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order on our website leomax.ru. good morning. talk shows dr. butchers good bad. let's see the good ones for what they are. and the bad ones are probably seen as an impetus to something good, because it always happens after trouble, there is always joy. well, i 'll tell you how to avoid the disease. how to feel this joy? more and more, and brightly we

begin. nosebleeds today because of what do they occur? in what cases is blood from the nose a symptom of hypertension and why it is impossible to tilt your head back to stop the blood, how effective are diuretic drugs for weight loss and why thyroid disease reduces sexual desire we are being destroyed. what emotions increase the risk of hypertension , heart attack and stroke, and why it is still impossible to live without such feelings. our theme how easy

understand by looking here at this nosebleed. why i won’t talk about what to do, i won’t say doctor strastesky, but, but not the one you are usually used to seeing, but boris viktorovich and his son also work. i have a phd in the hospital. andrey borisovich from the dawn. come here. good morning. alexander has not yet been born. they talked about your dad when we studied at the institute. he is the son of that very professor of stress. now they also say to you, well, you are already on your own, but mature definition specialist and so on. well , look at the flag in your hands when they report at the five-minute meeting in the morning. it turns out that out of 100,150 people who come to our hospital to the emergency room. how many a certain number of up to 30 employees six people exactly are. it

's every single day. it is so severe that an ambulance comes to the hospital. yes why what to do? we've all experienced this problem, probably not, all the time. that's how they encountered so well, it happens very often in people to in general, you need to know them to have an idea. at least the minimal structure of the nose minimal blood supply. if possible, we will show it on your beautiful poster. it's like showing me on your beautiful nose. i don't see it behind me here yet, but we'll look now. yeah , in general, the nose and nasal cavity has a very powerful blood supply. and in principle, you need to understand that there are the most frequent simple bleeding that most often occur. we also stop on their own. they are not dangerous. they arise from the anterior part of the nasal septum, where there is an accumulation of small vascular plexuses that are on the surface. these

are small superficial vessels and bleeding from them is not dangerous, but there are also large vessels in the nose that come out of the cranial cavity; they last on the arteries. this bleeding and middle and rear sections with such bleeding. you yourself will never cope, and in this case, you should definitely consult a doctor. well, if the front of the incomprehensibly received a cone and an injury fell. there on the handle became poking around, and than just poking around at sony with a fork, let's say you know a lot more than me. what is a nose? what are folk bodies? you have listed not the most common reasons. one of the most common reasons - this is a consequence of our evolution - is double- glazed windows. these are air conditioners. this is dry air during the heating season. during air travel, the mucous membrane dries out and becomes thinner. all these superficial vessels crawl out to the surface, crusts form. it starts to bother us, itching, scratching. we begin to pick it all leads to microtrauma and

simple ones arise. here elementary bleeding, by the way, said, i remembered. i used to walk in the sky up there in the highlands. in the same place 5.600. uh, the altitude is very dry air and no crust. if they interfere with breathing, well, you pick them up and everything flows, and then even more i slept in toilet paper all night. it went. after otherwise you wake up, the whole sleeping bag is clogged. you ca n't control at night. let's talk about what to do. uh, if this happened, what first aid should be punished. surprised once but we all do everything when it's about blood. well, what are we doing here. what are you doing? that's from the blood, who bled from the nose, what do you do if my bed begins to cleanse? i put cotton swabs in my nose and throw my head back. here, and his dad, says something down, i’m so where are these just two fundamental mistakes that you called tilting your head up will save you from

blood staining you with your white suit but the blood is perfectly erased and it doesn’t gotta pay attention when you tilt your head back back, blood flows down the back wall. at best , it will end up in the stomach. this will cause blood to vomit. that will strengthen the nasal even more. in short, more blood. may enter the larynx into the trachea. this will make you cough. this will further increase the nose torsion. second. if you have cotton wool on hand, a napkin, some material is paper. yes, you can put it in your nose, but when you kate it, it will dry out, so it’s better to always moisten the cotton wool, either with hydrogen peroxide or vasoconstrictor drops, so that when you remove the cotton wool from the nose, there will be no recycled toilet paper. i've found it in livak. and honestly, maybe just some kind of discharge, i don’t know, just a shaving cream. no, if there is nothing at hand, the first thing to do is, first, uh, calm down the person should be seated so that he sits, and the head should be

