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most important thing, we have been on the air for 13 years. i noticed someone endures pain because there is no time to heal. someone just tries not to think, and sores people live as if a draft is in progress. here, then we will do everything as it should. why most of us don't take care of our health yet. we didn't seriously get sick of the opportunity. everyone is different, often people prefer what is simpler to understand not cheaper, after all. although it seems to me health. most people have no one to ask a question due to the fact that there is work, there will be no time to go to the doctor and find out more about your health. that is why, according to our new tradition , the program master collects questions from all residents of russia right at the station all week. as soon as they come to moscow on their own business. i propose to start with these questions. well, let's

hear the first question. yes, the knee joint, it is already the third degree, the destruction of the knee joint is already underway, one knee has already been operated on, and the second one, i don’t know if the operation is necessary, it hurts very much. i'm already under i temple. i can’t even walk properly, well , somehow i don’t want to decide on the second operation. can it be cured or not? how will it answer? this is only according to the program about the most important thing to answer. all right, thanks. of course we will answer. what doubt, especially since this is a common, unfortunately, problem. yes, yes, in the third degree of arthrosis of the knee joint, there are grounds for performing a surgical operation of joint arthroplasty and recovering as quickly as possible. why because it will cause them to disappear in pain

the quality of sleep will improve. motor loads are growing and this will ultimately give more pluses than those cons that are associated. actually with the operation itself. well, then in the production of prostheses does not stand still every year. they are getting better and safer. yes, and now it is, in general, a routine operation for surgeons. if you are watching us now, do not be afraid, agree to the operation, the doctor advises you and be healthy so that you are no longer watching. next question. i have a long time, well, more give us many from what it hurts doctor, where are you, that i will tell the doctor the back hurts and they give it to the legs, what this pain can talk about, in fact, there is very little information, but what is voiced is alarming, that is, in general, when a person appears more in the back, if these back pains give in two legs, then uh in neurology. this refers to the so-called red flags, in addition to the standard causes

of pain. dependences of the muscles of the joints of the ligaments of the discs, this can be a severe, sometimes even life-threatening condition, such as, for example, manifestations of oncological diseases. it could be spinal canal compression syndrome. it could be a manifestation of inflammatory processes. e, including infectious inflammatory processes, they are not often found, but nonetheless. they can also affect the spine. in general, uh, every time a doctor hears that a patient has pain in the lower back giving off both legs , it is always a clear signal to send such a person, an additional instrumental examination is needed, which may include blood tests to detect active cerium protein there. speed erythrocyte sedimentation magnetic resonance imaging to determine if there are any masses and, uh, these diagnostic procedures. they can answer this question. and what is it? thank you? well, first of all, of course. you need to

do this, you need to spend time on it, so that what's wrong with you what procedures do you need to undergo? what the doctor was talking about now and, of course, this, unfortunately, cannot be cured with one pill. thank you very much for your question. next question. my name is elena. i am very worried about my husband's heart. eh, because he smokes a lot, he can't gain weight, and he's already sixty. doctor , tell me, what, uh, can be done in such cases? how to prolong the life of my husband this is bad. and why he should gain weight is not a question. most likely, he has some kind of running disease. this is also a bit disturbing. but because if we see a person, 60+, who smokes, who has a loss of body weight. the first thing we need to think about. this is about oncological diseases, for example, lung cancer. this is the kind of person you need to investigate.

do. uh, how's the chest? watch functional respiratory tests there is an option, well, let's say it's more favorable, it's chronic obstructive pulmonary disease. here it is also often accompanied by smokers, and weight loss, but this is also not a very good prognosis. and there are such cardiological problems in which weight loss is not, mainly cardiological problems. they are still accompanied by the development of edema and weight gain rather than. that's exactly the loss. thank you very much next question. hello, my name is roman i am 38 years old. i have a question for you. i was here two months ago diagnosed with diabetes, but the diet this is it, well, do not follow it. you drink pills, you lose weight, everything is fine from them. here is my question. what needs to be done in order not to sit down on insulin is generally amazing. yes, such a radiant young man, unfortunately, diabetes is getting younger, and now, at the age of 30, it is not uncommon for people to be diagnosed with diabetes mellitus. this is

