tv [untitled] April 8, 2022 10:00am-10:31am MSK
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is it worth worrying, because we have generics, domestic analogues of imported drugs with the same active ingredient, but people do not really trust them and believe that they are less effective. is it really so? let's figure it out together. in which cases are our analogues really less effective, and in which cases are they not, we went to one of the pharmacies to ask people why they stock up on imported drugs for future use and do not use domestic generics. so the first question worries me about the diabetes of the second, type and uh, i constantly consume metformin, but there are bad side effects from our metaformin, as they teach stomach flatulence. well, and so on, but, therefore, consciously buying an import issue. how to choose a good generic that is not so expensive and that there are no side effects. yes, the topic is quite timely. by the way, it was always
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timely, it was just always a choice to pay dearly or pay cheaply. today we can theoretically face a situation where we won't have much of an election. let's decide and for ourselves, too, including once again repeating the topic of generics. what is a generic, and why is everything happening, as it happens, in order to invent a new real drug, real drugs, not some kind of dietary supplement, as it happens with us , a dietary supplement is called a medicine. a blunder made a ship and quickly cut down the money, and that was it, but to create real drugs, a real antibiotic. real antihypertensives are real it's about 10 years of work and a lot of money. this is about a billion investments. if you take in evolution. this is about 10 years from molecule to drug. a tea number of years is spent on clinical registration trials, that
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is, roughly speaking, 15 to 20 years. this pharmaceutical company invests money with the labor of people and receives the drug. therefore, they give it a patent for 20 years 20 years. only she can invent and developed, released her drug to sell all the rest have no right to copy it. after 20 years. they recaptured the money recaptured the investment, the patent is ending, which means that now any a pharmaceutical company can produce this medicine. the only thing it has to release under the name of a chemical. let's say aspirin. no, generics. so they called it, and acetylsalicylic acid is just a generic, so only one company can produce under the name aspirin. all the rest can produce under the name svetylsalicylic acid and, accordingly , a copy of these drugs appears and the more copies, the more companies do it, the cheaper it is, but you must admit one factory makes it. or two forces are made, or 20 are made. yes, the more
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the price falls, by definition, a generic has exactly the same positive, these exactly the same negative substances. in fact, we are doctors all over the world for generics. why because somewhere you buy the medicine yourself, as in russia in many countries you were paid for by insurance, but the so-called compartment does not fully exist. you must pay extra. if you understand that you pay a certain amount of thousands of rubles for drugs, then you take a day 2 weeks a month, and then you say, yes, well, he dear, i will not drink. here are the pills. enough, i won’t be dear to you and you will get off the treatment, so when you take a generic, generic, all this is ten times less if one medicine costs, say, 300 rubles. under the generic will cost 30. here we are hypertensive we all and you and i take combined drugs, that is, in one tablet 2-3 drugs, which are usually branded and are not subject to. but each outgoing drug has its own generic and you can
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it is not allowed to buy and pay, as until recently i paid 2,500 rubles a month for medicines to pay 300 rubles. because i bought three generic drugs . well, yes, three mersada pills will be uncomfortable for me. yes, therefore, there is nothing terrible in this, but this, of course, requires a certain attitude towards generics and the correct appointment of doctors. here, in order to understand what a generic is, once again, theoretically, they are no different. sometimes there may be generics that are different from the eye drops. there may be other fillers cause some kind of problem one and only once again this league is a psychological problem. you say, so i bought an expensive whole service, helped me drink, it doesn’t help me, or these are mistakes already in production. but then these pills do not meet the standards and should not be released to the market. once again i will tell the doctor to look at all took the drug. at least some therefore, if it's cheap. the drug is at least some kind of guarantee that the patient
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will buy it and take it expensive, it can be different. there was a question about metformin medicines to fight diabetes. you know i run into this problem all the time. the fact is that metformin really has side effects of the ventricles, intestinal symptoms in a man's abdomen, and diarrhea. some pain. well, it depends on the dose, and you can't really guess. it's not because you're taking another metformin. well, i'll tell you that i have also been taking metformin for many, many years. by the way, i take it from the generic. it happened. and then they brought me french all of themselves beautiful in box began to drink. i think that somehow they can’t know me, in my opinion, it’s just our reaction, because in theory, let’s do it according to the law. they cannot be different, they fell out to me in one and the same volume. by the standard, you can’t feel the difference , of course, it’s good, in fact, we know
