better not to touch him, he's a very serious guy, how you melted petya's heart, i fell in love with him and he fell in love with me, among friends, premiere, on sunday on prt, don't you notice anything strange, no, count how many holes, premiere of a detective, we 'll approach this scientifically, hello, let's go, stop, elena tsyplakova, come out, irina razanova, we're only working. the new detective is already on the website in the app, watch it, you don't need to sign up for it, just kidding, he'll come to your house himself, we're starting, always helpful we'll

practice how to walk on ice correctly, will always tell you how to increase low blood pressure, how an air freshener can lead to asmi, how to take medicine correctly, will always support, a bowl of pasta with cheese, this is a saucepan of dumplings or a frying pan of fried potatoes, a knitting needle, this is how a child sleeps, but i do not advise you to do this. a doctor who can be trusted 100%. and you will be happy. well, i do not guarantee happiness, but your health will definitely increase. doctor myasnikov. on saturday on rtr. tv channel russia presents. dear friends, my name is maria sittal, i am the author and host of the new documentary. large-scale project family

of families on the russia tv channel , all families of russia are invited to participate in our new project, from vladivostok to kaliningrad, from the caucasus to yakutia, from moscow and st. petersburg to the urals and all the way to siberia. everyone who is ready to share their unique story with us. family of families, a new project by maria sittel for each of us, for all of russia, to take part in the project, fill out. the questionnaire on the website smtrim.ru, send, fill out the questionnaires, we are waiting with impatience. vodka, pechora, a product of stellar group.

titanic luxury collection bothrum din snop product. stelar group. tell me how it was. you always have a choice, there will be a case for you. shoot. well, to get acquainted or to break up? marry me, again. your proposal, salvation for me. but just friends can not remain, suffer or act. we lost our son. alyosha is alive. i believe in it. search or hide? now i will not take my eyes off her. did you all agree, or what, together? to leave or return, where do you

need? and you are a bus driver, or maybe a taxi will you order for me? but whatever you choose, this meeting cannot be cancelled, only to look at the profit, or will you take part? from monday to thursday, you are very busy, what is being shown, the very thing, it's time for big premieres on rtr, put out the candle, light the hay, good morning, says and shows doctor besnyakhov, and that means you are watching a program about the most important thing, that is, about our. health,

it is always interesting for us, it is always informative for us, but today i have an additional incentive, we will have a conversation about increased appetite, about products, that means, we we will not only talk, but also eat, but i at least... hope so, well , watch us, it will be interesting, let's get started, today in the program about the most important thing, is it contagious or not, what common diseases can be infected, and which ones are not, in what cases cancer is transmitted from person to person , why can you get infected with invisible parasites, infection flies around us and we will get infected, roller... keep in mind that cancer can be contagious, i say, mom, what are you saying, why some people get cystitis because of sex and how dangerous are medications for the liver to reduce cholesterol? questions from the doctor. alexander myasnyakov asks, you

answer. increased appetite, what can provoke it, when is it a sign of development. the rest of the risk of its occurrence increased by 20%. american scientists conducted an experiment, distributed students into rooms, dividing them into pairs. if one of them had a character prone to depression, then soon the second one became the same. are mental

disorders as contagious as a cold? today we will find out, and also find out what kind cancer is most often infected by people, why is pseriyat considered contagious?

either a schoolchild, or a first-year student, and my mother, doctor, doctor, alik, keep in mind that cancer can be contagious, i say, mother, what are you saying, you are an adult, a candidate of sciences, well today we know that 17% of all oncology is an infectious disease, that hepatitis b, if left untreated, becomes chronic , it becomes a food poisoning. having become infected with hepatitis b, or hepatitis c, it doesn't matter, you automatically become infected with cancer, provided that you live long enough for it to turned into cirrhosis or cancer. we know very well that the lipstein-barr virus is the provocateur of many oncologies. we

know very well the famous disease, which is 100% viral, this is cervical cancer, is called only the human papillomavirus, which we ... we all think that a cold is from the fact that i sat in a cold place, did not close the window, a draft, did not put on a hat, not understanding that you will not have symptoms from this, symptoms appear from the virus, but the virus is around us, we breathe it, constantly, constantly, here in this

minute you inhale the virus of your neighbor and so on, the question is not who will transmit the virus to you, anyone, husband, neighbor, elevator, anyone, how do you react to it? here is gastritis, yes, gastritis, heliobacteria are caused to a large extent in 95% by heliobacter pylori, which in general we get infected with dirty hands, contamination,

here you are a happy person, and they call you, giving, here is dasha, she has already answered, dasha, we heard, a happy person, i find dasha, she is a happy person, well, we now live in apartments, yes, you know few people, and let's say you live in some area, you have a private house there, your grandmother lived there, your mother, and you live there, i go to the neighbor dari and say, knock-knock, how is everything, everything is fine in life, yes, of course, everything is fine with us, the neighbor sings songs.