primarily, of course, associated with hypodynamia overnutrition. well, over here you can add more chronic stress. all this can lead to persistently high blood sugar levels. the good news is that your endocrinologist will most likely not transfer to insulin e, now or in the near future. that is, at the moment, there are good and effective sugar-lowering drugs and in addition to insulin in diabetes mellitus type 2, the drugs are quite good. successfully working news, probably. so-so lies in the fact that in order for the treatment to be effective, it is necessary to change the image life, which he admitted. yes, that is, it is necessary to find a place for physical activity, at least 150 minutes a week. this is the time that should be spent on physical activity friends. the diet itself is also important, that is, reducing the amount of simple carbohydrates, simple sugars in the diet. and the overall reduction in calorie content are the two main titans on which the treatment of type 2 diabetes is now based. thank you

for your question. maybe someone from the audience in the studio wants to ask a question. good morning doctor. my name is yes. rya, season we don’t get out of illnesses, at first the covid grandson brought it from school. but we still easily endured it, then there was a fungus, then some other infection. the doctor said that it was no longer a fungus, but just sars, but it was not easy for me, because i coughed endlessly. i had a temperature. and in general for the last 3 years. i do not remember that i was so often and so seriously ill. and now i want to know, uh, how you can influence the body so that you get sick less often and that these infections are brought more easily. now there is a surge in the incidence various types of respiratory infections has increased significantly, and the incidence of influenza, both bird and swine, is also very actively circulating arvi in the form

of a rhino virus, which affects, among other things , resting routes . unfortunately, the coronavirus does not go away from us, it’s really banal can sometimes be more difficult than covid or fungus. and the severity of the disease depends, among other things, on the readiness of the immune system to resist infection , immunity can be weakened, for example, due to age in children in the elderly, as well as due to the presence of chronic diseases due to the stress of the wrong daily routine or due to a previous infection. somehow, in your case, it was proved that from 92 to 100% of people who often suffer from respiratory diseases have a lack of production of their own interferon, an essential component of the immune system, that is, a protein that helps us resist infection. and what to do? in such situations, when their interferons are not enough, specialists can advise products containing interferon. see antiviral proteins

active against various types of infections and against influenza and against sars and against covid and others, it is no coincidence that interferon preparations are included in the clinical recommendations for the treatment and prevention of sars influenza and covid-19 in children and adults, it has been proven that the use of interferon alpha 2b with antioxidants in suppositories can to help suppress the reproduction of various viruses and at the same time help restore immunity, the use of these suppositories can shorten the duration of a viral disease and alleviate its symptoms. cough runny nose temperature as well reduce the likelihood of complications by 2.5-3.5 times. and what to do with the frequent diseases that our spectator talks about is really a very topical issue. interferon entering the body in the form of a drug. it can help, restore the immunity of a disturbed disease , and research has shown that the use of suppositories

with interferon alpha, 2b and antioxidants can reduce the total number of subsequent viral diseases by 2-3 times during the year. i wonder what it is? refers to sars and to exacerbations of herpetic infections associated with these diseases. thank you very much. viferon for the prevention and treatment of influenza and other acute respiratory viral infections helps to block the virus and restore immunity . my name is maxim, i constantly have herpes on my lips, how to deal with this wonderful question , geoontologists vladimir khavinson and svetlana trofimova will answer it for a few minutes. a sore on

the lip, why can't it be ignored? to which a terrible disease in old age leads to herpes based on bee venom natural help, with muscle and joint pain with me between us premiere from monday at 21:20. we buy on a pimple. click buy sale. collect clap-chlo buy, super-sales on ozone from february 13 to 20 and another one in march. he once for 38.99 rubles. police gift set for 499 rubles. bedding set ozone for 1999 rubles. find out

