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morning. hello, coming to the doctor. each of us asks questions and gets answers, but often there is not enough time to go to the doctor. that’s why we are the host of the program about the most important things. here and now we give a competent and detailed answer to the most unexpected questions. our experts include only honored doctors and even academicians. so don't let the opportunity to ask your questions. and we are ready to dry them and help. let's start this second program, shall we? oh, this is agapkin. i saw it. oh, i got it, i'm getting nervous. my blood pressure is rising and i have the urge to go to roka. is it harmful to drink these drops, how to lower the level of cholesterol in the blood? now, let the doctor tell you, with

the onset of darkness it became worse to see, tell the doctor. is it normal for me to see a dentist or ophthalmologist? i’ve already filmed it, so it’s a great show. just don't make me scared. well, we are waiting with patience. the first question is from the kazansky railway station. good afternoon. my name is anna kostyreva. and i'm 37 years old. u my daughter is 13 1/2 years old. i am very concerned that the child has a backpack of 5.5 kg - this is daily. four times a week he is with such a backpack and the child’s back is damaged. i'm just worried that by the eleventh grade it will be seventh grade, and by the eleventh grade. maybe it’s already like this: on september 1st she had seven lessons at once. i put my backpack on the scales, and there was 5 million, a kilogram, plus a bottle of water and lunch, some kind of office emotions. were there emotions, what? maybe we won't go to school. sometimes it can prick my lower back, it pinches, as if very it's hard to keep your back straight. especially in class

, you have to sit up straight. but sitting like this, even now it’s hard to figure out how to , uh, maintain your posture in such cases. remove the child's back. eh, because if you take an orthopedic backpack, which is another plus kg. i don't think this is the right way out. what other way out can you think of? to maintain a healthy posture, you can’t think of anything better than physical exercise. why, unfortunately, but modern children, for the most part, where they are trained, then yes, if we remember our childhood, then we had a large number of outdoor games, starting in kindergarten in the fresh air. and we constantly ran and this trained our muscles even in the absence of special physical activity. unfortunately, most modern children are deprived of this and therefore the only option. there remains a special training. here, and in this case, the back muscles. it must be said that in general 5.5 kg is not that much weight,

scientists generally say. they say that the weight of a backpack that can be carried completely without problems is is 10% of body weight, so i would , of course, first of all pay attention here, not to how much the backpack weighs, but to how many times a week? well, he goes to sports clubs. my name is daria. i am 23 years old. i have the following question: my boyfriend, 22 years old, has high blood pressure of 140. well, somewhere around 100. here, sometimes there is a rise to 180, dizziness , blurred vision and a soloist. perhaps this is due to, uh, increased fatigue during studies, exams, koloboks, and so on. well, he doesn't drink or smoke. i'm worried about him because condition. well, they become efficient. he feels bad for him. here's just something to pay attention to, how to stop these attacks and something for

prevention sports or medications , can this be a harbinger of some serious illness at such a young age, in fact, this is not a harbinger. even a disease. actually a disease that is called hypertensive crisis. yes , these sudden jumps in blood pressure up to 180. yes, with a decrease to 140, in fact, these conditions are dangerous. why when the body pressure rises slowly. here the vessels have time to adapt. when such sharp jumps occur, the possibility of rupture of some blood vessel with very serious consequences is not excluded. the first thing you need to understand? here you need a visit to a cardiologist. it is possible that you need daily blood pressure monitoring to understand. at what time and why does it rise? here, uh, there may be many reasons, it could be kidney disease , liver disease, adrenal gland disease, that is, there are quite a lot of options without in-depth medical examination. there