well, on the contrary, depression, well, that's understandable, you don't even have to think about it, but a boring guy is sitting with you , he's been nagging you, nagging you and nagging you, everything is bad for him and you don't want to give it to him, and what, and you're in a 100% mood, and what 's wrong, it's not contagious, it's very contagious, it's such a disease, illusory parasitosis, that is disease, that a worm is crawling on me there, i feel how it crawls, sucks me, so its infectiousness is almost 15%, when you have such a person next to you, out of 100 people, 15 will also feel like parasites are on them, worms are walking, walking, poking their chest, so psychologically

it is understandable, the situation, well, even look for yourself, if you were me all the time, it’s not that i scold the media, everyone has their own job, i’m just also dependent and i find myself because of the fact that whatever i do, i reach for the phone, i immediately want to see what has changed in those 15 minutes that i have not in my hands i held it, and i see that one thing is being pumped up there, then another, the fifth, the tenth and... each time something new, i am becoming healthier from this, i have learned something new, something useful, i am just twitching, i am just twitching, i don’t want anything, and there is only one option: either to become absolutely apathetic, indifferent, which is also wrong, or to become one of the organs, everything is lost, boss, everything is lost, so i think that there should be a certain censorship on such things, absolutely seriously, so the negativity should be given in doses, it can be in different ways give information, but it should be dose, my personal opinion, i do not claim anything. well, it's just contagious, it's psychosis, it 's an indicator of psychosis, although

any agitators have used this since time immemorial. karyos, well, yes, kares is also caused by bacteria, they can be transmitted, probably, although these are more genetically determined things, well, we have already talked about gastritis, gastritis, hileobacter, pylori and so on, and what do we have here, thrush, gonorrhea, herpes, worms, tuberculosis, lichen, syphilis. shi hepatitis c and these are what afraid to pick it up in the pool, depending on what you 're going to do in the pool, you can pick up gonar in the pool, but you have to try , in fact i understand, because fungus is still generally in fact i personally don't go to the pool and not for some reason, i like living water, but methyl chlorine probably irritates me, i'm not me, i don't like it. i don't like the very idea, it's like a prisoner in jail,

that's why i swim in rivers all year round, i won't go into the rod, some kind of stagnant, i need living water so that it flows, and what does it the colder the better, and i won't go into the pool in living water, i don't remember that i'm in the pool, i'm standing there on the edge, i'm already even yaku, i don't like it, plus, well, you yourself... i'm goyo again personally, i don't go into them, i'll tell you more, in many cities, resorts, russian ones, the sewage system is still the same as it was in the sixties, a toilet of the sea, so sometimes i watch how people swarm there, there's no room for an apple to fall, but you have to be an even greater water enthusiast to

climb into such water, but i want to return to something else, that many diseases are much more contagious than... we think, we now know about the role of the microbiome, that it determines the predisposition to a risk factor for many diseases, is a protective factor for many diseases, why so many, what is genetically determined, but why do i always bring up the tuvans there, who can eat lamb in large quantities, they do not get the diseases that, for example, people in europe get, who eat 10 times less meat, because the microbiomes, my grandmother ate, grandfather, great-grandfather, they are so they eat. they have this microbiome formed, they have one thing, and we have another, why do they take japanese people who do not get sick with american diseases, they come to live in america, they are not sick yet, and their children start to get sick with american diseases, because this is already a different microbiome, i have another explanation now, i

worked for quite a long time in the russian embassy in france at one time and my son was born there, he was not born alone, we were previously forbidden to give birth in the embassy, ​​and a new ambassador came and said, i am for childbirth, it started, we had a baby right there, and i , as a doctor, well, probably, well, about ten children were born during the years that i was there, they are all the same, they look like, who do they look like, the french, it seems, they started to grow up, well, what about children. they run to kindergarten, they go, what, what is here? i have an explanation, then, when the microbiome theory was already established, i thought that this is one microbiome, if the microbiome determines taste preferences, proposals, even love, whether you like blondes or brunettes, even determines your feelings, but probably, maybe somehow determine the appearance, although this is also a fantasy, of course, well, in general, i told as best i could, i told, but i want