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earn the largest social network for investors. he is so alone. good morning. today we continue to answer questions are formed. i wanted to know how to treat this problem, because even because of this i have there were problems in my personal life , my girlfriend left me. and in general, how to deal with it. you say the young guy is great. maybe even an athlete. so, i think that, unfortunately, he has reduced immunity. well, that's what many people like at night with the computer computer games sleep deprivation malnutrition a lot of stress. after watching tv. yes, and a man. in general, e strongly strains and immunity. he is declining. in this case, with this maxim, we see that it is the herpes virus,

which, in principle, is in a dormant condition in most people, good immune systems with a strong immune system and no great stress, but in the case when everything worsens badly, the virus is activated and we would recommend making an immunogram as much as possible to assess the function of the immune system. and then i already did other analyzes to decide. how to approach the blocking of this virus. many of us are not serious about the fact that herpes appears. well, for example, on our lip, but he thinks that this is how it should be, they use ordinary ointments, which are recommended in pharmacies and everything, but according to the latest research. unfortunately, the herpes simplex virus can provoke a number of diseases in the future. and in particular alzheimer's disease, an article appeared in an american journal, where

it was shown that in patients with alzheimer's disease, the concentration of the herpes virus in the brain was several times higher than in those people who would not have a gamer. this, of course, led to great confusion. how so? isn't the herpes virus a provocation, in short, alzheimer's disease no , of course, but nevertheless this fact led to the emergence of new research on the relationship between the herpes virus and alzheimer's disease, let's recall what alzheimer's disease is alzheimer's disease is not a radigenerative disease that suffers most often . change the structure of the brain and disrupt these synoptic connections between neurons. that is , the transmission of nerve impulses is disrupted

, moreover, yes, there are spines on neurons. and so connect neurons with each other using these spines. check it out hero of russia, so it’s the herpes virus that infects these spines, they are destroyed and the neural network disintegrates, in general the brain itself turns into such a spongy structure with such balls of damage that it is already impossible to restore at the beginning dementia develops. well, he just says. oh, the memory has not weakened. i don’t remember, then i don’t remember , it’s all gone, it happens, of course, i’m so old, but a little is normal. but, when this smoke warm up, for example, a person forgets to close the gas or the door is closed there. yes , these are already such symptoms of pain and serious.

well, you don't have to kill me. unfortunately, the herpes simplex virus, it can be in the so -called latent state in our body, then in the first place. we need to think with you that our immune system works at 100% so that the herpes virus does not activate. and for this there are simple rules that stress is a provocateur that suppresses the function of our immune and endocrine systems, then fight stress. first of all. it is necessary, of course,

using simple methods, but very, very effective and, oddly enough, it is part of the mint melissa, which has a calming effect on the central nervous system and therefore activates the immune system. it contains a lot of vitamins. in particular vitamin c essential oils of all varieties. you know, this one here earlier in the south, when we went to the lavender and some other plants. you know, such a study was carried out, when people fell ill, their beds were placed in a pine forest, and there they quickly recovered, then eat, e influence even here pine needles without medicines sometimes contributed to better health, well, nutrition, the high content of vitamins in our products and antioxidants helps to strengthen the function of the immune system. yes, and reduce the concentration of radicals. the so-called there are radicals in the body, which also destroy the immune system. and, of course, physical

activity. here it is written that you walk 30 minutes a day for sure. that is. well, that physical education is all that you understand. this is the reinforcement and valves of our wine vessels. simulation or lymphatic system. this should not be forgotten. and the so-called neurotrophic factor of the brain, which is formed only under the influence of physical activity and reduces the risk of alzheimer's disease, that is, fi tura - this is also a medicinal effect on the floor. i will tell you this. here. we were in hainan, this is a large concentration of centenarians , almost 100 years old, so they wondered what their rule was. how many times in their lives they ate a day, ate so many times they do, physical education someone after an hour or two you know, that is, constant exercise moderate nutrition. uh, fruits, vegetables, and seafood . yes, the absence, of course, definitely. ecology brilliant ecology and behold, daily work feasible. well, they are different exercises. there is physical education. that is, this is all in