slightly lowered down forward so that the blood that poured out, it poured forward so that we can see how much blood you have lost, because it is very important next, the first thing to do is to grab your nose. either you grab yourself or you help the person and grab and hold and press the wings of the nose against the septum. the mistake is that if you hold, then you need to hold it for a long time for 10-15 minutes, do not let go, if you shoot and watch every 30 seconds. something does not flow, no effect will need to be grabbed and held in order for your own forces in the body to form thick blood, to which it will clog and stop the bleeding further. uh, if possible, you need to take something cold chicken from the freezer. dumplings, ice and attach e, attach to the nose neither on the head nor on the cheeks, but the cold is transferred and held stops the torsion, the vessels

contract reflexively, the bleeding stops further, if you suffer from high blood pressure, you need to take a tonometer and measure the pressure, if the pressure is elevated, if it is more than 140 over 90, all hypertensive patients know and have their own first-aid kits, drugs that can quickly add up what is here, when we say that it comes with bleeding. it's more of a lion part. these are hypertension. well, roughly speaking, uncontrolled hypertension. their blood pressure rises sharply, and as soon as hypertension bursts, there is another mechanism. alexandrovich in hypertension, the vessels have a long-term effect of increased pressure. they stretch and become brittle, so patients with hypertension also have this mechanism, but it’s good to say so, these banal bleedings that we all face again. eh, how much i hear how surprised you are? my reflector is

thrown back, my head is narrower, but b is low. well, how are you after all, how are you? you bent over what to do? i dripped more of it to sit like that, or what? this is how to sit. and, by the way, but just banal voice bleeding. we see in children very often and in most cases. we don't even find pathology. this happens quite often. and is it necessary to do some tests to check, there, the platelet coagulation system and so on, or with banal bleeding. we don't. we do. well. serious bleeding repeated i think it should be said first when a person should see a doctor. if you cannot stop the bleeding, more than 20 minutes you need to see a doctor to call an ambulance if the blood loss is more than 200 ml. you need to see a doctor, most often one side bleeds, but if the bleeding starts on both sides. this means that either the torsion is very abundant and strong, and it is poured through the nasopharynx into the

other half of the nose, or this is bleeding from the posterior sections, which is close to the nasopharynx, respectively, is again filled with such bleeding. you can't do it yourself if you have epistaxis accompanied with torsion from some other place eyes ears genitals. the rectum, you need to see a doctor. this suggests that this is not a problem, local in the nose, this is a problem in the whole body, if you have bleeding and you see bruises or some kind of rash on yourself, this is a problem. dead blood system need to see a doctor, okay but we have questions from the audience, as i know, that's just on my topic, i have, uh, recently, there are just such, well, involuntary bleeding. and they start. uh, on their own and also quickly end. that's literally about six months. here i am, why this may be due to what should i pay attention to? well, that is, it

all started in the winter, right? well, yes. well, first of all, you should be looked at by an ent doctor. it happens that people have a deviated septum of the nose, you can live with this if it does not interfere with health, but sometimes the deformities are so strong that the air flow does not go along the nasal septum, but directly beats air with its jet into the mucous membrane of the partition nose. in this place, thinning, mucous membranes occur. dryness crusts appear, again atrophic rhinitis occurs, which can cause bleeding in a person. uh, you definitely need to examine, examine, not just how we usually look, but perform modern studies of this endoscopy of the nasal cavity, this is an examination using special optics, which allows you to examine both the middle case and the most distant departments. if maybe you will have some kind of capillary, some kind of vessel covered with a crust, or some changes in the mucous membrane local, then the most effective way is