to say again, the question is not in the infection, the infection is around us, the aggressive environment is around us, we must put up a shield, then we will not be born with either a virus, or bacteria, or these negative moods, boredom and depression, everything will be fine with us. further, why do some people develop cystitis because of sex and how dangerous are cholesterol-lowering drugs for the liver? questions from the doctor, alexander myasnikov asks, you answer: smile, please! well, this is a serious question, the lady with the dog in the previous episodes, this is my mother, will live with us, no, agata denisovna marfina comes to visit her daughter and immediately becomes a witness to a mysterious crime, which can be wrapped in a carpet, calculation and logic tell her that a murder has been committed, at a minimum you need to know who, and at a maximum

you need to see the body, no body, no case, she brilliantly solves it, don't you see what 's going on here, now she has a new, unusual hobby, will you follow if necessary, then i will do everything i can, lady with a dog, continuation, watch today on rtr, and soon you and i will have to take a new trail, they say to rest on... prepare, you need to know how to rest, you need to rest beautifully, but you need to rest, where the sun and the sea, on the first coastline, where everything is included, except for the head, we know everything about rest, relax,

anex, welcome to rik beach, 1 km long. impeccable service, exquisite cuisine will make your vacation unforgettable. rixas premium magavish suds and villas. the vacation you dreamed about. it's unbelievable, but i'm in the circle. we have ragnar , the champion, he has a lot of awards, he's on our heels, this cute creature, this is barney, he's a spitz, he's 2 years old, in human terms he's 14 years old, i see you 're good at math, miron, there are so many pets here that you can't count them, we'll have a fashion show now, we'll meet them, they can be cut, any

haircut, short, long, there are so many stories here that you can't listen to, petya took me in stak, naturally, i say, katya, when will he leave here, there's so much love here that you can't resist, we fell in love with these fluffy ones, that he's there now with you, establishes contact with me. happiness there, happiness here, in the circle of friends, premiere, how i miss such a circle, on sunday on rtr, time of the rubric questions from the doctor, we ask you questions based on previous programs, you answer or don't answer, but if you watched our program, then you should know the conditions: raise your hands, who is ready to come out here, let's go, what is your name? my name is

alexandra, sasha, so you and i are teshki, what are you doing, i am a housewife, but not all my life, practically all, what is yours your biography is complicated, okay, go ahead. so a question for a housewife, yeah, can sex provoke cystitis? i wanted to joke about housewives and sex, but in fact it's just a classic, and cystitis is both non -infectious and infectious, we even advise people who develop symptoms of cystitis after sex to take an antibiotic before that, so that prophylaxis.

are statins for lowering cholesterol harmful to the liver? no, well actually initially thought that yes statins can lead to an increase in liver enzymes, and earlier even when prescribing statins , liver enzymes were looked at at the same time, then after 3 months, then after six months, then after a year, now this practice has been abandoned, it is believed that tins in some cases even with hepatitis c are useful, so according to today's views they are not harmful to the liver, although until recently it was believed that they could potentially have a certain effect, well, look,

there was a gross mistake about sex, we will know, chewing food, well, yes, statins, okay, we will assume that you have one correct answer, accordingly, you can pull out one key to try, if you're lucky. if you open it now the first time, you won't have to answer, but in red, i lost, let's go to the next one, let's choose your punishment, your prize.

yes, after all, the red color worked, some kind of one will do, yeah, well done, choose, i want your book, do you want a book, yes, with an autograph, so, well, let's, you know, i 'll choose for you, the thing is that i have a new book out this month. great, i'll read it, and the autograph, yeah, you can't do that so easily, teski, yes, thank you very much, here you go, sit down, want to review us, this platform, watch, application, website smotim.ru, we move on. let's talk about

increased appetite, well, the topic was suggested that increased appetite is a symptom, in fact, it's better not to watch, when i look at food, i want everything, i have a simultaneous urge to either take a herring, or put lard here, eat it or dumplings, or potatoes, and i'm struggling, i have no, no, i would sit down in ... everything, well, let's go i haven't allowed myself dumplings for a long time, by the way, here's one of the examples when increased appetite, and for those, naturally, who starve themselves with all sorts of diets, sometimes it’s better, well, you eat, you want, well, eat this piece, don’t make yourself a stagnant hearth, because then you can break down into attacks of overeating and so on, and so on,