the complex and gives. he says what a recipe for longevity, but all together, a common sense lifestyle is the basis of our longevity. follow the recommendations of scientists gerontologists and stay young and healthy. health and longevity to you, and the program about the most important thing continues and we we pass the floor to our colleagues sergey agapkin and mikhail the policeman. there are many diseases now. here, the fungus is also covid in our family, one after another, every time we become infected with colds. how to maintain immunity in this situation, in fact, the question is very relevant how immunity fights viruses, imagine that these are our immune cells, as soon as viruses and other dangerous microorganisms enter the body, these

cells of ours give way to the fight, and they protect us but our habits are daily habits that many do not pay. even attention can actually kill this immunity, i suggest that you familiarize yourself with the first destructive habit of antiseptics. in recent years , the consumption of antiseptics in the form of gels and sprays and so on has grown significantly and people now come out of the bathroom after washing their hands with soap. they are immediately treated with an additional antiseptic. it's already ingrained, who can't live without an antiseptic. good morning. good morning. i always carry an antiseptic in the form of a gel in my cosmetic bag in order to wipe my hands of what? well, it seems to me that here i am walking down the street, let's say there are a lot of bacteria around e all sorts of viruses, no, i don't touch it, but the habit after the coronavirus has been preserved and it seems to me that this particular antiseptic in the form of helium will somehow protect me, how

can antiseptics kill our immunity . i do not really understand, but actually look we have. this is also considered an immune system, a lipid mantle that prevents the penetration of viruses, bacteria, and fungi into our skin. every time we treat our hands with these alcohol-containing liquids. yes, it's a shell. she exposed to stress. it partially dissolves, partially erases, and as a result, the skin remains defenseless. what are antiseptics designed for? they are designed for those cases when a person is not physically able to just wash their hands. yeah, or or my friends, let's remember that either we can use soap and water, or we use antiseptics, which can still negatively affect our immunity, closed windows in winter is one of the factors in the development of various infectious diseases of high contagiousness. why we have a concentration of viruses in bacteria indoors

? it is natural that bacteria, like us, love warmth, love moisture, respectively, indoors. they multiply faster. and when we breathe the same air, the likelihood that the virus will get into our lungs. it increases, respectively, when we ventilate , fresh air enters the room, it dilutes the air that was there with viruses, and the concentration of viruses drops sharply, there are those who do not ventilate. yes, what is it? wait with you antiseptics and you still do not ventilate, how do you live? and you often get sick, by the way, i get sick. yes, for example, for this autumn-winter season. i've been so seriously ill twice already so i'll ask at the border. here you also do not ventilate, no, not ventilating and be proud of it, i see, yes, it's cold outside. why let cold air into the apartment, then

the room cools down; it becomes cold at home when you open the window for 10-15 minutes . the temperature in the room. well, a maximum of 1° will change. so we figured out what to ventilate home is necessary. yes, and now all the girls nervously sigh sweets. a person receives in excess, and sugar. and this is about an inflammatory agent. that is, it supports the processes of inflammation in our body, and that reduces the activity of the immune system. this is proven excessive consumption. sakharov reduces immune activity, who can live without sweets, there are no such people, even our spectator, who does not ventilate. what do we eat very much? what kind of chocolate? well , i don’t like gorky right away. i want to say i love milk chocolate, i love chocolate with nuts. so often we get sick so often we get sick, well, without chocolate. well, i can not listen, firstly, there are fruits that also taste sweet

, those sugars that are found in an apple. we ate this apple until it is digested there, until these sugars are absorbed for our body. it’s safe, plus everything, each such apple, in addition to not very healthy sugar, contains a bunch of useful vitamins. yes, and the alternative is some kind of cake, a chocolate bar with a huge amount of calories, and vitamins will have to look for my habits with a magnifying glass. yes i'll be back to you. well, now the man will sigh. see lack of sleep. it hits the immune system very hard, firstly, lack of sleep for the body always stress stress leads to the release of cortisol hormone, which suppresses the immune system in fact directly, in addition to this lack of sleep, it also increases overeating, that is, a person who does not get enough sleep on average consumes 15- 30% more calories during the day, who does not fall asleep, friends. mine are such to ask the lady who collects all the cream today inaccessible, the traditional account

