cauda equina syndrome hurts just like that. here the joint begins to inflame. what food is best for the hot summer period, i went out. i think i'll die right away. there, in principle, there is nothing but fiber, fresh blooming for six months, impotence has passed. sexual hyperactivity is no longer absorbed, bald domestic physiognomy. and there's definitely a call for exercise intolerance syndrome. are you cheating on me, who is not without sin. let him be the first to throw a stone at me. yes , you belly and then he chewed in the morning. cheers cheers i defeated tsoi sulfa well zero tries the exercise like this good morning says and shows dr.

myasnikov and you are on channel russia 1 at my clinic in belarusian. yes, this is a clinic, but still, this is television and i have been for many years. now they teach that the main thing in television is intrigue, so that a person takes it and thinks, what will happen next with my cart with a stone? why should she think further, let the intrigue, as long as it persists. and we hope now we will talk about very interesting things that are important for you, i will try not to be bored, getting started. simple truths and all of them today will touch on all three dangerous symptoms. we all have some pain. and if you pay attention to it, like this, then you won’t want to live and there will simply be no time, but at the same time we cannot miss serious symptoms. so if she's number one what are the red flags for dangerous headache symptoms. everyone's head hurts if i can't

imagine people who have never had a headache, and in 90% it's skeletal muscle pain. here is my head, ah, here is around it many, many muscles of the fascia of the ligaments. so, what is all this skeletal muscular god, roughly speaking, osteochondrosis. as you like to say, the remaining 10% is a migraine. this is a cluster headache. if migraine is more vascular in quotation marks, then neurology. but when we say you need to go to the doctor to get checked out to do an mri of the head to do everything because it's usually a routine. we never send for research, because it can be seen with a migraine with a tension headache, and an mri is a scanner. or computed tomography with a roll score nothing, but if you have a headache, just like

these for the first time in your life. here it is splitting, i wake up as usual, as the doctor says. it 's a pain you've never had in your life. it feels like she's cracking me up. it hurts right here. here you can say you know it turns out that there is actually a threat here, because there is such pain, that pain that intensifies when coughing with a change in body position, that pain that is accompanied by neurological symptoms, but not the same as i am now depicted, but the nasolabial fold hangs, hand weakness and so on. all this can indicate that inside or they are harmful to the vessels of the brain, congenital ones can die from this. this is a sign that it is about to rupture , delamination, or there is an increase in intracranial pressure as a result of a tumor, a hemorrhage of some other process. that is, it is always serious. and therefore, if a headache

falls under this description, plus if it occurs in a child under 5 years old, or in a person over 50 years old. this a brain tumor is also suspicious, because in children at this age they are especially pure truth number two. it's back pain when you have to go do research too. rt when you need to go to the doctor, the lower back hurts in all vertebrae disc herniation - almost every person has it, far, not always, it is symptomatic. and if a hernia compresses a nerve. yes, it hurts, but we don’t even do x-rays, even if we do rt, we will see a hernia, what can we say, and everything is the same gymnastics physiotherapy therapeutic procedures, and decongestants for pain relief. well, sometimes especially enthusiasts are sent for an operation so that, in principle, there is no need to do routines, but what is really happening there? this is where the spinal cord ends and a hernia of the spinal cord

cannot touch the lumbar region in any way. but what could be? this is what we call a equine, the tail has ended with the back of the brain, but a bundle of 18 nerves passes here. if i'm pinched by a hernia, one nerve, your leg starts to limp, the other one starts to give it to your thigh. it's normal, it's passing, but it happens so that all 18 nerves can be compressed. this is the so -called cauda equina syndrome, and then you have numbness in the perineum, a problem with sex, problems with urination, problems with stool, and your pelvic organs stop working. and it's urgent. that is, urgently reveal otherwise all this may become simply irreversible. therefore, if you have even the slightest pain, but this numbness, if you have problems with what i said, this is a reason to urgently go to the

doctor, because an urgent operation is just needed here. and the third is joint pain joints again hurt very many, and pain in the joints can be of viral origin pain. in the joints may be accompanied by viral. uh hepatitis, b or c joint pain is a classic manifestation of an illness such as ulcerative colitis or disease. krona in many cases, joint pain accompanies some kind of disease, or it happens by itself. but you know, when in america i thought about continuing my medical education, i passed the ordinate. i thought about becoming a rheumatologist, and i was interested in it. i went to the interview. well, i didn't succeed. you know, i really had a fight with a person, because who interviewed me, so to speak. he says, yes, i know your russians and you always do some kind of nonsense, then you just have to come to