coagulation, that is, cauterize this particular place. this is the simplest. what can be done andrey boris what for us is this layout that is bleeding, i look here for various reasons. we have the medicine over there, by the way, the medicine is aspirin, which is, uh, other blood-thinning medicines. actually. this is what andrey borisovich said, if nosebleeds, if you are aware of coagulants, and you have flowed from somewhere including your nose. of course, you need to think about what is here an overdose of very dangerous. it cannot be postponed, because even to do something, either drive these go or cancel and so on and so forth. that is, here we must understand solar or heat stroke. well, this is extremely rare, of course, he came. well, who has not sunbathed in the sun? everyone is bleeding. of course not, but it happens that this is a combination of many factors in one person and thinning of the mucous membrane, curvature of the nasal septum

and taking anticoagulants or antiaggregates. but infectious allergic rhinitis infections lead to this matter, of course, any inflammatory process caused by staphylococcus there. for example, or any other bacteria causes inflammation. and what is inflammation? it is swelling of the blood filling; the vessels are overfilled; thinners can also lead to nasal torsion. for example, if staphylococcus aureus settles in the nose, as one of the frequent microbes, it causes the formation of crusts , people are worried, but we pick it itches, and here there are vasoconstrictor drops, like first aid. this is acceptable, just now, vasoconstrictor drops at nose bleeding. this is probably one of their most important testimonies. uh what are they doing? they quickly spasm the vessels, the vessels shrink, the bleeding decreases, but again, this will all work, if the bleeding is from the anterior section, where the vessels are

closely located, where can we get these drops. yes, deliver to them. i went from behind that, in addition to trauma and some tumors, there could be an infection. what is the most common most often is a serious injury to the skull of the facial skeleton, when the bones break, and all these vessels pass into bones? yeah, and such torsion is dangerous because they are plentiful, but they can also be delayed. that is, what happened with the injury got on the nose fell, there from the bike. nosebleed , stopped. a few days later , there are relapses, because a large vessel cannot quickly clot and these thrombi that appear on them, they can rebound and bleeding recur in such patients a lot in the hospital. thank you very much doctor. thank you, thank you, take care of your health. everything will be fine with us. further, how

effective diuretic drugs are for weight loss and why thyroid diseases reduce sexual desire . see. today is a special edition of the program 60 minutes. all the latest news about the situation in ukraine and in the world. we go live right after the fun. don't miss 60 minutes today at 11:30 am and 5:30 pm on the russia channel with age, vision changes can change the usual things town is designed to nourish the restoration and youthfulness of the eyes, it is recommended to apply daily for three months three

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the time of the column questions about the doctor, we ask you questions, you answer because you must know the answers for sure, because all this is based on our previous programs. here is a girl smiling so joyfully, how joyfully. smile, these programs know all the answers. mm. i'll try to prove it, but my name is how milena milena works, where i study, i just wanted to say who the doctor is.

so this is what i need to answer. well, pull it, i'm the ticket. well , fourth-year student with face and demand tougher. and here's your first question. how would a physician? and what, you already work in a hospital, should you work in practice? can you take a bath if you have a hangover? well , of course, i didn’t experience a hangover, but i do n’t think i should. no, definitely not. that's right. their height, what teaches you see complicate the question to the doctor in the future thyroid

problems can reduce sexual desire i think so. and why, well, if a person develops, apathy is a weakness? no, well, indeed, the thyroid gland regulates, as we know, the entire basal metabolism, if there is a deficiency of the thyroid gland, he does not need anything. oh, now in the morning some questions about my hangover about sex, so diuretics help to lose weight, they have a temporary effect. uh, in a way that excess fluid can get out of the body, but it's not a weight loss product. well, yes, as you know, you pour a pool here and pour out from there. e how much i managed to pour out, i drank a glass of water and that's it. it 's all back. well, you actually went to the victory , it was clear that you would win the book, i am with great