increased appetite, we consider not as a symptom of a disease, because a symptom of a disease in which there is an increased appetite, there are not many of them, well, yes, this is diabetes, yes, classically mental illnesses, glementosis, premenstrual, yes, here is premenstrual, but in fact, in fact these can be, of course, medications, that's another question, we know that many neuroleptics, there's a problem, you're a person with schizophrenia, you give him neuroleptics, he loses 10-15 to... 20 kg , you can't take him off neuroleptics, many medications for the treatment of type 2 diabetes increase weight, hormones increase weight, thyroid hormones , on the contrary, reduce it, and so on, but we're not talking about this as a side effect of the medication, maybe that's not the topic, because if you come to me, i'll ask you about appetite, i can't restrain yourself, it's not a disease, it's not thyroid, 90% of it is psychiatry. well, how is

it psychiatry, the thing is that eating disorders are considered in psychiatric illnesses, bulimia, here it says false hunger, but it 's called a little differently, it's bing, i don't know what we call it, because of the eating disorder , hunger attacks, attacks of increased appetite, by the way, they occur quite often, i don't know, are you familiar with the feeling, i know it very well, somehow everything seems normal, suddenly you have a bar falls, it just... falls, you start eating in wild quantities, wildly, and you do it alone, because everyone is watching, saying, sekov has gone crazy, and then he tries to steal my pasta from the pan, but he nods that he knows, you can't stop, you give in so much that your stomach swells, you can't even fart, then you feel bad, then your conscience wakes up, one of the behavioral disorders, i wonder. how to satisfy hunger

without food? drink a glass of water? okay, that will help for 5 minutes, give me the microphone, girls, come here! she reacts so vividly that i understand, understands what we are talking about, of course, so to speak, she has room to, minus 12 kg, just, how much 12, did you gain? gained, now lost, i'm losing it completely, that is , familiar, naked, absolutely, a glass of water helps, helps, for 20 minutes, i have a bottle standing there, and you are still drinking continuously, yes, what's your name, alina, alina, okay, so they advise doing 20 squats and push-ups, i probably have an empty stomach, my head starts spinning, i think, i'm hungry, no, i sometimes tried myself with physical activity, after that it’s generally hard for me to stop, because

not only am i hungry, i’m also... there’s about an hour, well , that is, i don’t know how my body works, but after an hour i just want to eat, for example, here i go, let’s say at 12 and at two i have a planned lunch, so closer to two there i’ve already learned somehow, well done, and i manage to distract myself by reading a book, watching movies, my god, when i read books and watch movies, everything that’s standing, lying or not screwed down flies into me, nothing at all, that's why i'm never at home... i got used to it like 3 months ago, i broke down the last time, i was on napoleon for 3 weeks, i was terribly numb, yes, because i was watching movies, by the way, no need, it's better to eat bran, and not healthier, read a book, just a second,

from all this my stomach will hurt in 10 minutes, about a man who was very hungry, and says, i had to do something , i could take a book to read, to relax, took a book from the windowsill, it was. a thick, gloomy morning, and opened it at random, makhno, breaking the heart knife, pulled out a mother-of-pearl knife from his pocket and continued to open tins of pineapples, this is bad, i thought, french pate, samaras, which smelled sharply in the room, i began to think why i had never tried lobsters, or let's say ustres, at dikies everything is ustres, i wield sklaznye knives, cut off thick slices of bread, spread with butter, and so on, that is, what other book should i read? when you want to eat, you open it, well, water helps so much, that's what i would like to smell delicious food, i'm in favor, if i smell food, that's it, i can't tear myself away from it, but it's not necessary, it

doesn't work, no, no, it works in the opposite direction, but it's real, i mean you won't lose weight from it, well, probably a contrast shower, a hot bath will distract you for a while, well, in general, i've trained myself that i don't eat after four. i feel really good from this and when i take a bath, i just relax, i fall asleep right away, i don't want to eat more, well, that means it works, and by the way, sometimes i just try it even when i want to madly eat, i understand, i myself yes i will eat now, but i eat a piece of carrot, an apple, a spoonful of cottage cheese, here is something i need to put, at first i seem to have nothing, and after literally 20 minutes i feel that already this little animal, shine...