the symposium, so to speak, to show off. i tell you, in general, the whole person consists of potassium, sodium and calcium, and everything in the shower, do not look. what are you treating? are you treating? just show or well, that's how we talked to him then she asked him what he did in africa. i say yes we supported the communist regime. he is a naked mozambique. he said, and we were just trying to refute it. and i say, well, gotcha, it's not there. well, not to talk like that. well, that's why i didn't become an armatologist, i returned to russia. but there are rheumatologists who are on duty. a heart attack there is cardiologists, there are enough kidney neurologists, but there is no rheumatologist, except for one acute one. purulent infectious inflammation of the joints, when the joint is swollen hot, it is urgently necessary to do the function of evacuating the pus. you know what it is. i marveled at such a gift man

they brought the doctor a bone to suck on, he was also surprised. it turned out to be made of chocolate, seriously. here the joint begins to inflame. it swells to blush, but here it turns yellow under the influence of warm air, the situation is sad. nozzle don't wait swollen joint, red it hurts it hurts promotion hurts when pressed urgently to the doctor the function is required to look take to see how many leukocytes are there, because it may be acute purulent arthritis, which requires an immediate solution, by the way, the task on the exam for obtaining a license guy , 20 years hot red knee. what is the diagnosis of gonorrhea? no , really, reactive arthritis on a minor infection has

gone classic. that's so okay gift. we messed up, only white scale, on the outside, generally tasteless chocolate should be dark and contain no less than 70% cocoa so with simple truths. we finished what we could we destroyed, what we could bite and move on. lunch time and the secrets of food i repeat after porthos lunch is one of my favorite meals. we will now talk about which yes is best suited for hot summer period, what to eat in the summer, if something us on the surface, such as cold soups. yes,

cold okroshka is tastier, whoever watches our programs remembers how okroshka was prepared or, let's say, my favorite herring. well, why, because it is believed that we sweat a lot, we also lose salt. beetroot, so if you say so, in the summer a little more salt, again cold soups, again a little less calories. because our livers do not need to heat us up, the basal level of energy consumption decreases by about 5% per kilogram of weight. everything, this is understandable. let's remember. how the population of the planet earth lives well, yes, we muscovites played the inhabitants of murmansk and our beloved khakassia, siberia , we have been living, probably, for 12 years, but here the summer is arselok

20 degrees and 25. well, 30 is generally the end of the world. it's hot, can't breathe, we're under attack. how much to drink journalists ask how to escape from the heat. in fact, billions of people, most of humanity, live in plus 30 on their norms. by the way, i was somehow in the rub exactly when it was plus 56. i went out. i think i'll die right away. well, judging by the numbers no really. you can walk, you can stand only if the breeze blows with a hair dryer, it dries you, well, in general, you can get used to it. what i want to say first let's go from the opposite what we do not need to eat in the heat. do not eat ready-made salads the principle should be very simple in summer. it should always be, but in the summer you inevitably cook food. now for

now no pots of borscht brew the next day tastier no meatballs for tomorrow nothing like this how much? maybe you can eat families, let's say four cutlets. you fry we are 4-5 years old, we don’t cook anything in reserve, we don’t buy any salads, we don’t prepare ourselves. you know, it's a certain amount of time ago, working in america. i used to come to brighton for olivier salad and other russian salads. there was a saleswoman who had a very good relationship, which i helped. and she told me alexander do not buy salads. this could end badly. i did not buy, but people are standing in line behind them . you always need to have friends in the store about salt and drinking regimen, yes, drink, you must feel thirsty. how much you want to drink and how much

you need. no need to push. no need to artificially shed yourself, but it is clear that you are sweating. you are moving. you have increased heat transfer and do not necessarily sweat. you inhale more moisture with the inhaled air evaporation. from the surface of the skin we salt and so we eat twice as much as we should in three put 5 mg of sodium chloride. we have 11-12 mg in russia, so we are going like that. with what an excess, therefore, even if we drastically limit salt, we will have enough for everything about everything, there are good opportunities and there are seasonal fruits. understand a simple thing. that the maximum benefit of vegetables and fruits is where they grew, and you plucked them over there plantations, for example, apples. i know why all this strawberries are torn off the floor, ready-made