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these antibiotics help, these don’t help, but there is a fake, there’s something else we don’t know, as now there used to be a huge amount of manufactured medicines would be a whole business for imports. you know , they didn’t bring medicine, they brought boxes the packaging of this jar of cereals is empty and here we filled them with devils, than here, then it did not work. and if you are sincerely made medicine, and i will tell you even more, there are two declensions. from this rule, the americans came up with a medicine that reduces the risks of a severe amount of bloodworm and officially abandoned the e-patent. they said we allow indian companies to omit chinese russian ones, that is, they allowed us to refuse the muscovite patent threat. this, probably, was, to my full memory, the only such case. and now i'm how i understand that we, in russia, have adopted a law that if some kind of medicine. no, it is vital for the health and life of russians. pharma companies have the right to produce it without waiting for
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the patent holder's patent to expire. well, in the end there is a huge huge indian pharmacological industry, the most powerful in the world. there, the form of the giants is not inferior to the world's largest, and they were not made there at one time, so there will be no such failure from medicines. and let's look further, what kind of questions do we have there i have chronic hypothyroidism. i have been taking levothyroxine sodium for many years, but in russia it is produced by only one company and in pharmacies, mostly only analogues of russian production. and what to do if there is a shortage of medicines and what to do for people, and whose medicines, for example, are not produced in russia at all, it will be a disaster, but this is precisely the concern of our government and the ministry of health , including we know very well that we have a quarter of the population of women suffers with this, for example, well, that's about we understand how to increase
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production, we understand where to get it, i just talked about indian drugs. they supply this levothyroxide sodium to half the world. if not more, therefore, there must be promptness. and if there is a shortage, you have to ask for it. i am a hypertensive with experience, so the drug is vital for me. now i took it in reserve. i don't know what the situation will be. e. maybe it will rise in price or disappear from sale. so i decided to play it safe and in connection with this i have such a question, the pharmacist warned that the expiration date on the packages are different and some may run out already years in the summer, if i keep the drug in the refrigerator, will it extend its shelf life, and can i use the drugs after the expiration date? well, uh, no, it won’t prolong using it is undesirable not because it will be harmful some kind of harm to your body, no, but its effectiveness will drop significantly, so if you take medicine that is ineffective, i understand the desire to stock up on drugs , but within the expiration
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date, once again keep in mind that the drugs are hypertension just today so really three grades. well, four classes are good, and they have always been and are all these dozens of new drugs - this is a combination of these four classes known to each other in various candy wrappers in various conditions, and so on, so these beautiful convenient drugs will disappear in one tablet, excellent drinks. i forgot to still remain. those medicines that were always only have to take three, or even four tablets instead of one, but they won’t get the tablets. they have always been, they have been made for a long time from time immemorial. e in the soviet union is really nothing. it has changed, that's who understands, he, you see, in fact, little has changed. we just began to combine them in a different way, and we began to release them. just another generation. that's all. uh, modified what-what drug, you know what the most effective hypertension drug was, as far as
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it concerned, the diuretic hydrochlorothiazide. all my life it was today, if one water tablet does not help, the addition of a quarter tablet of hydrochlorothiazide changes things. so the hypertension won't be lost. that's for sure. i am a hypertensive with experience, but i keep the pressure under control. i take drugs with the active ingredient indapamide and perinadropil, if my drugs become deficient for me how to change the treatment regimen, how to reduce pressure? well, actually answered this question. do you know there is a book? i opened here and i love this book called and the stories from the history of medicine are out of place, well, just about the discovery of drugs, as in particular there was a contrast. we all know we're going for a ct scan we see the contrast or let's say, and we look, but in fact it was accidentally discovered. it was in paris in the therapeutic department that they put people with pain, and the hackneyed drug for pain was a solution of iodine in opium poppy oil. well, roughly speaking, morphine, that's the
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analgesic effect. and if lifted was performed by a student, jacques frestet, a healthy twenty-year-old detective professional linguist had just made up the french team competed at the olympic lay a silver medal. well, in short, he was supposed to lead two dice. he's on led to the wrong place, the epidural space of the patient did not die, but when he was placed to look , they began to see that iodine is a contrast, all structures began to see. that's how it was outrageously iodine contrast, which is still successfully used. here. gouging rugby player, but made such a discovery. well, let's be careful, everyone's health, and that's it. we will be fine. if the liver is damaged to help it recover, maybe phosphogliv phosphogliv contains two active ingredients, essential phospholipids and glyceric acid it is important to take the drug in a course for three