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sharmaьshey is not just a holiday, it is a holiday for the soul, where every detail is created for admiration. you live alone, right? i am alone too, i need a friend, real, faithful, devoted, one minute, now, here is a little leopard, it will not start, but now it will start. i why did i send you to the store, he kept saying, it will start, the day hasn't come yet, no, vanya, no, your mother-in-law's birthday is in six months, stories of a big country, the premiere is on sunday on rtr, the program about the most important thing continues, we are talking about an increased appetite, is this a patient, yes, a plague fish, a girl? boy, boy, kitty,

has he been this fed for a long time, you have him, we have been fed for a long time, yes, how old is he, he is 5 years old, you have no restrictions, yes, no, we are trying to restrict him, but it is useless, those who love to eat, they always eat in love, how much he weighs now, well, about a month ago we weighed ourselves at the vet, 7 kg, my fish, your eyes are blue, does she have diabetes, no? you are neutered, of course, you are mine, so

tell me, what is left to eat, what are you? well, how about it, there are still toys, as entertainment? well, judging by your build, of course, you went with toys, and if i put some kind of toy, i will still go to the food, but there really are breeds of dogs, some other sponiels, that do not feel. hunger, they will eat, until they fall, that's how much they even have, he will eat, and the problem with having such dogs, because well, you want to wait, and cats, but cats, they know how to manipulate, they start asking like that, they look with such eyes, they really do it right, they say, i said that i'm going to die now, bring me some food, how many pleasures there are in life, in general, how many pleasures there are in life, one that quickly falls away with age, we are left with something to eat, hearty and good, and they say: read a book, watch movies, play a toy, there, of course, the cat is not

a fool, to have a toy or to eat, of course, he he to eat, well, figure, yes, you have lost your figure, guy, but calmly, but always so calm, yes, always so calm, you see, how good, for example, you have a husband who runs around nervous, screaming, so feed him, be calm, let's do it, all these diseases, as they say... of course, without waiting for an increased appetite, this is included in the screening of any person, if you have this irresistible feeling of the city, you must understand that this is an eating disorder , how spoiled it is, how i suppose, the cat, or it is already really, according to the manual, there is a special classification in psychiatric diseases, there is no evidence of any kind, there is only testing, questions, according to these symptoms, if this is already... proven eating behavior, there yes, there

up to drug therapy and so on, but in 90% of cases we are all, this is all, we are all these cats, we are promiscuous, it is very easy for us to get food, and we are slaves to taste, these nipples, i just ate dumplings and i still feel warm and good, i haven't had this for a long time it was warm and nice, me too, i think, maybe i'm living in vain, maybe i still need this , this continuous sport, these restrictions, this feeling of warmth? well, here's another matter, i've long been, i've long been accustomed to it, you know, for me, when people with such severe restrictions, i still don't really believe them, how long can a person cause such restrictions, here's alena, she's sitting, she gained 17 kg, 12, then lost it, and it's clear that the person is completely stubborn, she will fight, but she too, this is serious, you need to have serious strength, serious efforts to invest in serious motivation, but she is young.

the rightness of her behavior, she still has to prove it, and we do not know, she has lost weight now, and maybe tomorrow, god forbid, she will gain 20, anything can happen, but i have already done everything, i have already proven it to me. the fact that i live like this, i live correctly, but the third reason was that i like being like this, being strong, mobile, that i can do what others cannot physically do, and i like it, so this is motivation, like girls want to be beautiful, for me this is motivation, anyway restriction, and not to eat dumplings from morning till

evening, in short, people with an increased appetite, try to find it anyway. an alternative, when your appetite develops, when you forbid yourself, my conscience forbids me to eat dumplings or pasta, but then, when i sit down, less than a saucepan, i don’t eat, one pack of dumplings is not even a conversation, it’s just what’s the point of putting water on and so on, so you need to allow yourself so that there are no such breakdowns, then you should still monitor, you should constantly snack, have with you, for example, carrots i drive, i'm in the car in the pockets everywhere carrots are already peeled, i gnaw them, gnaw them, i gnawed them, i lay down. i'll forget the pogrs starts to suck, and then i start to think, yes, how much of that life, that i'm a slave to my eating habits, i have the right to go eat then i take a shower, then i worry, so don't look for the disease, most likely the disease is of course in the head in our habits, so let's manage our habits, it will still be good, now