pleasure. and where is she, by the way? yes, more fun for him. career is for you, huh? and if you want to look after our programs, this resource is watching applications, or the site is watching dot rub. let's go further. the topic of feelings that destroy us, well, not mortal sins, but they can kill , you know, as usual, when such topics feel two ways on the one hand. and now you're a doctor and tell them how to treat a mushroom. how many drops in which nostril and how often the other side. as a doctor, i have long understood that diseases health is such a fine line. i

say many times, the one who considers himself a healthy patient here you consider yourself sick and what happens to us does not physically mean that this is a person's disease. can be healthy and enjoy life and live fully with the final degree of cancer. or he can be absolutely healthy and kill himself with all sorts of imaginary or not imaginary experiences. well, and then the most important thing you know, it's like an advantage of age. when i was middle-aged, read the story of some french writer, there were two truckers and a young one. all boasted, what a young strong, and old, i would say, i have one advantage. i have lived to this age. but you were rainy, that's another question. well, there it ended up being young there, along the way you threw it off, but i already the fact is that i am well, self-criticism of resentment , jealousy, laziness, deer, deer, deer. i

have already learned this so familiar age. something i can suppress something no look. i'm jealous of someone. i am i'm offended by someone. i want to do better, so i have the most, my own inner for me personally. and then after all, she correctly says myasnikov go home already. yes already lie down already, eat a dumpling already. you need it because you really need it right that i want everything like a hare. here. what is to be alone with yourself and think, it really interferes with life. yes? it's out of jealousy that people kill and throw themselves at us and commit suicide, resentment, and so on and so forth. all this can end badly, if you think about it.

think. we are just demons entertaining. well, i don’t know how to say it right, because in general you need to learn to be a reasonable egoist from the fact that you burn your spiritual strength for jealousy, nothing will happen. and her anxiety, as a rule, is fictitious, then she still worries if she is justified, well, let's ask more. we need to think about something, what's what, as there are random options. there are serious things you need to understand to build a line of conduct. the same resentment. i'm so offended very easily, and then i'm still easily quick-tempered, but, you know, hypertension heart attack stroke illness reacted emotions, but someone was offended, he swung and slapped, yes or a primitive man. there came with a shabby-toothed tiger, he took a club and hit the tigers, so any resentment leads to a release. hormones. increased blood pressure bringing the

body into a state of alert, but if reacted. then, in fact, your blood vessels remained spasmodic, the pressure remained elevated, the second third time, so this constant reaction to insults leads to the fact that you just start to really get sick with absolutely real diseases, so i really don’t like the word psychoanalysis. and there is something else, like there is something like that, but in fact, you must understand for yourself, if you want to be active and live long, then you absolutely need to do something about it. i don't even want to go to classical literature yet, because for me classical literature is just a model of insults, and we keep looking and looking. although, although, although, remember anna karenina. i read somewhere that you start to be an adult when

you begin to feel sorry for karenin and not vronsky with anna, because a noble person is really noble, and, so to speak, remained impeccable throughout this story. well, what about jealousy? you remember, uh, also the tolstoy cruiser sonata and all these stories of the murderer's jealousy, all this, of course, is perfectly described, only we need it, voluntary and involuntary insults, uh. life cannot be emasculated , it is impossible without this without everything. but it's just that for some reason i repeat the phrase of the medicine all the time in every program. poison differs only in dose. here , after all, the same thing is unemotional. you don't live you will. because if you're not with her, you wo n't react to anything. if you don't cry , laugh, but just live like vegetables. so what was born in obama to you and will live there for 1,000 years. until you die, so you need to react, you don’t need

to make something out of this that will eat you from the inside. you must learn from the cure. oh lazy. here to fight against laziness would learn. do you know how many years they live in the world? today i woke up. i need to go here, and i need to make 100 dead every morning . these are these jumps and 100 pull-ups 12 minutes of burpee half an hour of pull-ups. and i'm walking walking, i think not, i thought i'd have breakfast. then i think, no, it's better, i'll wash myself then i'll go right away. in general, i bring it to the point where i have 45 minutes left before departure, and here i already understand that the creature is trembling or you have the right to tell myself myasnikov well, you are a weakling, too, everything has gone. we start jumping. i think i will do 50 times i will do 50 i think. well, let's go even before 70. and after 70 i think. okay, so what's left? have you breathed yet? well, at least i'll do something, and so i have every god's day to say that i'm happy to go. i