traditional lack of sleep. what time do you go to bed at 12 exactly, i force myself to go to bed earlier , i stand half past seven. i feel like in the first half of the day there is absolutely no doctor who will say that a bad lack of sleep is the cause of very serious diseases, including cardiovascular diseases , and we just need to understand, as it were, what is more important to look at in the evening. uh, a series or more importantly an extra hour of sleep is great. who has all four. you have these destroyers, you have them too, you also have them in general often with each other these destroyers they are often friends with each other. and you can need to get rid of them, my friends. well, let's listen, the next question is of interest to the question of cholesterol, we know that there is useful cholesterol, bad cholesterol, how to distinguish one from the other and understand how much it fits and is it all true, but this is interesting, just a few minutes on this

question will answer you. academic cardiologist, stay. after the age of 40, we begin to get tired faster. cardiovascular disease, so i want to pay attention. on kudesan, medicines, which are a source of coenzyme 10 kuisan, help to cope with fatigue and stress , give energy to the heart and more strength for life , it is recommended to take kudesan in a course of 2-3 months, hypercholesterolemia is inherited, how high cholesterol in a grandmother spoils the health of her daughter and granddaughters. lyapin has to get used to your father's fault.

you've made up your mind, you're leaving, when life leaves no choice, you don't make me happy fate, how do we take ourselves? what children were left behind? listen to the voice of the heart. you would have gone with me scammers. final series today at 21:20 more questions, please, reason, i am suffering from antibiotics dysbacteriosis again a cold. let's take a look at dysbiosis. it can reduce immunity, which leads to private infections of taking antibiotics, and then again to a sharp dysbacteriosis, breaking the vicious circle a chain can help in the composition of acebola , specialists are unique in it. iran to strengthen immunity and live lactobacilli to restore microflora two actions in one intestine for health,

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to distinguish one from the other and understand how harmful it is and is it really all that interests you when you really like sweets. not i know that it is impossible, there is too much of it, but i really want to. what you can eat to make it clear you need to eat hard, digestible carbohydrates, not cakes or sugar. this is your conversation. let's, we still touch on the most important question that our viewer asked about cholesterol cholesterol is synthesized in the body with meatballs. this is for those wives who saw their husbands because they eat a lot of meatballs. yes , only 20% of cholesterol comes with cutlets. everything else is synthesized and broken down in the liver. what is the first purpose of almost all cells, including including the nerve cells of the brain work on cholesterol.

it is like fuel, the second is that all cell membranes are based on cholesterol, that is, the work of the cell is due to this membrane, the composition of which is included in cholesterol and, most importantly , cholesterol is the basis for the formation of many hormones, including sex and so. you are needed, yes, there are bad ones, there are good ones, and so the whole family turned to us, a very pleasant group of ladies who have a problem with cholesterol. and so i would like to listen to them. i used to have elevated cholesterol, and after kalida he became even more cholesterol - this is a bad stadium - it's scary. i also had a raise. it's scary for my daughter. so young and already so tall, i want him to bounce back. well, the question is very difficult, especially such charming ladies or they were invited to the studio . hello, we all looked

at lipidograms, as we say , we have them here and everyone, uh, did an ultrasound of the carotid arteries, with the exception of the granddaughter. and it's still early. please tell me you articles on you accept it was higher with me, i took it, and then it went down to normal with me, and i stopped, because you were afraid of what? well, my liver is sick. clearly, this is how nadezhda ivanovna, 71, looks great. total cholesterol is 6.8 norm, what do you remember for you five in general five should be four seven five and two. so here you have 6.8. well, a little higher. it's a little. we think that it is

increased in what, because there is also a plus to everything low density lipoproteins. this is your good cholesterol. this is harmful cholesterol is triglycerides. so, you made it. so low density cholesterol. 4.1 is also a lot, but you, in principle, are very good with useful cholesterol with good good, so the coefficient of atherogenicity, that is, the most such integral indicator of atherosclerosis. that's three and seven for you. the pressure is 136-74, well , decent for your age in the carotid arteries, there is a plaque, let's go to my mother. what sunday was 37 37. do you know what your 4:1 ratio is, that is, more than your mother has, there is nothing good in your grandmother. so total cholesterol concentration of six and five