green ones are taken to the warehouse there, they ripen, then they are sold there, in principle, there is nothing but fiber, no vitamins, no polyphenols, nothing . why is wine made? here in the hut? yes, it says produced and bottled the same grapes. where it grows, it must be quickly suppressed there, and there must be poured into a barrel, and not be conducted. god knows where to screw with vegetables and fruits. the same story. why are they now trying not to bring vegetables, fruits to the consumer. you understand that it will take you, that just a piece of cotton wool is good, but to put fruits and vegetables, processing plants right next to the plantations, because i made fruits, i processed i sent i made vegetables i processed i froze i sent them, so frozen fruits, vegetables, they are also useful but in the summer you have local opportunities.

come on, it's a strawberry. it is much tastier than this beautiful potato, everything that you pick corian that has grown here it is all extremely useful. why very well, let's say, in the same france, the culture of the locals. wherever you go, there is always such a local production place, for example, lamb, you know, only in one place, probably in the world for sure. there are where they make lamb salt marshes. i never understood the counts of the three musketeers as porthos used to say d'artanian. and imagine you tried saline pasture mutton. i read what he says and then got. normandy there are red borders and there is a tide ocean water floods the discs and the low, almost swampy shore and then the tide, that is, roughly speaking, the grass is watered with salty sea water and

sheep, and there are many of them grazing eating this grass, soaked in sea salt with iodine and so on, acquiring an absolutely incredible taste that you can’t buy it anywhere outside of this place, but in china, that’s where . let’s say you live in a garage, which means there will be bats. yeah, they will be mentioned at night. uh, beards and all sorts of things that crawl and fly there be used by the sea. so, it will be sea urchins, seafood and so on. well, and so on and so forth. that is, where you live, then eat now the season of vegetables and fruits, it's all around us, it's growing nearby, please, raspberries, whatever you want, eat and imported imported beautiful. i don’t know where the avocado from israel came from, these big royal mangas, but once again it’s expensive and beautiful,

maybe even the icelandic only benefit is not particularly useful for our unsightly strawberries from the garden then it ’s more useful than all this glossy beauty. you, by the way, the apples in the refrigerator never forgot the purchased ones. i somehow left for six months, returned and opened the refrigerator there an apple. fresh blooming half a year has passed once again nothing should lie more than 30 minutes on the table for 2 hours inserted, no matter how delicious it is, throw it away without regret. we are going to exercise break. if someone wants to review how i eat platform look. is this an app or a site we watch.ru? you know, as luck would

have it today entered the back never entered today. further, the consequences of the postponed covid-19. why coronavirus causes loss of energy and insomnia gluten-free diet, how effective is it, and who is it completely useless for? diffuse changes in the thyroid gland, what they warn about is impotence coit, sexual hyperactivity covid is no longer absorbed by tsh nilazit tsh nilzei, bald edematous physiognomy. and there's definitely a goiter syndrome of exercise intolerance. what, you cheated on me? ecology well, because this is about health several times a day, an absolutely natural product chicory

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our existence, everything is so memory helps. we live the process of cohesion of society to build to raise children. we are counting on the support of congress in the matter of supplying modern air defense systems. kiev needs a nato caliber to kill civilians. everything will be fine. this, of course, is hard to watch, how we oppose that with the attack on slavyansk and sergei shoigu at the front. what tasks should the minister of defense set during the inspection in terms of that america has become funnier bad news, it scares porn scandals in the us presidential family and a nightmare in the economy. in germany, the population is preparing for

the coming catastrophe of security and applies to all of us who have taken aim in the russian winds. they also bring victory closer, give war. you need to be for your own, our artists go to combat positions. what they sing and compose verses about today 20:00. thank you for watching, russia 1. thank you for staying with us. and we are going to answer your questions. in the heading easier than a lung. my name is natalia i am 53 years old. i am proud, damn it, of the bryansk region, i have been worried about

sleep disturbance lately. i began to wake up often at night then, unfortunately, for a long time i can’t fall asleep against this background. i have appeared. uh, dizzy spells. i think that these are the consequences of hamid, as i suffered a mild form of havit in february. please tell me, can it be without my insomnia of the last kind? and what should i do about it? i think that you, of course, will advise you to contact a specialist somnologist, but we have say small such specialists, unfortunately, we do not have and it is necessary to go to the regional center. therefore, i would like you to advise me something and give some practical advice. thank you. see which one you remember with me. throw styopa, you understand perfectly well that no pyramidon will help you, it is clear, of course, when the body works interconnectedly like a clock. if we, for example, remove some link, it