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months, phosphogliv, caring for the liver with a vengeance . next i love pasta. what pasta can you eat every day so as not to gain weight. what kind of oil is more useful to fill them with creamy or vegetable and how to cook ordinary pasta with a new taste will be very stupid. i just lost 3 kg, look, the stomach is gone. it is so impossible, how to increase their usefulness, when my legs get tired, german drops of arts help me. aescusan acts on causes. fights with five symptoms of varicose veins has a high bioavailability, and its effectiveness is comparable to compression stockings. i am an optimist by vocation and by necessity. it’s clear, but i’m used to drinking coffee, i can’t. just about the complex, they
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remember i love pasta whether pasta is good or bad. i don't care so much. they are so delicious. what is useful or harmful? really remember no, nothing absolutely harmful nothing useful. it all depends on the quantity, and indeed pasta is always at hand, always fast, always delicious. we once in our youth and they will come in and did not consider buying for 11 kopecks. this pack was cooked. those are brown. we wanted to buy beautiful, expensive white ones. we had this brown thick word spaghetti. we just read in yunost magazine one famous italian chef, then in soviet times , came to the soviet union with whom you have such delicious brown pasta. why did i remember this story for the rest of my life, he decided to bring this pasta to italy. he packed a whole
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suitcase of brown horns and was stopped by our vigilant soviet customs. he asked for what purpose do you carry pasta, she is in customs to him, this is the wife of this pasta every day he hates them, a for a big scoff, or something, but they say, let's go through the citizen and he was there from all over, honestly searched. so pasta is harmful or useful, damn it. we know that they are delicious, but how to, so to speak, increase their benefits, because i start everything from the end. now i can talk about the chant about wheat varieties, everything is useful, but look, this one will not go anywhere, there are a lot of calories , of course, but here, as they say, you can always look at the label. and if we see on the label, firstly, that we have class a pasta class b pasta means a or let's say it
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immediately tells us about the composition of this pasta and the most useful pasta, which, as you doctor knows, yes, and everyone probably knows, is included in the diet of athletes - this is pasta from durum wheat, that is , in fact, in fact, this is the most ancient pasta according to the recipe, because it was precisely such pasta that they began to make back in ancient rome well, there was no soft wheat, then from here the conclusion is that when you and i want to get healthy crowns, you should usually choose pasta, either from durum wheat, or with healthy additives. yes, i don't know about useful supplements. really pasta for me. this pasta erased varieties and wheat. a la denta, it turns out that this is also a low glycemic index, because if we compare it accordingly. there they will react in different ways. but that's how pasta is made. by the way , i never knew how they were made. i'm not joking, but these are
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grains, as far as i understand, yes, you take wheat. if you thresh you succeed, there is white flour, so to speak, all this together with the mug completely turns out like this, so this is dough. and then what's the noodles. i know we roll it out we cut it, it turns out noodles. and how to make pasta is never barely a machine. so, as a rule. this is a big sobel machine that can knead a fairly tight dough, but in the basic pasta recipe, whatever one may say, it is water, flour, and not even always salt. moreover, i really like this moment, which in difficult times was sometimes done, but pasta is the opposite product. that is, they made soaked and made from them. uh, bread, let's say yes, because what is there, and hmm pasta. it 's just a different state of aggregation of flour, but with a much longer shelf life than that. they 're not traits, they can't stand it, they're already withered. and they are compared to bread chips. and
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you can say so, but raw bread chips. and by the way, the second one. i just wanted to ask how pasta is made. why are there holes in pasta? yes , there is a hole in the pasta. i always really like this question, increasing the area of \u200b\u200bpasta their e, actually holes. yes, there are large large and small ones, someone says for stuffing, but no, this is how the sauce penetrates as much as possible and sticks around pasta, that is, pasta in which there are holes more saturated, and with sauce and such things. like, uh , minced meat, let's say, yes, but i really like the story, like, uh, bolognese pasta. turned into naval pasta. now i took it off my tongue. i think now it is already silent, and i will ask about naval pasta. but yes, the fact is that it was originally. what's happened pasta? it's conveniently stored food on the ship, right? that's right, what is meat on a ship at that time it was salty and so the first sailors who arrived in
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st. petersburg, which was under construction at that time, brought pasta with them and brought corned beef with them, corned beef combined with pasta gives us pasta in a naval way. that is, it is so good, stored food, that we have it transformed. actually, initially into military food, and then into everyone’s favorite soviet cooking, but also, of course, you can immediately appeal that, well, pasta in a navy way. this is bolognese. no, lanese. it is radically different from naval pasta, because naval pasta is always not minced meat, as a rule. and secondly, this is a large amount of fried onions that are mixed, you know, the cook is the cook has gone aside, that the most delicious pasta is pasta. for example, i love pasta, garlic, herbs, cheese, everything, all these sauces. it's not pasta anymore. this is already really starting other dishes. this is already pasta with something with meat sauce with tomatoes and so on and so