's no way around it. but here’s what you definitely can’t do ; you can’t take it calmly. listen listen back. tamara moscow , 63 years old, i was diagnosed with a seal in my lungs, which means i have almost a cough. well, there was always something like that every day. but at this time, it means, well, they constantly did ct scans, then it turns out that it has already turned into a cyst. and it seems that this should not even affect the cough, but the cough remained and now they said that it is from a reflex disease, and is this cough true? indeed, i constantly have this cough precisely because all diseases are separated from irritation and then how can i cure it, probably reflex so that there is no quality and the situation, in fact, it’s not clear, because on the one hand it’s really a reflex disease. can a person develop a cough? on the other hand, a prolonged cough can lead to

the formation of a reflex disease in a person, what is primary here, what is secondary? this is a very big question usually in such cases. what do doctors do? centrologists they are on some small for a period of time, drugs from the group a proton pump inhibitors are prescribed - drugs that sharply reduce the acidity of gastric juice to almost zero and look at the reaction if a person stops coughing when prescribed these drugs. he feels good. this means that the reason is really a reflex, if the cough continues. but there is no heartburn. eh yes. this means that the reason is most likely in the lungs, in fact, a cyst can cause, despite the fact that it is a cyst, it can cause a cough due to irritation pulmonary receptors, so here both options are equally likely as far as treatment is concerned. uh, with gas ideal reflux there are well-developed treatment regimens for this condition. now, if we are talking about a cyst in the lung, then here, well, perhaps

there are different options, the option of surgical treatment is not excluded. thank you doctor. well, right now the question from the audience in the studio is, who has them? please hello doctor. i have high cholesterol. although i am taking a special drug prescribed by the doctor follow a diet. i try not to eat fatty foods. now my cholesterol is normal, but i have become very tired. i started to feel short of breath. what's wrong with me, what's happening? or perhaps your fatigue is associated with a low level of coenzyme q10, this is a natural substance for the human body that supplies our cells with energy. why does coenzyme q10 decrease in young years, its high level of cells work well, but with age the amount of its own coenzyme decreases and cells,

and, accordingly, the entire body begin work worse and, first of all, from a deficiency of enzyme q10, the heart suffers , shortness of breath, fatigue, arrhythmia may appear, in order to improve overall well-being on the recommendation of specialists. you can combine statins with drugs containing enzyme q10, but there are nuances to 10 - this is a fat-soluble substance, that is, only fat is absorbed, and excess fat is undesirable, especially if a person develops cholesterol. therefore, the optimal choice. in this case , coenzyme q10 can become in a special liquid form, when fat-soluble in nature the coenzyme is converted into a water-soluble form that is optimal for absorption, and then it is not necessary to take it simultaneously with fatty foods. and this is especially important for people with cardiovascular diseases for whom a diet is recommended. like you for example. thank you, after 40 years we

begin to get tired faster and the risk of developing cardiovascular diseases increases, so i want to draw attention. on kudesan medications, which are the source of action. kudesan helps cope with fatigue and stress. give energy to the heart and more strength for life it is recommended to take kudesant as a course. two or three months, age-related changes await me, so to speak, my health upon retirement to answer this question. successful aging what changes occur with

age and how to change the quality of life of the older generation is hiv transmitted through blood through drug use and unprotected sex? doctor krasnov premiere everything will be fine, everything will be fine, what does it mean at 21:20 starts.

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marat, 47 years old, city of kazan, i checked my vision and noticed a deterioration. i was told that the deterioration is age-related. what else to prepare for later? what age-related changes await me, so to speak, my health? when retiring, any person needs to understand that as they grow older they need be attentive to the body and be prepared for the changes that occur, and for this, visit doctors of different specialties at the right time. well, what we need to pay our attention to today we will talk with our expert victoria ivanovna ruzanova , a doctor of the russian gerontological scientific clinic. center of the russian national research medical university named after pirogov ministry of health of russia good morning.