had cases when i drove up to the gym, sat in the car for 40 minutes. here i sit and i can think, i can’t go. here i sit, and every time i force myself to always remember one old man in sochi , it was 30 years ago in november, sochi is cold wind. i went for a walk there and arrived, probably for several days all the time running along the beach, a lean old man runs and does a warm-up. and then it comes out of the sea. i talked to him. i'm telling you, well , yes, it's just me that keeps me afloat. i am i can ah live a full life, thanks to this i say, i guess you already uh used to you. this is already a necessity. he says, lord he says there is, you knew how i break myself every morning, how i do not want to do this. this is a hand, i remember everything all the time, because i categorically do not want to do this. we don't want to interrupt our conversation, but we have to. see you after a short break next. why dr. myasnikov

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over. it's true. this is reality against the americans took you all by the gills and are still leading pores in all circles. adam, but still, the british are operating in the field, most of the inhabitants of the european union have deprived of critical thinking, they do not understand what is happening, what kind of economy we have, where is our grain questions to those who have been leading ukraine all this time and for ensuring that there is a world in which will be truly equal. who is against today at 14:55 on the channel, russia i want to hear from you. what do you think, here is the same person with resentment. well, someone tell me, such is it, resentment broke life

or interfered. here you see, no, you don't want to. i am why mean now would surely come out. i understand that now i don’t want to say it anyway, but what will this story be like, a man or a woman will come out, it doesn’t matter and tell how much they offended him, they really offended him, tell how she suffered for years, and he will tell how she stopped communicating with friends, how she lost weight i got better. it was understandable that it changed her life for a very long time. and how will she forget or he forgot, he regrets these years that were spent on resentment. i don't know anyone who was killed with this feeling to blame insults and jealousy, you can. some time later, you understand that you were a complete idiot, but why do you have to give a few years of your life to cross them out and come to this conclusion. why can't you do

it ahead of time? well, one of the tips about resentment, yes, and jealousy, too, you always understand who you are dealing with, what cardinal mazarin said, treat everyone as deeply decent people, but deal with them as if they were notorious scoundrels , think about what he said you treat everyone beautiful, but in the depths always come from the worst. you understand that the framework will not change you something else. you have to take this into account somewhere, and you have to work it out. we are all fascinated by the people we have met. we were enchanted. he is the smartest, he is the most handsome, the strongest. so, after some time, you realize that everything is already a little different. god forbid, if you're lucky, but it's the same with people. well, i, for example, i am very charming with them, i start to work, then time passes, and i get one other. the third is so much that i recently

told my husband. this is vladimir mikhailovich, if i ever bring someone, don’t take it, it’s just that in fact i brought it, don’t take it, i have a painfully large percentage. now, i'm very charming with people. i can't count them. it's me today, i'm beginning to understand the old personnel officers. they take pancakes, they think, why did he work so hard? why did he leave? what a characteristic, and i see cute thinks knows that cervical erosion. it is not a disease to cure. you need to know everything about antibiotics and speaks english, you think, smart smart person, and he is often not capable of work. ah, but this is all i need, and also my fascination in everyday life, or, let's say, resentment, well, we are well offended by people, but we are offended by the authorities. it 's bad, it's bad. you can now it doesn't matter good bad change something with it. you now live in that society in a situation that you personally cannot change. well, in any case, now there is nothing to aggravate yourself. that's