dr. myasnikov will answer questions on... viewers in the studio, doctor, good morning, good, i'm 60 years old and i've been suffering since i was 37 hypertension, i already had such indicators, like up to 220, yeah, but when i take the medicine on a daily basis, i sometimes have swelling, swelling of the face, legs, and in order to remove this, i drink a diuretic, tell me, please, how often can i drink this, will it affect the kidneys, but in fact... my legs are leaking, you take drugs like omlogepine, nefedipine, calcium blockers, really very correct, powerful drugs for the treatment of hypertension, they really can cause teriferous edema, but one of the most effective means for lowering pressure is energizers, that is, they must be included, but in 70% of the combination

of drugs - this hypertension contains diuretics, so you can take it on a regular basis every other day. and so on, diuretics are a very good supplement for controlling hypertension, especially for you, because it is clear that you have us as we still even sometimes can be seen by the constitution, who needs to do persistent diuretics, who on vaso diletator and so on, for you diuretics is mandatory, mandatory, there is a combination with chlorteledone, what is good about chlorteledone, look there, it acts up to 48 hours, hydrochlothiozit there 12, powerful diuretics also allow.

this is a pinched nerve, then look where it is pinched, it is either pinched in the wrist, or in the elbow, or in the shoulder, or in the neck, and which specialist should i contact, a neuropathologist, all these pinched nerves, animenia and so on, well, a neuropathologist, well yes, officially to a neuropathologist, thank you, yeah, why am i like that, well she asks, well what can i do to her a neurologist, he will say, give me some vitamins, or he will say, let's do something here, oh, you have something here... something, he will do something else with it, it needs to be developed, it needs to be moved, the ceiling won't do anything, a neurologist can give a medicine that wo n't help, but it won't help, it will help, but right now, it will give hormones, she 's numb with them, she won't feel herself, but you need to understand what you sleep on,

what mattress, what you move, look how the spine has changed, she has osteoporosis, have you ever looked at your bones, osteoporosis , your spine has sagged, how old are you? a lot, and there is acute osteoporosis, the spine has sagged, and there is probably this pinching somewhere, you need to do it, and what neuropathologist will prescribe you vitamin b, but you need to do it again, here is the question, how can i solve this here, we all have musculoskeletal pain with age and then you want something from the doctor, when it is already too late to do it earlier, the doctor cannot give you health, he can give you a pill. good morning, good, i have such a question: is it possible completely get rid of the consequences of a brain injury, yes sometimes yes, sometimes. for a long time, sometimes yes, constantly periodic headaches in sometimes no, we can't do anything with medication, sometimes it

remains for life, convulsions and headaches and here remember that the head is a complex subject, it is not subject to treatment, so you just have to live, it will recover sooner or later or it will not recover, here no one will - you will not predict, unfortunately this is so, thank you, i answered ... all your questions, everyone health good luck, next in the program, women's health, how to properly replenish calcium deficiency during menopause, for my friend seryoga, my guardian angel, well dead, the security guard has some personal enemy, we need to close the case as quickly as possible,

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freezes in anticipation, wow, it's completely incomprehensible, but time doesn't wait, every second counts, you know what, hare, hare, why, i 've learned so much now , and the more versions, the more chances to win, only not me, only not me they would call, me, five on one, bye, on saturday on rtr, in your yard, a man was just killed, who? oh, what a good question, murder among white day, marya sergeyevna is not surprised by this, i have a bad feeling, stop, i'll shoot, secret investigations, it happens, yes, my dear, it happens in any way, from monday to friday on rtr, good morning,

hello, menopause can bring quite a lot of health problems, and this is not only hot flashes, changes in blood pressure, psycho-emotional lability - it is also rapidly progressing osteoporosis. and, of course, for the prevention of osteoporosis, early bone fractures, vitamin d and additional calcium. how to prevent osteoporosis, that's what we'll talk about today. but first, let's find out the story of our guest today, lilia. hello, the program is about the most important things. my name is lilia, and today i'm asking you this question: i'm 48 years old, menopause has been going on for 7 months, and i'm interested in the issue of osteoporosis, calcium absorption in the body. i know that during this period, hormonal changes occur in

the female body, and i would like to protect myself. my mother had a very severe stage of osteoporosis, she broke her arms, legs, and it was very unpleasant, inconvenient, so now i am concerned about the question, are there any tests that can show the level of calcium in the bones, is there some form of calcium that is better absorbed, and what types are there, how to take it, so if possible, answer me this question, my situation is also complicated by the fact that i ... do not drink cow's milk. liliya, today we have in the studio, please come to us. good morning. good morning. hello. liliya, please tell me how it happened to you transition to menopause? well , it's hard in general, because it was emotional stress, and there was a lot of stress. did you somehow support yourself during this time? yes, i took vitamin d, calcium, but i see that in my