today in our studio we must talk to you about the so-called symbols successful aging when we talk about symbols of successful aging. we certainly mean geriatric syndromes. more than forty of them are known; these are certain conditions of the body that worsen the quality of life during the course of diseases, e.g. , in an elderly and senile person. and let’s look at these syndromes today and our first syndrome, which we will talk about. this is a cognitive disorder at the beginning of the formation of cognitive impairment , the patient begins to forget some words. a. well, what’s important is that he won’t remember them right away, he begins to forget some things he did the day before forget to eat forget. did he take the pills can take the pills twice, which is definitely, uh, completely dangerous, so this is one of the most serious heroic syndromes that needs to be influenced. at the very beginning, which

needs to be identified at the very beginning only at the first so -called red flags that appear, but is everything so bad and sad? i want to please our audience, our tv viewers and geriatric doctors, of course. uh, what is it like in st. petersburg a large team of scientists created a new drug, a peptide drug, which restored the functions of neurons. in particular , with alzheimer's disease, moreover, it was possible in the experiment. this special transgenic mouse with alzheimer's disease stops the development of this disease. this is a huge success , something that doesn’t exist abroad. this, so to speak, is what is an achievement of russia, an achievement of russian scientists, cognitive disorders. very often associated with another heroic syndrome - chronic pain. this is true, indeed, chronic pain is one of those syndromes that the patient

pays attention to, but for some reason , older patients believe that pain at their age is normal. no, this is absolutely abnormal and chronic pain, but it leads to what. for example, if this pain is in the spine in the joints, it limits the patient’s mobility, the patient stops leaving the house, when the patient does not go out does not communicate, only cognitive functions begin to directly deteriorate these two geriatric syndrome. they are interconnected. e with each other. i want to add that in general chronic pain is primarily stress. this chronic stress also leads to suppression of the immune system. let's look at the following syndrome, which greatly affects the quality of life and the quality of health; this is urinary incontinence more often. this is a female problem rather than a male one; this is due to the physiology of the female body. such as pregnancy , childbirth, and so on, and sometimes women don’t even notice. eh, this problem is not emphasized the doctor's attention is on her. ah, just

a slight leakage of urine; coughing and sneezing is already considered urinary incontinence and requires consultation with a doctor. why because this problem can be treated, it can be effectively treated at any age, absolutely regardless , and at the same time, i would like to note that urinary incontinence is a risk factor for many, uh, other geriatric syndromes, for example, uh, falling syndrome, because when a person he has to rush to the toilet, he starts to rush and stumble and fall. i also want to please our audience and tv viewers, which again was created and registered in st. petersburg this year. in moscow, the ministry of health. the newest drug. this drug is isolated peptides isolated from the bladder of calves, which are very highly effective in the treatment of urinary incontinence upon reaching russian scientists for the benefit of us russians. the next geriatric syndrome, which

victoria ivanovna has already begun to talk about, is falls and fractures, falls and fractures - this is perhaps the most dangerous geriatric syndrome. and in my opinion, and in the opinion of world scientists, he special attention is now being paid. what is the reason for this? any fall that occurs in an elderly patient leads to injury, for example, a fracture such as a fracture of the femoral neck is a typical marker of osteoporosis. but look, we have such a layout. this shows the structure of normal bone tissue. but when osteoporosis occurs, the structure of the bone tissue itself changes. yes, it becomes more loose ; it’s very easy to break such a bone, but it’s one thing when this brush is another thing when it’s the hip is completely different, but there are other problems. and accordingly, the treatment of osteoporosis is an important aspect and it consists of several things.

this is nutrition, and this is taking vitamins and microelements, and uh, accordingly, taking preventive medications and uh, medications to treat osteoporosis. and the next geriatric syndrome is precisely related to nutrition, that is, an unbalanced diet - this can be the cause of such serious diseases how is osteoporosis correct? of course, of course, and not a balanced diet is one of the e. the reasons for the development of osteoporosis are disturbances in the functioning of the heart and many many other organs and systems of our body. you see, it’s me who refuses salt, 5 grams of salt per day per day. it is enough to eat enough protein. that's it. sometimes they say, vegetarians, for example. by the way, among the long-livers, who said a long no? so for information, because in general protein and including animal protein, it is absolutely necessary for people in all