will already work. not so, may be related to the code. do you know how now you can tie everything to mind, impotence coit, sexual hyperactivity, increased drowsiness reproaches, reduced. e propensity for bone kaid, that the left knee still itches, the right covid burns. well, the truth is that covid was now itchy. previously, it didn’t seem to be scratched or itched, but somehow so imperceptibly. well, i'm ironic a little, because to stay after the action, of course, as after any infectious disease, but who was seriously ill with the flu before? remember for months you didn’t come to your senses and then there were all sorts of complications of the same syndrome she more and neuropathy and myopathy cardiopathy and pericarditis and encephalitis and all. it was the flu. encephalitis there in the matte bar. and there are holy galaviruses and so on and so forth. that

is, it is normal. this is normal, but for viruses , it's normal to get sick. after that, it 's just now that's a lot. and here you are, plus. we still all this, as always, went likes to exaggerate, therefore, i suggest everyone not to think after the code. what 's the difference to you? you've already been sick. if they want to expose you, they will start. you see, they didn't get vaccinated, therefore, they are now suffering from illness, then, probably, if such an idea, then it is of course, but if we just have a medical approach. i think i can see that you are not the healthiest person. yes, you are there as much as you said, 50 years old , you can see clearly a large body mass index. i would check the thyroid gland, because you have a tendency to edema lowering the behavior of the hair, i would definitely check the thyroid gland. i'd like to see what's stopping you from sleeping. what is your lifestyle when you get up, when you lie down, and not bother. i myself have some kind of heartburn that interferes with

sleep, which in general, because in principle, i will not send you to the doctor with a vlog. that's a banality, then we don't have enough somnologists for everyone, where to find all the teeth, that's unemployment. you don’t have to look for a somnologist, but you need to establish sleep hygiene, go to bed at the same time, get up at the same time, and don’t eat at night, do physical activity, eat right, it’s very important to check. don't you snore to snore. well, something like this is the main one. this is a separate story, move on. hello, doctor. hello, alexandra i am from the city, shakhty, rostov region. i keep a healthy lifestyle , go in for sports, sit at my diet. more and more people are looking at a gluten-free diet. my friend switched to it a long time ago and was satisfied, but i'm not a supporter of watching just reading reviews on the internet. it is important for me to get the opinion of serious experts. so i decided to ask

you, please tell me how you feel about biscuits on the water. you don't know. i don't i treat myself as a disease. this is an autoimmune disease that affects approximately 1% of the world's population in which here is the gluten protein that contains cereals, well, bread causes damage precisely autoimmune triggered by antibodies. starts to chew on. uh, the small intestine is the villi through which so many nutrients are absorbed. but they begin to become empty, because the antibodies begin to attack him with naglobulins and, accordingly, what should be absorbed, for example, iron, is no longer absorbed. let's say calcium and so on. therefore, such patients

develop, iron deficiency anemia develops, acute in roses, then with the fact that here the bodies are also attacked by others. e cells, for example, of the pancreas , type 1 diabetes, insulin-dependent, and a problem develops, with the thyroid gland, and so on and so forth. struggled with the problem that a lot of people with this disease ceased to face themselves after the war. and here he is then i found out that it just is. it was nothing, there was no bread. they willy-nilly moved so with us an overlapped diet and called. well, as soon as he recovers, it is not treated, at all. it's easy, like going on a diet, and everything will increase. from this it is impossible, but to healthy normal people. but i, for example, do not eat bread, because it makes me fat, generally my favorite. someone's product is bread, i tremble when i see bread. i'm just trembling. and

if there is a smell, god forbid, because i can already lose my willpower there, but so to speak, there is still them not so that not over weight or not getting fat from this then, eat for health. you are gluten free. well, of course, refuse a high-calorie product with a high glycemic index with a very high content of salt, sodium, chlorine. well, that’s why you feel better, it becomes better in the country and you have less swelling, and so on and so forth, but yes, it’s not about weaving, but you just have restrictions, because any law keeps and says. if you want to lose weight, give up bread, there are special tests that we can determine these immunoglobulins, and gluten, according to which we can be inclined, but this is already for patients, so let's move on leonidovich hello, my name is nadezhda i am from the kursk region. i am very glad that i have the opportunity to directly ask you a question in the way you think. i really trust. not so long ago i had an ultrasound of the

