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felt, thank you people. thanks in the city, the smell of lilac, and you know the author for the songs , he looks like his work. you know, i know the favorite song was quietly playing the newspaper. i want to say that in the song of the nineties there is such a meaning that will understand. not everyone is very cool. hello andrey andrey malakhov's evening show today at 18:00 on the channel, russia what are left with us? thank you for

watching, russia 1, and we move on, we have a heading ahead of us easier than ever. i answer your questions. good afternoon, good, my name is natalya, i'm from the city of abdulino, orenburg region. i often hear, including in your program, that the drug metformin is a drug that prolongs life. tell me what its effect is, how it works, it prolongs life. and so, if i healthy can i take it to prolong my life? thanks, including to your program, first of all to my program, because i don’t remember that before me someone spoke about this on television. in fact, has anyone used it as widely as it has been done in the mainstream world, and today the diagnosis is diabetes. and this is a purely arithmetical diagnosis, two times sugar, seven, and

you have diabetes on an empty stomach. but no. she has some hemoglobin isolation and other indicators there. well, that's how rudely everyone made seven days later, lunch is still being precise, so to speak, perhaps tests, but in principle, diabetes and that's the first not even a diet, not a lifestyle change, but the first metformin. and this is not only for lowering blood sugars, blood sugar tension has chromin, not the most powerful drug, so to speak. he reduced the maximum one unit was sugar, nine became eight was 10, and became nine was one became 10 little. this is not why we give it. and look with insulin, when insulin cannot open the cell, nothing can get glucose there. indeed, because quickly jump sugar fast, because insulin receptors become deaf and cease to be buggy; minformin, as it were, lubricates. well and oh, the miracle of everything opens.

this, of course, is primitive, but something like this, that is, his job is to hinder. insulin receptor resistance, but why do we then give if it is not so active is this the official chemistry for the prevention of complications? what kind of cancer prevention diabetic suffers from oncology seven times more often than a normal person is the prevention of strokes. prevention of heart attacks, and diabetes is such a concept with 15th year, diabetic heart disease, if you have diabetes, treat approximately, as if you already have angina pectoris or a previous heart attack, that is, this medicine is the prevention of complications plus. so you ask, do i need some? healthy people need to eat before diabetes, sugar, six, yes, not diabetes, but not the norm what to do? well, here the doctors and you should decide if you are overweight. then

metformin will help you lose 2-3 kg, this is already a plus. and by the way, it is included in the drug regimens obesity treatment on the other hand. it causes nausea, diarrhea, such unpleasant dyspepsia. but, nevertheless , a very useful drug, by the way, before we tried to treat infertility, it increases. uh ovulation in women. well, such an interesting interesting drug still retains its leading position in the management of diabetes. the further good afternoon alexander leonidovich my name is anna , please tell us about phytoestrogens and their effect on the female body. how are they different from hormone replacement therapy? and can this estrogens completely replace their own hormones? can i use uh them for a long

time to feel good look better and not feel hot flashes want to feel younger. well, at least as in 35 years, i will be very grateful. actually a very very interesting question before it was all just hormone replacement therapy with estrogen combined with progesterone and everything was fine. we are diseases, they prevented all kinds of osteoporosis and looked good, and so on and so forth, but then came across that everything is not so simple, then why further into the forest, the more firewood. the longer you take hormone replacement therapy, the more you increase the risk of heart disease cancer, and that's just the topic of phytoestrogens. especially, by the way, she was popular in russia, she was in europe in america. no, she grew up there, because it became risky to carry out carbon replacement therapy, and women

demanded it. how do you want to be young, do you understand everything to look good? when we give a woman estrogens? her life and appearance begins to boil . here is a woman on estrogen or hormone replacement therapy. but, if we say that's not all, that's the risks of partly an alternative to hormone therapy. these are just, uh, phytoestrogens, that is, these are plant substances with an estrogen-like effect. what does it mean that these are not hormones, but in the female body, they interact with the same receptors as natural ones, but natural hormones and reduce these unpleasant manifestations of menopause. they found in some plant foods. it 's worth it beans white cabbage red grapes. but there are a small amount of them, so we say that there are medicines