age groups, from children to people in older age groups, and we immediately let's move on to the next one, probably, unfortunately, to the most basic syndrome of senile asthenia in senile astana - this is already a serious condition of the body, when the patient has accumulated many geriatric syndromes, which have led to the fact that the functional reserves of his body are significantly reduced , not only physical activity is reduced and regenerative capabilities are worse. all organs and systems of the body begin to work. such a person needs constant monitoring, because he is extremely vulnerable to environmental factors and and with the development of an already senile back, and constant medical supervision is required, they burn. this is a visit to the doctor at least twice a year. where is huh? they can receive, namely, such qualified geriatric care. and

thanks to the development of the national project on demography in russia, the structure of geriatric care is developing very rapidly, 82 geriatric hospitals have already been opened. there are about 1,400 people working in our country. there are geriatric doctors’ offices in polyclinics, and 7.5 thousand geriatric beds are open in specialized hospitals, as a rule, this is a war veteran’s hospital, and is trained and already working. there are about 1,600 grief doctors throughout the country. thank you very much victoria ivanovna thank you. follow the recommendations of our oncologists. long life to you, and the conversation about the most important thing continues and we pass the word to our colleagues sergei galkin and mikhail alexey markov for useful advice , today we will talk about a fairly

common problem, and several tv viewers came to us with this problem. let's find out their stories. more details. good morning doctor. my name is irina. i am 41 years old. my name is elena and i am 55 years old. my name is nadezhda. i am 55 years old. i suffer from major pain in the temporal zone, headaches around the circumference of the head in the forehead area and pressing temples. of course, i drink without pain, so i have to take two or three tablets a day. well, i don’t like to take a lot of pills, i was treated with folk remedies. well, i didn’t go to the gym for long, because the main pain that prevented me from doing this was headaches and didn’t give me the opportunity. and full-time work. i work in charge i work as an accountant, it’s difficult and intense for 10 hours. eh, i work without vacations. how to help myself since i can’t fight this anymore myself. it’s hard.

well, i go to work broken. please explain why there are such pains, how to deal with them, we invited our viewers today to figure out what the reason is and help them cope with the problem . first, i suggest you gather yourself for us to do this small survey. yes, yes, okay, so nadezhda elena irina, let's start with a simple level of pain, as far as ten points scale, you usually have a headache, if zero means no pain at all, and 10 is the worst pain you can imagine. what time of day do you usually have a headache ? i have a headache at any time. i have the same. how many days a week do you have an eye hospital ? every day, four days a week, it definitely hurts. i also have pain almost every day. how can you describe your pain: dull with pulsation

on both sides, bursting , pulsating, pressing. in what place does pesochnaya’s headache appear in the back of the head and press on the temples most often? this is the zone. yes, mostly for me temporal zone, but on the left side you had more injuries to the head or neck and brain for 8 years. i had a concussion as a child , the concussion was 145 110 over 70 100 over 70. i understand that you all take painkillers . how often no more than 3-4 times a week, because i also try to tolerate different answers, yes, doctors, why are we asking all this, because in fact, this is an international classifier of the main ones. currently, there are about 1080 types of headaches, which can be a provocateur of headaches, and in a wide variety of migraines and tension headaches.

this is not a balanced diet. these are surges in blood pressure, lack of sleep, and incorrect posture during sleep, for example, due to a pillow, and excessive stress. eh, color , stress that requires concentration or not , is also a problem of the cervical spine. the spine may also be a cause. let's analyze it. how many stress points have you found in yourself? well, no one has canceled this and the problem of the cervical spine. no, it exists. u almost everything for me, except for the jump in blood pressure, and for me, everything except for the jump in blood pressure, for example, is collected and i am pleased to invite our expert vladimir sergeevich demchenko to the studio , sports medicine doctor, chiropractor, member of the russian osteopathic association good

morning. hello what problems do you have with your neck? how does this affect headaches? a fairly large area in headaches is occupied by problems associated with the muscles of the cervical spine and directly with the spine itself. the spine is what we call and the main pain is tension with more of the spine. it becomes a cervical, genetic headache. and in principle, these two groups are quite large. that is, when people come to me for an appointment with a headache, approximately 2/3 of them experience problems with muscles or with the spine, when we talk about the fact that pain in the head arises from the neck. this implies a large number of different sources. it could be joints. moreover , these could be the atlanta occipital joints, that is, those between the occipital bone and the first vertebra. these may be the joints between the first and second vertebrae. these could