opinion there is no particular effect. but i'm wondering, what effect do you expect from kalts? you know, i would like, firstly, somehow, i have fatigue, i have pain in my bones, it seemed to me that this should go away, if i start taking it, it will somehow be easier, there will be no such hot flashes, there will be no such reactions heavy, why don't you eat dairy products, it's been going on since childhood, i don't have enough enzyme that would digest cow's milk, so let's figure it out, and i want to invite to the studio a doctor-expert, andrey nikolaevich zolotarev, doctor of biological sciences, microbiologist, nutrigeneticist. good morning, dear kolaevich, good morning, good morning, guests, please tell us, what is the connection between decreased calcium levels and menopause? due to decreased estrogen levels in the body , calcium saturation of bones sharply decreases. this occurs a certain condition called osteoporosis. this is a disease that

is characterized by a decrease in the concentration of calcium in the bones. this is a condition that actually occurs in all women during menopause. over 15 years of menopause, a woman can lose up to 75% of her bone tissue. well, let's say we have a healthy woman, 25 years old, with a high level of estrogen and a high level of calcium. and this calcium is completely absorbed into the bones, is built into the trobeculae , actually, they are engaged in strengthening the bone tissue. but as soon as estrogen starts to decrease, the calcium level will also decrease , because it cannot simply be integrated into the bone. osteoporosis does not develop in a few days, of course. osteoporosis is a fairly long process. first, the so -called osteopenia occurs, because the calcium in the blood serum becomes less, it gradually begins to wash out of the skeletal system, from the bones. therefore, a woman during menopause, and not periodically, but constantly,

needs, for example, not 1,000 mg of calcium per day, and 1.5 grams. how much calcium has been absorbed in our body, unfortunately, we cannot check this , so in order to understand, we look at free bound calcium, this is a general biochemical blood test, there is another very important method - densitometry, which just measures the density of bones in different areas. liliya, have you done such a study? violation of the calcium level, osteoporosis, it does not hurt, we find out about it only when we get the first fracture most often, but signs of a decrease in the calcium level in the blood serum exist, this is deterioration of the skin, hair and nails, muscle pain, spasms, cramps, that's when the bones start to hurt, when a pronounced pain syndrome appears in the bones, this

means that we already have at least osteopenia, and it does not immediately manifest itself, it is precisely in such a protracted nature, something muscles began to get tired, at night legs cramp, it is difficult to climb the stairs, these are the symptoms that should be paid attention to first of all, the next is just chronic fatigue, which is paid even less attention to due to the fact that people for some reason they think that chronic fatigue is not a consequence of some of these hormonal changes, but simply tired, then you can safely remove all three indicators, that they most often in combination already manifest themselves, just when pain in the bones appears, most often in the lumbosacral spine, gait disturbance, decreased growth - these are just signs of osteoporosis, but we are somehow accustomed to thinking that calcium only affects the condition of the skeletal system, no, calcium is a very important mineral in our the body, it affects the tone

of the cardiovascular system, the synthesis of hormones and... the synthesis of immune cells in lymphoid tissue, the state of the cardiovascular system in terms of rhythm disturbances, that is, in any case, calcium is a very important mineral, and of course, you can't do without it. how to replenish calcium if it affects so much of the system, and is consumed very quickly? the first is a recommendation for proper nutrition, for food products, today we know for sure what food products more saturated with calcium, well, in the first place, of course, dairy, fermented milk products, here lilies can not be dairy, fermented milk, as i understand it, there are beans, yes, you can eat legumes, calcium is needed. g per day every day, and here, of course, yes, you can not replenish this with dairy products, tell me, and what is the best supplement to choose then, so that everything is received as it should be and so that it immediately gets into our bones. at the moment