thyroid gland, and the conclusion says that i have some signs of diffuse changes in the thyroid gland . please tell me, should i be worried and treat or is it enough just to observe, thank you in advance for your answer. let me at least tell you, i won’t talk to you without meaning, but now i became gray-haired, you see, and he ’s bald while i’ve been repeating to you for decades from all screens. ultrasound is not a method. thyroid research. this is not the first step. if you have symptoms, the first step is hormones, he knows that for sure. by the way, she has symptoms of an insufficient thyroid gland on her face. you see, no, eyebrows bald edematous physiognomy. and there's definitely a goiter, 'cause he's

probably got it, but it's in the middle. remember more once. i won't be lazy. although, to be honest, the enthusiasm is already gone. if you want to check the work, the thyroid is the first. what are you doing? see hormones. everything but hormones are important things you should know about thyroid hormones. so i will not speak now as an interpretation, the second only the second. this is an ultrasound when we are looking for knots of pluses or something, after all, what happens to you, you just found it. there is a very moderate diffuse increase. this is generally about anything a healthy person. well, considering that we have almost more than half the population lives in the area of ​​iodine deficiency and think, by the way, taking iodine to drink and buy is a

separate story. we find a thyroid nodule in every second person, and then we don’t know what to do with it, and then we still need to make hormones , and depending on this, this function is already needed, and so on. that is, ultrasound of the thyroid glands is not the first step in the study. whatever the pathology of the shields. remember, taras forever. if the doctor tells you. let's check the thyroid. it means blood on hormone tsh if you talk to the doctor doctor. i want to check my thyroid. he should not send you an ultrasound, but prescribe a blood test for the tsh hormone. well, repeat the tsh again, it won’t change the ultrasound of the ttgen and they say so, it’s a genius. it 's rotten. not ultrasound ttgey. okay, we're moving on.

our virtual topic is what kind of chronic fatigue do you think, why is it going so slowly, because you see, it has a goal. she was tired. she barely moves. in fact, turtles are very, very mobile creatures. they can run. so when i i was in the galapagos there turtles. by the way, i saw john the last turtles that lived for more than 100 years. before that, he had a couple. i had a t-shirt with these two turtles, and he says to his wife of single wives a turtle. what did you cheat on me now that they are moving fast. by the way, they are born without a sex, and their sex only manifests itself later. if i remember correctly, they explained to me at the darwin museum

because darwin just participated in an expedition to the galapagos and did a lot of things there. come on, we we will put her in her place, otherwise she will fall poor. she can even split. eh, armor. and, by the way, split the shell. these are eagles hunting turtles. they take the turtle up and then release it. it falls on a stone and breaks, then you need to look on the internet or see for yourself some ancient greek bald philosopher. so killed the eagle raised the tortoise. you see it is a shining stone. snow hit the head, tortoiseshell, pashka got all the dead became. who remembers the classics so chronic fatigue, mind you, i'm not talking about chronic fatigue syndrome. this is a separate situation. when i say, oh, i have chronic syndrome. say this about fatigue, you know, i have cancer of the fourth degree, because this is a separate nosological unit, by the way, fortunately, it deals with a very small percentage of

all fatigue. actually. every third patient who comes to the polyclinic zhenya in one way or another complains of fatigue as a symptom. yes, this is not always a symptom of the main leader, but every third complains to one degree or another of the fatigue inability to carry out work. each of us gets tired of the question. is it a symptom of some kind of disease, is it the disease itself, or is it just that i'm already tired of everything. i'm already tired of you all i can't do it all. there are certain criteria for this, how to assess fatigue, and we understand how to move, because if acute fatigue is one thing, when we talk about chronic , it should still be 3 months. it should be at least three months, because if you don’t know, you’re so tired you say, well, probably to the types yes, i was sick, well, you have this or there after the fireplace something. and this is understandable. she also decided to