why i like it my friends in siberia have them and hard fate for all. they all went through, so to speak, everything and fire and water, and yes, and copper pipes also went through many of them they realized that nothing can be expected from anyone. they do not ask for anything and still they will scold. this is such a bad government. they were not given or paid anything, and so on. that's how much they are completely different absolutely different judging by the different characters. eh, but nevertheless they are united by one thing - they do not wait and do not offend. well, first of all, offend them. you understand that you can offend them, but i would i do not advise anyone. i wouldn't recommend to anyone. but to hold a grudge in oneself is not for power. they will not be people. well, jealousy, i already said generally pointless, although i, for example, very jealous was always insanely jealous in the eyes of the dark. well, and that every time he looked like an idiot, and then in his own eyes, which is a shame, because first he falls over the bar, then you enter into labor, and then you turn out to be a

man, he just left by. what i had, therefore, probably, i will repeat, how did we start living people, we, probably, so to speak, uh to fight something here with many things come, but it is necessary initially, again, you understand, only with age. well, if no one then explained, if someone then explained, but i have already drawn direct conclusions. you know something while driving, here are road 40, when people still have enough for weapons. i'm a lot of myself. i reassure, i understand that different people drive differently and emotionally differently, but why would i risk my someone else's life, uh, even with a well-known physiognomy jumps out of the car. although sometimes dark in eyes. i'm already learning to hold back, but you know, it's better to learn. it should have been 40 years old, are they 65 or how many are there? well, better better better late than never. i don't know something. you have learned from it have not

learned. i know that many people agree with me, but to agree is one thing to learn how to act like this oh it's completely different. i'm trying not to learn, but i can at least advise you to do it. in general, let's treat life correctly. we must understand. you know how one book says everything in the world is dust, except for your own peace of mind. overhaul so said the lieutenant of the imperial russian fleet. here, although the time was the most restless, it had the right attitude to life, then everything will be fine for us and for our loved ones, the doctor. we ask you questions to answer to this form of submission of information. who will try their hand today? do you know why you raised

your hands as we nodded? so come here. your name is hello doctor. my name is ksenia ksenia what does operator 2 2 do? do i need to take enzymes to improve digestion? and also increases appetite. here in a child with my poor appetite, we were recommended to drink enzymes. he 's probably more to someone with a good appetite. here you ate like here we have a spectator. she sent me a photo of how she devours pasties in the crimea. here you ate pasties. it can’t take you anymore, it can’t take them, and you drink

enzymes for the purpose, i can’t digest it myself, but now the enzyme will help me. although this is also naive, of course, it's unlikely to increase your appetite. well come on so the elements to take you can hope they are here they will do something, we are all, as always. all as always, the place of the burn can be smeared with vegetable oil? but i would like to know your opinion. so to her, my opinion about enzymes, there is no place for a burn, we don’t smear anything with sour cream. as they smeared me with vegetable oil, they only worsen the condition, but contribute to the infection, which means when the burn. when everything is normal. it's just a dry bandage clean. and you can, on the contrary, treat it with an alcohol-containing solution. there is no need to apply vegetable oil. like forever did skimmed milk is healthier than fat milk, because e

fats have a bad effect on our body, therefore it is desirable. even low-fat cottage cheese and milk, respectively, are also low-fat. well let's do it. and actually i myself that's all you said for many years. just when i remembered several times that now nutritionists and nutritionists have moved away from this. in general, they are la - studies that have been carried out a lot, and colossal studies are underway on milk, because someone says that this can provoke. even prostate cancer. someone else something, someone else, on the contrary, that it is, so to speak, an anti-cancer effect , someone says that vegetable fats have a bad effect on blood vessels. that's all summarized and they say that the recommendation of skimmed milk is not very justified, but we do not have data to recommend full-fat milk, so hmm, so protecting the mother from the answer, as correct, but, but

there were two and so let's you. let's ask one question to choose from, answer correctly, that everything was honestly good, what we have here. but i am not guilty. is it possible to eat before going to bed? no, before going to bed, it’s definitely impossible to eat right before bed, because you want a very big load on the digestive system. yes, but you have to fight well. further in the program, the metabolic syndrome is why obesity is dangerous. elizabeth, all series, we are already old enemies, so it’s useless to hide something from each other. i wanted to offer you the soyuz