is practically. how do you have low- density lipoproteins, five, in general, kvass is useful cholesterol. that's what, and that's what's harmful, and there are still three cylinders full. here you have the coefficient of erogenous pressure 132.83, and the vessels are sealed. the vessel wall atherosclerosis has already begun. then we go margarita, 26 years old with a total cholesterol of six and 57 is a bit much, yes, with a lipoprotein density of 3.9, somewhere closer to her grandmother and the atherogenic coefficient is the most intermediate four pressure of 126 to 90. so girls all have familial hypercholesterolemia, but there are a number of critical moments in the life of any person, including women, when you need to come to the doctor on time. the first

is at your age, when are you going to become a mother? you have to come and say. do you know that it turned out that my mother and grandmother have high cholesterol, which is high cholesterol, what should i do? i know what i will tell you in front of whom i will forgive. i will forgive you this cholesterol. why because you need it now? if being a mom while you're still they didn't come to us. i showed why cholesterol is needed, this is also in order for your child to develop , so that hormones form in him , so that all nerve cells form, and so on and so on , i will forgive you, thank you, because i know that you will come to me after childbirth, and i looked at your cholesterol, look at your pressure, because, in principle, 90 lower pressure for your age of 26 is a little bit too big. so i forgive you. thank you, let's go to grandma's. you have already passed

several important stages in our life. that have you gone without a heart attack stroke up to a small age this is where the arrangement begins you can take statins. yes need. well, you know, you have a small plaque in your carotid artery. yes, unfortunately statins cause, and an increase in liver enzymes, not liver damage, but an increase in liver enzymes. these are slightly different things. because articles on blocks the synthesis and breakdown of cholesterol in the liver. naturally, it does not affect liver cells. if you had a lot of dances, i would still have nothing to fool me with injections in tripods, but since you there is more good cholesterol than bad cholesterol. i will say this, come to me in six months. let's see, through this it will grow, erogenity coefficients will not appear new plaques will not

appear new plaques. you didn't persuade me. and you canceled the articles yourself. well, to be honest, you're in luck. let's be honest, frankly, i'm lucky to recommend it to everyone. i can't. yes, there was a covid, yes , liver enzymes increased, in principle. well, it's not great that you canceled the articles, but then again. i say so come to me, in six months we will see how we behave further, because the article at the bottom is those drugs that you can joke about and that's where all my nice words ended. this this for you will finish for you for your granddaughter. i mean now. and here, only statins, only statins, and nothing more, because in front of you are these three periods of you. here you are protected by the female sex hormones, nature protects, because you are the future mom, you need to continue our humanity, it is best to protect the vascular wall of the female genital

hormone, so the carotid arteries gave it to me, what should i do? because it's clear, everything, everything is fine. but as soon as they begin to fade away, a woman begins to suffer from all these diseases. and this is the most difficult period from 50 years to 665 years at this time of a woman. unfortunately, everything else can have a heart attack, stroke, so its erogenous coefficient is the highest. in the family, the ratio of good cholesterol to harmful is the worst amount of large, so statins and already sealing the walls of blood vessels. why is mom the worst of all why? well, the first thing for all of you, of course, genetics is a family, that is, you see that almost everyone has total cholesterol for six or high proteistic density, that is , everyone has high estrogen coefficients, that

is, of course, this is not a family relationship to a serious genetic disease. yes, but nevertheless, this is still a family feature once or twice. why is this also family, because my grandmother cooks deliciously, my mother cooks deliciously. yes, i love delicious food. i forgive you. i can't do it for my mother anymore. why because in the first place you are wonderful look, but not 18 are redundant. no way, yes, i'll tell you the recipe later, that is, the recipe is very effective. who by profession, i bake pies. let's say this to the audience. no. yes it is clear. yes, well done, a sedentary lifestyle and a high level of funds. god forbid, pies will burn. that is why cholesterol is high. how to lose weight there is an excellent recipe, which at one time was given by the former director of the institute of nutrition was such an academician, pokrovsky, he says, you need to eat