change my life for 3 months. something i can not pull, everything falls out of hand. here you have to think. it could easily be the cause of any kind of heart failure, liver failure, whatever you want. uh, lupus information diseases, that might be a symptom. if people say that i ca n't complete some physical activity, i can't. so i started and got tired. and this is usually a symptom of some disease. and if he initially says, yes, i can’t and don’t want to. at even get me up. i don't want a bed. this is either psycho-emotional, or really her chronic fatigue syndrome, or to other forms of fatigue. and by the way, a lot of medications can lead to fatigue, which we all take, we'll talk about this a little later. so let's still decide what was clear about chronic fatigue syndrome, it has certain criteria. why no one knows this,

but it was called the lacoste syndrome 100 years ago soldier syndrome people who, after fighting they came. they had apathy, and so on and so forth, not in plants, then in the fifteenth year. it was a syndrome of intolerance to physical effort is closer today it is called in general. i went to the countries with the phrase either to pronounce it or not myological encephalo. myelitis agree to say i have chronic fatigue syndrome is one thing, but to say that i have miological encephalitis is quite another. this suggests that this is a serious disease that has no cure. what are the symptoms and criteria, because the mass varieties of fatigue that are not a manifestation of any disease, but do not fit the syndromes of the first? it must be sudden or

fairly rare onset, and fatigue is not easy. here you are, this is the beginning from childhood. fatigue altering quality of life second why it was called exercise intolerance syndrome exercise? they worsen the situation, they don’t improve, but they worsen when you are tired, when you are depressed, when everything is boiled out of hand, what do i do, i start doing physical exercise. well, now we will move on to them and, by the way, will pause. and so i do. further, about what health problems the feeling of constant fatigue warns and how to deal with overeating tips for those who can

not control their own appetite, the heart, so to speak, wants to live. have you had in the last 2 weeks a feeling of dissatisfaction with what you are doing by not wanting to do something who is not without sin. let them throw the first stone at me. yes, you belly and then called out to the morning hooray hooray i defeated tsoi well zero to try the exercises. these are the aescusan helps to eliminate the five symptoms, varicose veins, health trust aescusan information programs are many such one as the man who planned the coup d'état when the west was not embarrassed by anything. we have been preparing for this since 2014 , everything admits. and how some experiments are being carried out on rats, but they accuse russia of starting a war, it is time to thoughtfully

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revise the platforms, we look at the application or the site look.ru. we continue about chronic fatigue and about the fact that the second ghost physical activity only worsens the condition. i definitely don't have her. i just have lazy mother, i worked out eyes burn shortness of breath appeared. my heart is beating like i want to live. but if you tightened up a couple of times, i’ll do something, you feel completely bad. this is the second criterion. the third criterion is a bad dream you wake up and tell me how the tractor moved. i don't get enough sleep, i woke up completely broken. well, there must be three of these criteria, and at least one of the two is the first additional one. impairment of cognitive ability decreases

thinking cognitive ability, when you start to forget things you pick up words. well second orthostatic hypertension when you get up abruptly , you feel dizzy, can you fall? you understand how unfortunate people they lived, they worked, they acted normally. suddenly they turn on, weakness. they can't do anything. they cannot load. they don't sleep well. they don't think well. they go to the doctor, the doctor asks, makes one king, the third analysis removes the secondary cause, and says you know. but you need to go to the psychologist to deal with the connection group no. yes, we understand that this is a disease. yes, you are not a simulator. you are in a group of people with this disease. we do not know the reasons, there is a genetic predisposition, since someone thinks that immunology is here, someone is talking about

autoimmunity, when our defenses begin to harm us. in general, the dark treatment is not subject to a big deal. unfortunately, therefore, chronic fatigue syndrome or biological encephalitis. and myositis is a separate unit, what happens in the middle? is there one symptom? no, you do n't come here anymore. at the same time, you have nothing finds. then we just say idiopathic fatigue, but here everything is already easier, because with it, of course, it’s easier and in it, of course, it’s mostly depression, in general, all these fatigues. it's basically depression. you know, it's a very common m-m. state from 9% of japan to 17% of america well, there i can be wrong by a few percent. we have in russia among chronic patients. i was just at a symposium for chronic patients with something of hypertension. there are lighter things in there.