that contain much more phytoestrogens, and also get them from plants. there is such a plant cimicifuga, the racemose extraction of its stones is made with estrogens. yes, it's the same thing, just a little different. here it is another ford but life is in full swing. also, therefore, ease these here feeling hot flushes night sweats. this is to normalize the psycho-emotional state. they can and they still do not have side effects, which are really hormonal therapies, and after mandatory consultations with a specialist, they can be applied and moved on. good afternoon. my name is olga i'm from the city of lipetsk please help me about a month ago. i suddenly lost my sense of smell. i was scared that i looked like i had taken the tests twice. well both had negative other symptoms. i don't know what's wrong with me

help me to understand. thank you, thank you, that at least someone remembered to show, otherwise i thought there were no bullfights, we have other problems. what covid? where what is korea now, of course, not a problem, number one is not a problem, two is not a problem, three, but a certain number of people are still amazing. i have always said that the loss of smell. this is not a specific symptom for covid. she was and doka of the species is a problem known to anyone, a respiratory infection, can be caused by loss of war, because in 90% of cases. this it is the problem with the nasal mucosa in bullfighting that a slightly different mechanism affects textured receptors. but it strikes a lot of other viruses, the classic form is also chronic rhinitis. they are usually sinusitis of allergic origin. and correspondingly.

polyps that form in the nose by closing. accordingly entrance good news polyps are never reborn enemy these polyps are never reborn enemy , although by the word, it looks like bad news, if i remove it surgically now. in 2-3 months they will grow again, most likely very high relapse rate. sometimes it happens, another problem. it must be the problem of brain damage and those, uh, the paths along which these impulses from structural receptors pass, but this is a different situation, in general, and you care if you don’t go to the doctor’s ear, throat, nose , and so rinse nose, do not

constantly use vasoconstrictor drops, because they can easily get hooked. so let's move on, who does not dream at 50 feels like 35 russian medicine cyclin with phytoestrogens helps fight hot flashes and irritability without hormones at a bargain price cycle is the secret to managing ages, and for youthful skin. use chi-clim cream with estrogens. russian side of the manicure we meet a woman with unkempt nails today, well, it's very, very difficult and the coating and such, all sorts of beautiful and when you get abroad you often see a colossal difference. but still why, let's say in the same france where my son works. ah, nail salons

should be licensed the same as medical activity. it's impossible. it's all very difficult. and by the way, many, so to speak, our former fellow citizens often fly to russia, they go to see a doctor they know somewhere else, it’s all difficult, be sure to go through a manicure. why? i picked up today's topic not so long ago in france, and one of my acquaintances. she works, uh, in a store there. knowing that i am a doctor, you often meet him, the doctor says that you are so tired, everything boils out of my hands and shows me this once photographed the girls 24 year shows i took my hands here to the question. do you see these dots? the thing is, when i was young? intern and entered graduate school. i

was interviewed by yuri nikitich belenkov. you can sometimes see him in the program about the most important academician and so on, but then he was much older than me, but then he was already a real genius. he's just a brilliant black doctor, and we were friends. do you know how to give to a friend? and the question was infective endocarditis, and i was offered this problem with a petechimi finger. this sasha is what, and i blunted. he gave me four everything else. i knew, but many years later. i've been pissed off with this. so i remembered this symptom for the rest of my life. so what is infectious indocarditis? as we can see, our heart is divided into the right and