, various forms of calcium are presented on the market in pharmacies, this is carbonate, this is citrate, and hilate, and any other forms, but they differ greatly from each other, and they differ primarily in that they have different degrees of absorption, the best at the moment i ... this is the hilate form, this is more than 80% of the degree of absorption in our body, this is due to the fact that the hilate form is already a mineral plus a transport amino acid, and the body does not need to recreate additional biochemical reactions in order for this calcium to be absorbed, well, and accordingly, this is why we still recommend the hilate form, in this form of calcium is closest to humans, of course you need to pay attention to the presence of vitamin d3, because it is... vitamin d3 that promotes the penetration of calcium into bone tissue, it is desirable that this product also contains the very important vitamin k2. of course, vitamin k2 works in conjunction with vitamin d, in fact, the main task of vitamin k2 is that it

activates a special structural osteocalcin - this is a structural protein of a non-collagenous type, which is actually involved in the direct construction of bone and cartilage tissue, activating osteocalcin. vitamin k2 thereby improves the absorption of calcium in the bones, they become denser and the risk of fractures decreases. vitamin k2, it sends calcium to its intended destination, that is, directly to the bone, thereby reducing vessel calcification, and accordingly improves the elasticity of the vessel, and what is very important, including for cartilage tissue. tell me, is it better to choose which supplement of our manufacturer or imported, probably, first of all, lily needs to look not even at the manufacturer, but at the composition. the composition should include calcium in chelate form, vitamin k2 and vitamin d3. in my opinion, it is better to give preference to russian manufacturers, because there are no additional costs and, accordingly, which are included in the cost of logistics,

marketing, delivery and other things. but, of course, you need to choose those who have long been present on the russian pharmaceutical market, who very carefully approach the production technology and the choice of raw materials, the selection of components and doses. works according to the international quality standard, therefore pay attention to the gmp sign on the packaging of such products. liliya, thank you very much for coming to us, i hope that our advice will help you. thank you very much. andrey nikolaevich, thank you for being with us today. my friends, today we talked about the prevention of such a formidable dangerous disease as osteoporosis in women during menopause. and, of course, we talked about the importance of such a mineral as calcium during this period, and we wish you a good day and a great mood, be healthy, with you was a program about the most important, posters on

tv channel culture, theater, music, fine arts september 3, the novaya opera theater presents richard wagner's opera, the flying dutchman directed by konstantin. chakhov opens the 127th season with the premiere of the play suicide based on the play by nikolai erdman directed by nikolai roshchin in the role of podsekalnikov ivan volkov, on the small stage of the theater the premiere performance lady-dog based on the story by chekhov directed by alexei mizgerev. chekhov's story lady-dog. a great, great work, a miniature, there are only six pages, of which 5 and a half are descriptions , very little dialogue. i thought it was a great challenge to create a play for an hour and a half, it seems to me that it is about tragic love, that is, love that is close to death, so it is such

a chekhov in the context of a modern view of what relationships are between people, in a family, between fate and love, shukshin are held in the cinema museum. among the exhibits are portraits, photographs, sketches of the scenery for the film kalina krasnaya, posters of film posters pechke, benches and lives such guy, working materials of the film about stepan razin, a fragment of the writer's village house and much more. the theatre of nations continues the festival "language of the world" showing on the stage of the krasnoyarsk drama. theatre

the play by alla segalova karenina trial based on the novel by leo tolstoy. the 233rd season of the kazan bdt named after kachalov opens with the premiere performance based on shakespeare's tragedy hamlet directed by alexander slovudsky. and at the nizhny novgorod drama theatre named after gorkov the season begins with the premiere production by alexander marin based on the play by mikhail bulgakov "zoykina apartment". masterpieces from the collections of the russian museum can be seen in the exhibition halls of the ryazan historical and architectural museum reserve in the exposition. century. the azerbaijan national drama theater continues the program of the alexandrinsky festival showing the play iblis based on the tragedy of huseyn javid, author and director mehriban alekzade. the lensovet theater opens the season with the premiere performance of andzhi bubinya chekhov wants to live according to the writer's stories. the polish national

opera will broadcast a ballet in pinocchio to the music of michislav weinberg. the composer wrote the ballet the golden key based on the book by alexei tolstoy in 1955. choreographer anna hop staged a vivid original story, adapting the plot for modern times. the gronet museum in aix-en-provence is hosting the exhibition the artist of the king in provence until september 29. the first monographic retrospective of jean daré. flemish painter, decorator and draftsman of the 16th century. the exhibition includes more than 100 works by daré, as well as works by his contemporaries from paris and provence.

so says the lighthouse. on the rossiya vesti channel, in the studio is evgeny rashkov. hello, here's what we'll tell you about. the ceremonial meeting. the russian and mongolian presidents began negotiations in ulaanbaatar. the main topics of the statement are in the live broadcast of our correspondent.