this is up to 40%. in fact, to identify chronic depression in the case of general practice to ask only two questions. in the past 2 weeks , have you had feelings and satisfaction that you are doing something that you do not want to do question one and question number two. have you had a feeling of hopelessness and hopelessness in the last 2 weeks? you answered yes to those two depression questions. and this is very often the reason, but these chronic fatigue, as i said. let's see what diseases. there are two illnesses of which chronic fatigue is simply that the leading symptom is borreliosis disease. lyme here you were bitten by a tick. in june or there in august, and in november december, this turned off for you, you can’t walk, you’re tired. you have patya, you can’t move,

you can’t start to force yourself to take the first step, all this is falling out of your hands. you can’t check, maybe for this reason the second disease with such symptoms is systemic lupus erythematosus, by the way, you know that a lack of vitamin d is prohibited, so if your whole body hurts, your whole body, widespread muscle skeletal pain in combined articularity, this is a sign of gibbenonosis lack of vitamins d well medicine. what medications do we take? many hypertensions take beta-blockers around the world. they've gone from first line hypertension treatment down there to third line for just people with coronary heart disease, but that's all that ends up with lol pro on lol metaprolol and so on. on lol, everything ends on the forehead. these are beta blockers. here they can give impotence. they can give a feeling of chronic fatigue. it's not only they are anti-seizure. uh, drugs. like this gababin

tranquilizers, what is understood chronic fatigue? it may also be part of somatophoric disorders that used to be called psychosomatics, because you know. as i gave an example a person can die sick, but under bullets , you know, as they say, i will never. in general , i am with women one of which she was so tired. oh, africa to me, probably, i have malaria then i can't do anything. here we are working with her. lisa on the second floor. that's the whole brain took out. and i had a car in general was a minibus. sasha take us to the market. well on market there to buy things there are sold there in stock and so on. well, we went to the market, the woman dispersed, and i was with her at that time. and

we were trading chicken for some, she had already given us a bay leaf, there was a alignment. a laurel pack of bay leaves was worth giving yourself a chicken. she gave and at that time the market began to fish. and the shooting started, everyone fled, this one also fell, but she didn’t. she says where is this one that the chicken is not supposed to because of the bags and pulls out says chicken. come on, like this then she didn’t give it, moreover a chicken, and there someone already threw a grenade, but it’s interesting there, there is a market in the middle. here is such a narrow narrow. uh, a narrow bridge, iron, all the pieces of wood have long since ended. and now you can only see such ribs, but i say, like thermopiles, i crucified and rested and do not let the crowd. well, until my woman all crosses over to the other side, and one of them they don’t have time to push me. well, in short, we got to the car . and here she is with chronic fatigue syndrome, like the first goats, and with chicken. she got the chicken. she retreated first into the car

villages. so all to what when it is psychosomatics. and they start shooting. yes, you also paid, but they didn’t give you, of course, you are capable of a lot, the topic is interesting, the topic is complex in it. need to figure it out. this is considered such a review, because, of course, it is difficult to exhaust such a broad topic in 15 minutes, but in any case, be more careful about the diagnosis. if health care fatigue. remember that these are myological encephalitis, a militus , and, by the way, it is possible that it is of viral origin, including the new one. and we move on. heading do as i do or in a different way personal struggle with mortal sins. this is the first column on this topic and let's start. we are from a very serious sin, the womb of the land. i will not eat this stone. but you know who

is not without sin. let him be the first to throw a stone at me. yes oh, there, that i have a chair, although i would like to exercise with it, or what? yes, heavy, by the way, so. yes, who is not without sin, but i want to say. what have i done this way? well the fact is that i have always been thin and when i see my patients. and i was in charge of ward number eight, not really. eighth chamber was hydraulic lane institute of cardiology. i spoke condemningly to people with such bellies. i said, well, why are you so full, they answered alexandra leonidovich live with you will be the same . but i don't believe. i looked at my trousers, touched my belly thinking it can't be. i ate a lot all the time, but i'll tell you to eat a kilogram of meat for me, it's not like pasta. but i'm meryl

eaten pasta pots no saucepan her nobody mishka who caries, saucepan. i'm eating pasta right now. and if i give a pan, but i eat once a year, usually the new year, allowing yourself to eat pasta, or in siberia, horns or fried potatoes, but also fried potatoes. it is trust me. well, half a bucket of potatoes, i'll clean this thing in lard. that is, i can sit outside the box a lot and i was like a pimple. with such a belly, when i ate just like a boa constrictor, i really do. he stretched his stomach to colossal proportions. once again i was thin, but i had such a huge huge belly, and then it was blown away in the morning. and all of a sudden he stopped freaking out. i'm fine here. but this what's happened? i have some ears at this