be ligaments. and these can be very muscles, by the way, there are unpleasant options when this is the structure. it's called the occipital nerve. when it is pressed by the muscles , a person has the feeling that you just stuck a hot nail into the back of your head and such a person is suffering, often he is mistakenly diagnosed with migraine, but there are problems. the head hurts, but the neck is to blame; we save the mobility of our spine and stop suffering from headache. come on, all together. i can tell you that they almost never stand up for you. this is a success, let's all watch it together tomorrow at 21:30, five percent gildiclofenacas in a package with a man , the gold standard of pain relief in a maximum concentration of 5%. trust of millions sberbanket. launches autumn cashback.

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trials, it is very important to unite. each of them has their own story and for them, probably, how mom is a story that every ice should hear. i remember all these shellings well. i always knew that i had a protector who protected my mother and me very much from monday to thursday at 15:00 only on the russia channel x-ray doctor. i suggest you take a look. uh, comment on the results in all three uh patients. we have a different picture, we see strong manifestations of osteochondrosis. there is some smoothness. we have this lice deflector, and it should be in good shape for everyone. we see that he slightly smoothed out and very often such a neck tends to be tight and stiff, and the muscles here are quite common. you can feel stressed and overwhelmed. if we

look at the big difference, right? er, then the opposite x-ray can be seen in irina’s lordosis is very smoothed out and what’s more, the vertebrae are slightly different from each other, as for elena, when we look at the picture from a different angle we can see that there is slight sclerosis of the cervical spine . that is, he leaned a little to the side. and there may be problems with uh, good patency along the vertebral arteries, which pass directly into the bodies. that is, it turns out that the head hurts, the neck is to blame, this very often happens to patients who have a long neck, and there are such morning situations with executions that can give a blow to the hand. yes, which irina is very suitable for, stabilizing exercises, that is , exercises that improve static yes function in the neck. that is, in order for the neck to hold better, it will be needed. rubber expander

we will stand with both feet on the rubber band and very slowly raise the shoulders, hold them for 10 seconds and slowly slowly lower them. nadezhda’s picture is a little different and here we see that her neck is a little tight , it would be great to start by relaxing the muscles a little and improving the mobility of the vertebrae. we will need a regular waffle towel. we throw the right arm over his back. we place it down like this, and take the edge of the left hand with three fingers, and the second hand should be positioned so that the towel passes through the corner of the eye. yeah next here we pull down a little just to fix it and turn our head and help at the same time. with your second hand, look for you. uh, exercise is also very good, but initially it is very good to massage the muscles.

we lie down on the floor and place this ball in such a way that our spinous process, that is, the center of the neck, is in the middle, and the balls are on the royal muscles in the bushes. let's look at the occipital bone and right here it is necessary to place the occipital muscles in the head and relax if you feel that you can put it on more painful places under the back of the head. you can fix it a little. here are three exercises for tv viewers’ headaches. take note. i want to remind you that if you missed this section, then all of our programs. you can always find it online or on the platform, look at the application on the website, look at dot ru thank you , doctors, and we have a new question, pay attention to the screen. i get nervous, my blood pressure rises, and sometimes my left eye can twitch. sometimes i take a pill, lie down for 10 minutes and it all helps. well, i i say it probably helps. am i doing it right

or wrong, ophthalmologist. dmitry dementyev stay with us. good morning. today is thursday. as you know, every thursday our correspondent at the kazansky railway station collects questions from tv viewers who are interested in their health, and so today’s question? hello, i'm tatyana. all 3 years it will be 72.5 in december. please tell me, if i get nervous, my blood pressure rises. sometimes it's the left eye that can twitch. sometimes not often, but twitching sometimes causes vomiting, but i must definitely drink water, because without water it’s very bad , i took a pill, went to bed, lay down for 10 minutes and all this helps. well, i say, it probably helps. right. i do or i don't. tatyana