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further and so on under how tasty just pasta is and moreover, the amount of olive oil is olive oil or let's say greens, but in general it must be said that it is huge. and what are you doing, you are not making pasta, and now i am making dough for pasta, but i am doing it for a reason, i am making it with healthy flour to heat it. and even so, yes, we knead for a quick dough and let it be put for 20 minutes. however, i am already on the way, and pasta is boiled from durum wheat. i already turned them off. now let's have them. them eat, i won’t forgive you, by the way, knead the dough for pasta on your own, well, it’s easy and just literally visual. so all this will do. well , yes, anyone, lord, it’s not so much time bought, but i went and bought definitely hard varieties. so, here we have walnut instead of cedar cheese, hard, russian, parsley, necessarily green vegetable oil from the feet and
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garlic. all things are useful. let's do it in the morning yes , this is it in the morning. well, that, well, that we grind. we grind in the cruelest way getting the sauce, which is now clad on all sides, our pasta will add flavor to them. the freshest, freshly chopped greens, cheese, the doctor will melt a little and it will be very tasty. i just lost 3 kg, look, the stomach is gone. he can’t check like that, but that’s it, and the pasta doesn’t cook for long, but one of the moments that you just showed. why pasta should not be digested, of course, and we just drain it. i always add salt to the water quite a bit. salt - this is a good flavor enhancer. and the second thing i add is a drop of olive oil, spread the salad. but do i need to rinse the pasta after cooking is not necessary, because if we forced it to be
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washed, i say, and it will be cold, rinse. but, and if we eat this pasta right away, then there is absolutely no need to rinse them. we put it in a sauce or butter, added olive oil immediately , let's cream it right away. it has already been expected directly into the sauce and immediately immediately mix radically. so i'll take a second. come on, i wanted to do more. i'll go answer questions. okay? so wash the pasta. if you will not immediately need. transfer them. sprinkle the oil, no matter what kind of olive hemp linseed or creamy hemp oil. the oil is very useful. it's okay tree cannabis. she's not written. which oil is better. damn, vegetable pasta or creamy cream will taste better due to milk fat, and vegetable will be more useful due to omega-3 acids. why italians? bastards don't get fat from pasta? getting fat i suppose, but here's the question.
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which due to the fact that durum wheat? this just southern and italian they have never cooked wheat from soft varieties. uh-huh, understand? so uh yeah. you answered this question, alaska pasta is the most healthy delicious, but what is the difference between group a b and this one mentioned, but i still didn’t understand the pasta group. and we have the maximum number of durum wheat. so they are the most useful pasta of the group. b is mixed, and group c pasta is generally soft varieties. well, that is, you have to eat the pasta group. but look, pasta and noodles are one and the same no, they are different not in noodles, usually not necessary, but egg and noodles may be present - this is more like pasta for soup. but they are pasta pasta for second courses, the question is strangely constructed. are there
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any useful substances in the crowns? of course there are, of course, of course, a huge amount of trace elements in fact, what is pasta? this is a different state of aggregation of flour, but the benefit or harm from flour will depend on what exactly is in it, if it is already heavily shelled, yes, that means we have lost fiber and trace elements from the shell into the diet modern man. a little more must include necessarily vegetables, fruits, and necessarily products from whole grains, so pasta is durum wheat of whole grains. it's really possible to eat every day a question. how many in general? uh, i've always been amazed at the history of food like pasta. this is myth-making around her, and someone says that marco polo brought them, someone says that this chinese invention is nothing like inventing on their own from a flat one. uh, a dried mixture of flour and water. the product is like a cake,
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that, damn it, was no problem on any continent in any way, right? help treats. really very tasty. you know about stress eating. i was just nervous about something i thought, a plate of pasta. and that life is slowly getting better, everything is not so bad, it looks like a person who can now have pasta fall on you, there will be a stain on his skirt, just about, well, man. yes, look, she's not. you are the only one who has the will power to give up pasta. i pointed with my finger, rather no. no why? being overweight is about the happiness that you will get here look, look at the girls. she is. well, i'm happy that they're happy.
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i won't ask. he already has this screen already. well, it 's really delicious. the truth is no. i'm just happy for you, because, well, how much joy is there in life? yes, not so, a lot of food. this is the basic instinct, how to leave to eat like that. i always want golden words, of course, of course, i have to limit everything, because you are absolutely right about being overweight, but in moderation everything is possible, and pasta is a product made from whole grains, what is recommended to eat by doctors all over the world, so eat rejoice, only in a small amount of pasta. there are, of course, in the air. now i have eaten. that's like a drop of blood for a shark to me. i would like it to be such a container now. no, when i fight pasta, i have such a saucepan, just a saucepan, i do everything in it. i don't post. i put garlic oil, green cheese in this pan.
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