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another interesting evening awaits us. don't miss the evening with vladimir solovyov today at 21:20 on the good morning russia channel. hello, every fifth person over the age of 30 has signs of metabolic syndrome, and metabolic syndrome - that's a violation. glucose literacy and being overweight and prone to hypertension and unfortunately, an increased risk of cardiovascular complications such as heart attacks and strokes. today we will talk about what metabolic syndrome is, our tv viewer oksana turned into a window. let's find out her story, come to us, please, good morning. hello oksana tell me please, you, uh, compared to that. for example, how 10 years ago you , uh, began to eat more. yes, for some reason i fell in love with sweet pies lately. i bake them

myself and try to refrain, but oksana know what i do to refrain from peaking, you never added all when these problems appeared. did you know any tests were examined. yes, i visited the doctor, as in the form of a medical examination, to find out the general condition, but i didn’t find any problems at all. the doctor said, i should lose weight, well, i should, in order to figure out what is happening with oksana, i want to invite professor doctor to the studio doctor of medical sciences endocrinologist valentin viktorovich fadeev valentin viktorovich fadeev endocrinologist professor doctor of medical sciences director of the clinic of endocrinology corresponding member of the russian academy of sciences. good morning. good morning flower valentina viktorovich and tell me, please, why is it so important to know

the metabolic syndrome? do you understand? what is it, what is it dangerous? well, to be honest, it's, uh, quite old and not the best term. but he just creates a certain aura. here is such a mystery. now it is being reshaped into a different concept. that is, as it were, a chronic disease associated with obesity. this can lead to many problems and end in generally sad cardiovascular problems. as you said, well, let's look at diabetes mellitus first of all, arterial hypertension , progression of atherosclerosis, respectively, strokes associated with this heart attack, respectively, associated with this dementia, that is, impaired blood supply to the brain and impaired functioning of the brain, oncological diseases, polycystic ovaries and hepatosis fatty hepatosis of the liver, which also entails, yes, entails quite a lot. believe me, the number of problems that gastroenterologists deal with. i really want to avoid all this, yes, to the question of the system of forming

moments. here's a look if i'm going to act on diabetes. it won't help everything else. if i act on uh, so to speak, fatty liver or heart attack, it won't help everything else. the only thing that can help him immediately is obesity, so yes it is the body, that's why it is taken out, here as a chronic disease, associated. obese, and vodka is the first diagnosis of metabolic syndrome, probably, and every person. maybe, in principle, to suspect this problem in yourself, very yes, very simply by doing one simple iteration of one simple thing. this is measuring the circumference of the waist, oksana embrace yes 108. uh-huh valentin viktorovich let's say what is considered new, because you know the criteria. yes, of course 80 cm for women 94 for men. well, yes, we are

not upset about the volume of the waist, but you see how it turned out that it should be smaller not for beauty, but for health. the fact is that this is a variant of male obesity, when the tummy grows in women, so to speak, in the abdomen. uh, fat deposits are more likely to build up after the ovaries stop working. yes, that is, after menopause, this is exactly what is associated with visceral obesity, that is, exactly. this is combined with cardiovascular risk and the risk of a number of other diseases. that's the problem. obesity is precisely of this type, it is really difficult to reduce it, but wow, i still have to, nowhere. we won't go without my favorite motives. these are physical activities. and this, of course, is proper nutrition for any load. if it will be here is any, choose for yourself which one you are ready to carry out. start with what you like. and what do you like about hunting, i don’t know, walk the dog , walk the dog. if you like e

to play with children with grandchildren to run around there is something to do. yes, for god's sake in general, uh, the modern one does not have them at all, so it would be better to say that it would be better to pass. stoke it over this the request for many is generally at least something at least somehow. and if at the next stage, of course, here are these dumbbells. let's see what metabolic syndrome can lead to. if it is not dealt with, if it continues to progress, it is still a violation of the structure and hair loss. and, of course, changes in the structure of the skin, especially the skin of oksan's face. you yourself noted that. yes, your hair began to split worse than steel, and suddenly pimples suddenly appeared. yes, yes, and some kind of skin has become more oily. here plaque happens and happens a well-known manifestation of obesity is a violation of the ovaries. yes, that is adipose tissue. she has an exchange of ester sex hormones.

