eve of physical activity. i lifted heavy meals of junk food. and i think it might have caused it. this attack more easily provokes me to you, of course, what should i do? uh, the doctors say to remove the gallbladder , but i'm really scared. e, there was a strong pain, unbearable, straight, stabbing in the right in the right side. well you should have already had pain. if there was pain, then it has a big chance that it will happen again. do you take birth control pills? no? one of the reasons i see such children is. no. well, it doesn't matter if you've already had it, and once you've experienced it

in pain, there's a good chance they'll recur and formally. we must informally. you fit the definition that you can tell the difference simply to treat, how to surgically or without surgically remove your bladder or try to dissolve stones, if the medicine, er, a certain ursa, is some kind of acid, really. after that, the symptoms disappear after 2-3 months. although the stones themselves require six months or more to dissolve them, either these options, given that you generally had more than just two stones more than once. you somehow don’t have big risk factors, diabetes, no, no obesity. e hormonal drugs. you do not accept, that is, what can be so. there is no talk about a more severe course of factors in rural areas, therefore, perhaps, i would start with medical treatment, and then i would look, but you will have time to give. well , there without sham, without everything, because it is done laparoscopically with two punctures and all without a bubble.

it is quite possible to live. well, yes, some have bloating. they sometimes burp, sometimes they feel discomfort, but as a rule, this disappears with time after the operation. so i don't think you have any such rush and so forth, given that you don't have risk factors for severe complications. well, that's it, well, it 's still not found, finally. here is a pebble somewhere around 15-18 mm and a pronounced deformity, the patient is the seventh or eighth patient, is it the seventh or eighth patient? well, as i told you, every seventh has a statistical thing, sometimes stubborn? and sometimes it becomes a tool in the hands of those who use it, but in this case it exactly matches the data. well, i’m still silent about it, what happens are stones that flow into the duct, you can’t see in the bladder and see them in the duct, we remove them endoscopically, that

is, without incisions through the endoscope, we offered to live, if you have dumb stones, if at the same time there are no polyps, there is no so-called porcelain bladder, when it is all in calcifications and you know how a porcelain cup is visible on an x-ray if the stone is less than 3 cm and does not cause no symptoms, then you don’t need to remove it, if it is called doubtful, or causes certain sensations, then you look at who we immediately refer, and who we first try to treat with medication depends on a combination of factors, risk, obesity , diabetes, medication, and so on and so on further and so on. well, such simple rules are simple truths. remember them. everything will be fine with us. further questions to the doctor, how do lipomas affect cholesterol levels. and what to do with exacerbation

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