asked a very interesting question. and the answer to this question is ambiguous. let’s discuss the topic in more detail. what problems does a nervous tic or a twitching eye indicate in someone? there is the same situation as tatyana who asked a question from the station. raise your hands. well, we see a forest of hands. let's start with you. so you raised your hand so actively, like do you often experience eye twitching or nervous tics? the eye twitches often, and i think that you need to see a neurologist, because eye twitching is a consequence of frequent stress. who else? let us know how this happens? i agree that you need to contact a neurologist in this case. and it is likely that there is a lack of some, for example, vitamins, and the doctor can prescribe and correct the problem. clearly excellent. so, everyone wants to see a neurologist

and immediately go to a neurologist, but i want to tell you, that before calling a neurologist for help. it would be a good idea to contact an ophthalmologist or an eye doctor, which is exactly what our heroine did, who was examined by me this morning and we tried to identify some ophthalmological problems. let's listen to the story of our patient and then she was invited to the studio. hello, my name is yana, i’m 42. weather, i have a nervous tic, i have a responsible job, i have to make a lot of decisions, i worry about everything and i still don’t sleep well and drink a lot of coffee. to me it helps a little, but the nervous tic doesn’t go away and i don’t know what to do about it. i'm on good afternoon. tell us what brought you here. hello, doctor. well, i have such a situation that my eyes twitch involuntarily and

my eyes have been twitching for a long time. well, i noticed for about three or four months something was happening irregularly from time to time. we will now do a series of studies with you. after which we will discuss all possible options and prescribe treatment for you. now a blue light will appear, your task is to look at it. the blue light is visible. uh-huh great. first eye. we took the photo like this well, everything is clear, there are none. i won’t tell you any surprises now, that we found it, i ’ll tell you everything in the studio, and we’ll discuss it together. viewers, well, see you doctor. so in our studio yana, come out yana good morning. good morning. tell me your eye twitches. i know you've had to deal with this complaint as it often happens. well, somewhere almost every day, who do you work with? marketer you constantly work a lot with papers and

a computer. this is our eye. you see, a beautiful eye with a beautiful, healthy blue iris, if it gets into the eye, the infection starts the process of blepharitis, inflammation of the eyelids, and this can cause spasm of the uh muscles of the eyelid and cause twitching of the eyes. if this happens, then, of course, treating the infection helps get rid of this problem. you completed our study today. we looked carefully and there is good news. nothing was found. that is , your eye is twitching, not because there is a pathology of the surface of the eye or a pathology of the eyelid. your eyes are absolutely healthy, i don’t see any problems with this, but the eye continues twitch, therefore, in your situation. it would be nice, of course, to turn to neurologists , what our viewers suggested to us, i

invite our expert anastasia sergeevna noskov to the studio, doctors, neurologist, candidate of medical sciences, associate professor of the russian medical academy of continuing professional education, anastasia sergeevna good morning. it's very nice to see you. this is our expert why the eye may twitch due to a lot of nutritional deficiencies. this could be one of the reasons. this is one of the most common reasons lack of nutrients and rather a lack, but an imbalance. analyze your lifestyle over the past few years. perhaps several months. did you eat well enough ? the fact is that microelements such as calcium and magnesium play a very important role in the condition of the muscle. and if they are not there. most often, and sometimes there is an overabundance, the muscle may begin to

twitch slightly spontaneously; this may last for about 2 weeks. and if a person is unwell, well , he doesn’t like dairy products, you can somehow add them to in artificial form, of course, there are a large number of vitamin supplements, which also contain microelements and not only calcium is important, magnesium is also very important. uh, another reason, anastasia sergeevna, we have eye diseases here. we should all rule out diseases, so we won’t talk more about eye diseases and let’s talk about the cause and called nervous tension . how to fight it, firstly, let’s analyze our lifestyle, do you sleep enough, of course, at least 7:00 hours, and we have exactly night sun, well, five six, well, five six, but my sleep is shallow, i constantly toss and turn, in sleep it is very important to devote time to physical activity, sports, during