place. the very place grew up later. yes, i had physical strength, very great. i'll tell you that 40 years. who knows at 40. i worked at the embassy in france for 40 years. well, i stinged 150 kg of weight there , six times in a row, six approaches. well now, it's clear. now i won’t lift the maximum for once, that i recently lifted 45 kg, but i just don’t have time to train, but why is this now i know, if i lie down and press good weight, it means that i put on two kilograms of weight - this is strength, but i i stopped tying my shoelaces. it became hard for me to do this. there was a moment when i lowered my head and did not see anything. well, where well, because i became a belly, my neck began to hang. i began to rise with shortness of breath. i realized, no, i won’t go any further, i started

getting on the scales and i led my personal struggle with being overweight and i started 15 years ago. and what, i want to say. you won't win, is there no such thing that i won? hooray hooray, i did not win. here's how i did an experiment. i ate less than 1,000 calories and worked out three times a day for 10 days. why did you train like that? nothing, the weight stood you know, i fight for every shelf now. my weight was always 86, then 88. at 88, probably, for 20 years it stopped, then it began to go, 89 did not reach 90 and began to fight. my goal is to get to 87. i eat. like a bird. here, like a bird, i am every day. i pull up 100 times, and i try to keep within 15 minutes. every day i do that burpee, i try to invest in 10 minutes too. i do really

intensive. i walk the hall and you and the iron is nothing, so you have to stop eating delicious. no need eat delicious. it's all harmful any tasty harmful. here it would seem that in this sausage. i buy for dogs, they i come there three dogs. they start a hotel, a hotel, a hotel. i buy them, sausages or sausages, i put food next to me in a bag. but she already smells. and i haven't eaten since morning. i think i'll take one. i don't clean it either. doctor they're dirty. ha, i would your worries. well, in short, when i come the dog says, where are the sausages? dogs understand, look at the posts, return

the entrance meow-meow-meow, meow, he meow-meow, never buy in advance. it is not right. the most useful refrigerator is an empty refrigerator. do you want to eat opened no? of bread? no, don't buy no salt , no sugar, no nothing. or frozen, here i have two freezers. ira everywhere i go meat, fish. i also just don’t have to fool, then cook, but so that i put my hand in, take a piece, sausages, sit down, this is not. it is very important to eat little by little tasteless, yes, you need to please yourself, but calories. you must eat in a balanced way. you must learn to eat if you feel like eating drink water. if you feel hungry, try some physical exercise. you can

try these exercises. they showed you their mass of options recently. this is how to sit. we have little time for 30 minutes, then get up and you have to sit in this position for a very long time. sometimes after that you want to eat. and sometimes you get turned on and you just need to drink water. always have a snack, i have a carrot, an apple, a pear. i always have a bag of carrots in the car, i wanted to eat the head is spinning. i ate a carrot. it's easier for me. i wanted to eat, i cut the apple into slices, i don’t like it's not easier to bite them. crisps. this is human death, these cheeses. e calcium uncertainly a huge amount of fat and calories laid out to eat fruits, vegetables, fruits, low-fat meats. well

, what well, the tenderloin is baked from sausage, baked all the piece of meat. find food that suits you. and this is important to forget. what is sugar forget? what is jam? water tea coffee is all the liquid that you can take everything else into yourself. well, milk, plus or minus milk, who loves and can afford to exclude flour calories. if eat, then be sure to strongly signal porridge, buckwheat is legume. but you have to think about it, and the homeless eat. you know, i look at you and wonder. well, somewhere in the hotel i'm going to tomorrow. this is how they sit. here is a plate of five sausages something else bacon. he's sitting. that's where you eat it, you'll die soon. well, really in real life, how do we all go. you see what we eat. look what we eat, but this is horror. this

is impossible to eat. this is also not possible. but i'm just looking, here at the table. here for these fatty soups for this fat cutlet for this already potatoes. i love potatoes. well, let it be young, cooked just a little, think about what you eat, it's possible that i overcame myself. i say i love to eat the sin of gluttony for me. so to say it costs a lot, i overcame myself. by the way, i have been limiting for many years, and in recent months i will limit myself very strictly, and i have the right to say. it is possible to fight him, well, so let's fight, and i went. we'll meet you pretty soon, i hope you're by then, well at least think about how we would also eat less, it is very tonic. stop eating and your life will turn to you differently, goodbye.