less. this does not mean that you have to sit on some, there orange, cottage cheese cucumber diet. god forbid, you're on some kind of ketone diet. no, just reduce a portion of it for the second pies to sell, and not eat. yeah let's like a margarita taster use on it. try and of course , physical activity and at 8 o'clock in the evening the refrigerator closes, but you can leave a small key for her just in case, yes, for grandmother, for mom, we will all try to have such a conversation about cholecy. of useful and harmful and necessary, our program of the most important thing continues my colleagues answer further to your question what will help get rid of heartburn? why it cannot be left untreated and when it provokes stomach cancer,

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doctor me constantly suffering from heartburn, but did a cardiogram cardiogram shows everything is fine. everything is fine, but from time to time it somehow burns. i did a gastroscopy, like would also say that, uh, how it was not found. yes, they didn’t find anything so terrible there, but i eat, yes, some time passes there, well, a little. and here i start when i bend over or go somewhere. and now i begin to feel discomfort. somewhere here, as if the doctor is on fire, tell me, please, what should i do? uh, maybe some folk pharmaceutical preparations that people have used, they will help get rid of heartburn folk remedies, such as soda, on the one hand , it can help quickly, but in the long run rather hurts. hmm. because ah, when baking soda first neutralizes the stomach acid, it leads to some. by default, symptoms,

but later released in the process of neutralization, carbon dioxide increases the secretion of gastric juice, and when this gastric juice takes and begins to fall into the esophagus. at first it just causes an unpleasant sensation, but this happens over and over again and over time, damage to the walls of the esophagus occurs. this can lead to the appearance of a malignant formation, cancer of the esophagus, that is, this can happen. if we ignore, heartburn. quite right. and it's unpredictable. this is a lottery. nobody can ever predict. this particular person with heartburn is going to cancer or not, so basically all the people who have chronic heartburn. these are people who are at risk for developing esophageal cancer, serious things. we are touching today. let's continue the conversation with our expert fedor aleksandrovich chernousov , gastroenterologist, doctor of medical sciences , professor of science. and research fellow

emergency taracabdominal surgery or ambulance named after sklifosovsky good morning. good everyone has heartburn for various reasons that unite all these reasons, indeed there can be many reasons, including a big belly, that is, in the stomach, which contains a large amount of visceral fat in a person, if you take it on belly, yes, that is, part of the fat is contained under the skin, this is subcutaneous fat, abdominal fat, and part of the living is contained directly inside the abdominal cavity. that is, behind the muscles in normally, visceral fat is no more than ten percent of the total body fat mass, but for some reason the amount can grow, and in this case, this visceral fat takes up more and more space in the abdominal cavity. he begins to put pressure on the internal organs. including he begins to put pressure on the stomach, and this is increased pressure in the abdominal cavity. it leads to the fact that

the gastroesophageal valve is damaged and as a result , gastric contents of gastric juice may be thrown into food. the more belly fat, the more the abdominal pressure increases more inside and, according to the law of physics, they press in all directions. including the stomach and the contents of the stomach begin to be pushed up, and this can happen. even with a normal valve, a working valve between the esophagus and the stomach, due to increased intra-abdominal pressure in a person, the contents of the stomach rise up the esophagus and just heartburn occurs. how to understand that there is all the washing fat, the easiest way is to measure the waist, for women, somewhere from 84 to 90-92 cm, for men from 94 to 2, usually everything that is larger. this is already a person with an increased amount of visceral fat. by the way, here we measured the waist of our viewers. number 31 is 99 cm. good morning. yes, those numbers are. i