sports, substances such as dopamine are produced, and dopamine has a very positive effect on the nervous system. muscle transfer you do sports. well, to be honest, i don’t have enough time for sports. well, i try to walk a lot. this is the only object. yes, but walking. maybe, uh, playing sports helps. if a person how much should you walk a day of course, but if we are talking about daily activity, then experts recommend 10,000 steps. good sleep, physical activity , overexertion, how else to reboot? there are some other options. well, first of all, let 's not just load ourselves with additional stressors. protect yourself from them. well, if possible. don't watch any exciting programs, you can watch as much as you want? it greatly increases stress, the latest cause

of brain pathology. they are very rare and never cause eye twitching. may be the only symptom, therefore, if only the eye twitches, most likely there is nothing to worry about. but if there is something else, it’s better to turn to his vlog. well, you see , everything is not so scary anastasia sergeevna thank you so much for helping us, it was a very interesting and informative conversation. i hope you need to plan your life clearly and , of course, health is very important, so you need to sleep and exercise in order to remain healthy with excellent vision for as long as possible. take care of your eyesight priceless, but the conversation doesn't end there. i give the floor to academician yuri nikichulink. matters of the heart, what threatens

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our tv viewers, i’m listening. my name is valentin kuzmichnaya. i live in zelenograd and am now going to my relative’s birthday, who is 89 years old today. today is the dress rehearsal for what he will be 90 years old in a year and we hope to have a full company in perfect health. let's all get together fish and sausage. this is once a year, everything is possible , doctor, please. you help so that you don’t miss out on this anniversary, so that the liver and pancreas accept everything and feel good tomorrow, of course, i congratulate the person on such a wonderful anniversary. uh, so here, uh, two phrases were uttered, one correct, the other not quite. the first is that once a year is possible, right? and the fact that the doctor will help. this is a difficult question, because it’s not the doctor who should help you eat or not

eat, the doctor should explain, and here’s to me mikhail turned with hope. well, let's talk about how to live next? we 'll listen to them first - stepanovskaya. nadezhda is my car. hi we have been married for 18 years. we have for the sake of the children for the last few years. we began to notice very unpleasant changes in our 5-year-old daughter. and so, when i gave birth to her, after that i began to gain weight very much. i gave birth to my older children. i returned to normal in about six months. i have already answered the country, this is very uncomfortable for me, but more than a problem. let's go to my husband, who had a story, it seems. in general, every year i gain an average of 2-3 kg and the picture. it’s getting worse and worse, when i got married, i was 75 kg. last time. i weighed myself a month ago. i was 124 kg. well, we work a lot, we are tired, we often come home and can have dinner normally, and then we

take into account the sweets. and our children love sweets very much. sometimes we finish them for him. a vicious circle, it turns out. help yourself, please, break out of this vicious circle well, mikhail nadezhda, come on in fifty-two size. well, i hid it. mish means, uh, when did you start gaining weight? yes, literally, when did you get married? i say every year i constantly gain, then 2 kg, then 3 years. and just like that, she constantly gained weight and with such prospects she cooks deliciously. especially borscht is said to mean that all diseases of the heart and stomach should be treated by an eye doctor. first you look at what you eat, and then you eat. here, just look, please, what are you eating that is not here, even a finger will come in from this side. how are you poking? well, of course, chocolate. i really love slides. i drink coffee, and the coffee is chocolate. it's simply not. so i agree. what happens next? i

love it very much. sava, it’s not for nothing that the table is divided into three parts. let’s talk about fats like this, in principle, it’s not funny. except for the middle zone, right? in principle, all this is possible, some are against a small piece of sal, which he will eat once a week, some are against one egg, which he will eat on a saturday morning with the kids, but this does not mean that you have to eat scrambled eggs every day. and here is the middle part - these are the so-called translators. these are usually artificial fats. at best, they are made from some kind of plant material , at worst from pure chemistry. this is all deposited in the vessels instantly, and there is no help here. even these ones, that is, eat a hamburger with dark chocolate. will not work. that's how