that means being overweight. uh, the ovaries can disrupt the work in such a way that there will be a relative excess of androgens, and this leads to these phenomena of such sybaric dermatitis. yes, that is, as if to the phenomena that they call acne, or here it is also beautifully drawn here and this is combined with oily skin and the corresponding changes. uh, hair there is another point that you oksana drew attention to. this is fluid retention. show off your ankles. it's really morning now. with us you talked about the evening, but already a little. well, here it is, here it thumps. yes, such a hormone as our insulin contributes, among other things, to the normal functioning of the kidneys, and when, unfortunately, there is a violation of the synthesis of this hormone, that is, it is produced irregularly and not when necessary, by the way, also endocrine you know, yes, yes, yes , then vitamin d works and, accordingly, can occur in

including axax fluid retention, but what , unfortunately, you know what a vicious vicious circle is, it can be difficult to resist. well, you see, i want to say this is great and say that it, uh, should be thrown somewhere. it would be too naive and wrong. i want to say the following. think what can you eat for yourself? to say you don’t have to refuse everything, you don’t have to put on a show with the fact that you sit on the water. think about what can be eaten, not three, but one think about what exactly, as we said. pick some physical activity to get started. just think what you can limit. and really what is the easiest way for you to limit. now, if you love, pies, no questions, well, give up, then you understand from bread from potatoes from pasta, in fact, if we even give 10 recommendations, we implicitly understand that if a patient fulfills two out of ten, he will already begin to lose weight. you see, the first step oksan thank you

very much for coming to us. i hope you listen to at least two of ours go here advice and feel better. the main thing is to start. i know what i need to do and in what direction to move for this i am very grateful to you valentin viktorovich thank you very much for today's consultation, my friends. but now i'm ready to answer yours. thank you for sending your questions to our e-mail, and today olga from krasnoyarsk sent us her question. let's see. hello, doctor. i spend almost all summer with my grandchildren in the country. they are very active, mobile, they ask me all the time run to play. and i'm already at the age of joints aching recently, the pressure jumped to 160 prescribed tablets i drink periodically. now them. tell me how dangerous physical activity is for me.

thank you olga said a very strange phrase that she periodically drinks blood pressure lowering drugs, they prescribe them to become easier and cancel them. well my friends. let's immediately decide on the choice, and antihypertensive therapy. it is quite wide and will be determined in this variety of drugs, of course, only a doctor blood pressure needs to be monitored in order to understand how much. effectively, the therapy regimen that the doctor prescribed for you again, with regard to physical activity , physical activity for a patient with stable blood pressure numbers with someone who takes regular medications is not only not harmful, but also useful, this can be a game with grandchildren a game with grandchildren - this is a very serious physical activity. and it can be swimming with grandchildren in the pool or without grandchildren. you can still play badminton. you can play basketball, you can play

football. great with grandchildren too. the main thing is that you move, that is, any children's games will do. in general, grandchildren demand variety. they demand to be played with and tennis balls and rackets and many, many, many feelings. all day. moreover, for this you need comfortable sneakers, comfortable sportswear, and you, by the way, and your grandson. as a grandmother, i say all the necessary things. you can order online on the marketplace with a wide range of products just download the application on your smartphone and you can make purchases online, you can pay for them online and you can order delivery, they will bring it all to your home or even to your country house, especially in the warm season, your legs need a special move and therefore your veins are beautiful and your legs are just let's start your morning and end your evening with the green, toning vein gel from

the number one brand horsepower with chlorophyll , always have horsepower gel ready. my friends, thank you for your questions. prepare new and do not be ill. and we wish you a good day and good mood. be healthy. with you there was a program about the most important thing. the tv channel russia goes on air to lead all viewers. greetings, i am maria, hello lpr. people come out of the cellars and are waiting for humanitarian candles, they were sold for 45 hryvnias.