got very upset today. yes, it happens from time to time, well, more, probably, i am tormented by other problems. well, for example, i live on the fifth floor. and if i figure it out very quickly, then the ankle starts, it happens from time to time. eh, pressure jumps, so to speak. yes, what is your name? excuse me, how old are you 32 years old? well, just here is an excess amount of fat in person. yes, not only visceral general. and, of course, the heart has a hard time pumping blood through all these tissues, which is why you have shortness of breath when you go up to the fifth floor. i am much older, but i calmly climb the military on foot. that is, you will soon still have high blood pressure and high sugar levels, and then very serious problems will begin. the first thing that comes. go to the gym go on a strict diet a strict diet usually

gives quick results, but it's hard to stay on it for a long time, so really now they recommend, but on the contrary, dosed very slow weight loss, on average , somewhere around 500 g per week, 2 kg per month. here are the products that you really need to give up. yes, we take some statistical person. that's what he wanted to drink. he took a bottle of soda a bottle of soda 50 g, sugar, 50 g of sugar 200 kcal, he drank two bottles of 400 kcal 400 kcal, this is a normal hearty breakfast. come to us here we will help you. i'm just wondering soda can in theory. well, i love her very much, but i don’t have buns, i don’t really like buns, i like smooth chocolates. yes, one chocolate bar is 600 kg of calories. if you don't eat chocolate today, which you used to eat every day, your body will lose 100 g of fat. you will not eat a chocolate bar, tomorrow the day after tomorrow.

maybe, by the way, even if you eat one on sunday, and at the end it turns out that you will lose those same 500 g of fat mass in a week, that’s fine, but we still have an option for another minus 500 g. i think it’s for you . not this is not such a significant blow to a man. it will be a tragedy for him, of course, in fact. this is also a story that the same dish, boiled potatoes, fried potatoes, differs in calories almost twice. despite the fact that a person eats the same plate, then he came to dinner and ate a plate of potatoes. here he ate a plate of potatoes. this is plus 200 kilocalories on average, he ate a plate of one potato, minus 200 kilocalories, the amount of potatoes has not changed than survived yesterday. yesterday for dinner me broccoli was boiled, my god. no, i 'll explain. it's just me all the time. for as long as i can remember, in the process of trying to lose weight, good broccoli. this is a very good dinner. you just need to figure out what it all eats with, maybe with the same soda or

with something sweet? yes, you understand, that is, it turns out that on the one hand you are doing? everything is very right to eat broccoli, but on the other hand, after drinking this bottle. you all cross out all the usefulness of this case , we will exchange potatoes for the night and do not drink it sweet soda fried fried potatoes, yes, and we use more low-calorie and at the same time very healthy vegetables, it’s good when a person consumes about half a kilogram of this useful and correct per day. yes, i have already half a kilo. see also cucumber. yes, almost morning. yes, that is, eat this a day. i don’t even have so many peppers, tomatoes and cucumbers, my god, and a person’s stomach will be full, that is, he will still have a feeling of fullness. yeah, love vegetables and fruits, and stop loving soda. thank you big. sit down thank you very much fedor

alexandrovich there is one useful exercise, but for it we'd better change clothes. i want to remind you that all editions of our program. you can find and look again, but we also look at its platform online, not on the site, we look at the dot ru exercises for heartburn, firstly, simple and secondly, and effective, which does not require additional equipment. who has the largest waist in the audience in our studio. go out the doctor's exercises you will need half a glass of room water temperature. we woke up we got out

we grab the right hand with the left hand and tilt to the left with an exhalation. change hands change hands and exhale the other side. and we do this 10 times on each side, everything is fine. i just don't understand why they translate it? because michael, with the help of this exercise, we stimulate the motility of the stomach, and we need water in order to wash away the gastric juice that has already managed to stand out, cool water dilutes the gastric juice, the exercise stimulates the motility of the stomach, and this gastric juice flows safely into duodenum, rather than going up the esophagus. oh i would do that. what a nice exercise. thanks a lot. sit down from all the inhabitants of russia and answer them in our studio. thank you for passing. this morning

we will see you on tv channel, russia hello on tv channel russia together in the studio denis donuts and most importantly by this hour. apu shelled the building of the lyceum in the dpr battery duel in all areas of the special operation our troops hit the enemy personnel and equipment reporting of firing positions ukraine will receive from the allies far fewer leopards than promised, while your