things are. and look, so there is one here. i'm sorry for the cholesterol that you have, so i can forgive you for having six and seven total cholesterol. you are the mother of four children; you are also six and seven. now, 10 years later, i’m no longer i'll forgive you. but you, mish, are seven and a half, you are only 47 years old, since i am 75. that’s why i say the total cholesterol is 7.5, you are in the highest risk group. it's almost coronary heart disease. and there is a completely different conversation. what should we do next? all this is not possible at once. not in one go, but it’s possible. the only thing we’re doing is that it

’s a good idea for you to go to work, right? your wife gives you three bowls. that is, he constantly needs something. well, not constantly, but at least, chew something often and not nuts, nor dark chocolate or coffee, yes, but here, let’s say, i don’t know, there are some dried fruits, even they don’t contain calories. i think they are very high in calories. not much. here is a piece of boiled fish and fried fish. and then he will come home, not very hungry, and the refrigerator will close at eight o’clock in the evening. this is the most difficult thing. that means, i say that such advice is the hardest to do. that's for sure. this physical activity activity, you are only 47 years old. that’s why you’re welcome

to do this, but you see, you can’t stand here. glucometer, look, still measure glucose, because here yes, here you understand, what a thing, apparently, so far this is the so -called solution to glucose tolerance. this is not type 2 diabetes mellitus , most likely it is still a disorder of celiac disease, so here you need to look at very high cholesterol, if glucose is high for 47 years. the cure, if you don't believe it, give us a movie. this is what happens when you behave badly . this is the aorta. but what the female orta olezhka clearly means is hope for you. it’s not for nothing that you have such a name. hope is only in you children. they should also follow you. agreed, yes, that's it guys, thank you. this is the conversation, dear friends,

i repeat once again, we are what we eat. thank you very much for your attention. goodbye, my colleagues continue answering questions. belenkova, we have the next question. hello, my name is kharko elena sergeevna from moscow. i am 38 years old. i'm worried about varicose veins. but when i run, and i run a lot, i get capillaries right after giving birth, after when i generally run professionally i was studying, and just against this background it all just took off. you don't know how to explain it. i wake up in the morning, i have trampling marks on my feet and terrible pain and i just have to sit in the bath and steam them for a long time, then i put on my sneakers and i get cramps on the road. i want to ask the doctor a question. and what kind of physical exercises

can i do, so that all these cramps go away for me, how can i get rid of this, and how do you interest me individually, which is suitable for me, in order to get rid of these problems, well, really. the problem is common because varicose veins are often accompanied by this feeling of fullness with edema, but the good thing is that this can and should be fought. let's do this together with our viewers in the studio. who is ready to take part in this exercise? i ask you to. it wo n't be difficult at all. we sit down on the table. you can use a rubber band. you can use some kind of rope , a dog leash or something else, right? so we sit down and throw it on. we straighten this leg with this elastic band. and we pull the sock towards ourselves we help ourselves with an elastic band. this tension lasts for 2 minutes. we should

feel a stretch along the back of the shin and actually put everything on the other leg. choose me, and when we stretch the muscles, the reflex is activated, which stimulates blood flow, that is, the tense muscle begins to make micro contractions that compress the capillaries. after this, the muscle relaxes and another contraction occurs, which pushes the blood through. here are three of these tense muscles. she squeezes veins, vein walls due to which it stimulates venous return perfectly. that is, even on an ultrasound it can be seen how, at the moment of this exercise, a person’s diameter decreases and collapses. so if you do it regularly, swelling and pain are significantly reduced, and in some cases even disappears.

thank you that we wish to see you on the channel, russia on the russia tv channel news in the studio evgeniy rozhkov hello, the main thing is by this hour explosions are thundering today in kiev kharkov exactly part of the ukrainian railways is de-energized the rapid march of our tankers battle congestion ledges 10 seconds to load