left sections, that is, it flows here, the vein goes into the atrium into the right ventricle from there it is thrown into the lungs. there, the blood is enriched , enters the left heart, the left atrium into the left ventricle and is enriched with oxygen. the blood is thrown back into the body like this. when on see the valves? on the cavity of the heart, bacteria settle on the valves, become inflamed here, colonies of bacteria form. each of us, even after a short brushing of teeth, may have transient bacteria, that is, bacteria can enter the blood, but then the blood. nothing to cling to. they are washed, they are washed they are washed, but if they are not washed, and if there was a heart defect, and if there was a congenital heart defect, and if there is rheumatism, and if there is some kind of problem, but on the

other hand, the right almost never happens here, but it is very often. we install catheters. at we have a pacemaker, a letterer, a defibrillator, infective endocarditis, this is a bacterial lesion. structures of the heart valves chord muscle why am i talking about this, because it is a very common cause. mortality and morbidity in america per 100,000 people 15 people have this disease, if a person gets to the hospital with it, the mortality rate is 30%, 30 are all known antibiotics. we let a person walk, because we all take antibiotics. just like that, maybe not take antibiotics at all, but you took around and he got infected, that staphylococcus or that streptococcus, which is already resistant to everything,

let's say, besides vancomycin so bacterial. a very common disease is the cause of death of young people, including men with risk factors. this is older age, 60. this is hiv infection. this heredity is a violation of the immunological status. symptoms loss of strength in a person pronounced weakness and temperature sometimes high temperature for a long time 3-4 weeks 38 38.5 so, if you have a person comes to you with a temperature of 38.5 for several weeks, he may not have anything else. nothing else is you. although, you have to. you must

inspect it. in addition to the nails is delayed. here you can feel the knot on the finger, in addition to the nails , you can see rashes on the fingers, in addition to the nails , you can see such red ones, as if indurations, that is, clinically we can see. when i have a late diagnosis in the hospital, i always ask, and you listened to him, if you have a patient with a temperature and he has a systolic murmur, or he says that he had a heart disease first account, what should he talk about think? and you know what kind of diagnostic non-echocardiography, although it can definitely see the vegetation, maybe not, so we do through the esophagus, we swallow the sensor close to the heart, and we directly shoot from here. just a blood culture at an altitude of temperature twice a blood culture is positive, he has infectious decarditis. now let's go back. you have to pull yourself up, and then i'll tell you, why

else is it important to know, but we miss you miss, we write covid. we write one another, we write the third or matism. i am in the hospital myself. i see very advanced cases. i see that they launched it at the stage of the clinic. diagnosis. could put together with back 2 months ago. we would after this person is delayed dangerously delayed diagnosis and there is a manifestation now we will also talk about this. if you want us to review the platform , we are watching this application site, we are watching the dot ru so, let's go. further, here the joint is inflamed and hurts on the knees. just like that, he starts to get sick and he can’t walk anymore. and if we pick out a tooth, and if we make a plan, well, if they a lot, there are a lot of them working there. there is no one here , but there will be no battle here. big battalions win. yes, size matters here. here

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even for expectant mothers and babies from the first days of life. thank you for staying with us. thank you for watching, russia 1 will go further. returning to belatedly diagnosed him. after all, what else is important. like i said, this rarely happens out of the blue. your valve must be damaged. we used to often diagnose mitral valve prolapse, when the mitral valve does not close completely, many have a bad mouth gene, but a healthy heart. but if you have valve changes prolapse hypertrophy something else it

can already be a problem. i'm talking about brushing your teeth can get into the battery. and what if we vytralizub, and if we put the implant? hence the question of antibiotic prophylaxis prophylaxis in patients with prolapse with a letterboxer with risk factors for infectious microaditis requires antibiotic prophylaxis only for dental problems in these people risk group and e associated with the bronchial tree. and what are the symptoms in the beginning we say the temperature is fatigue, what does the heart have? but then the valve eats up the vegetation prevents it from working. a person has pulmonary edema, starting with heart failure, arrhythmias and cardiology, sort of like why do cardiologists get caught? well, because the person with the temperature had a temperature.