ahead of us is a heading easy, that is, questions and we will answer them alexander leonidovich good galina i am from the city, neftegorsk, samara region. i'm 48 years old and going through menopause, but i'm worried if i'm likely to get pregnant during this period. i am now taking birth control pills and would like to know if it makes sense to take them for a while longer. and if yes, then somehow oka thank you yes it makes complete sense, because really uh, beginners on pause. e. just in the region of 50 years, on average, this state. ah, when the function of the ovaries begins to fade, but it does not stop. so here are the tracks and that's it. she extinguishes irregular periods, then they disappear. but you must understand that menopause is completed, when you don't have a period for 12 months. now, if you have 12 months, no menstruation, you can stop. if you know so far during this period, we still do not know. look, it would seem extinguished the candle. so i don’t bring it, but it lights up, i extinguish it and again the risk is small, but not a risk, the probability of pregna

alexander leonidovich good afternoon. is svetlana, i'm from the city of vladimir for several weeks now, my tailbone hurts like hell, i practically can't move normally, i can't sit, uh, i can't lie on my back, i can't turn around, i get up with difficulty. eh, let's do it. rt the doctor said that everything is normal with the spine and it’s not about him very strange, what is the reason then? i don't understand. eh, it's the coccyx that hurts. hey, i really appreciate your help. thanks e uh, yes, uh, the problem is nasty hmm, the problem, so to speak, is quite widely known. by the way, statistically, pain in the coccyx area is five times more common in women than in men. i don't know why they did an mri of the spine. yes, with pain in the coccyx, you need to do an mri, but only in a limited number of cases. uh what's going on uh, it's either some kind of herb, or it's repeated herbs, or it 's childhood trauma. in nature, even generic grass may seem, and sometimes these are varieties of so -called psychosomatic disorders, w

normally and as alexander leonidovich well, it seems good. yes, that might be the case.. well, what about you? if i offended you, then say so. i have nothing to be offended by. it's just that everyone does what they can. i am a small person. at least try. i am san leonidovich's assistant. and what interested in annual turnover? why annual turnover? i don't understand anything about this, but you don't understand anything now. understand sponsorship quite figured out. what sponsorship. allocated for kindergarten. yes? which kindergarten? well, to kindergarten, where lerochka works, she wanted holidays. it's great, but didn't you know that the left-handed kindergartener works? can't you see what's going on? like in movies about love? san leonidovich may i go? i urgently need. of course we are here somehow yourself, well, urgently lera wait, i forgot to glue the magic wands. uh, lerochka was invited to start. i'll take you. have a rest, maybe he will take alexey yes, i will take you. relax, i'll go too. how did we not have time to ride horses, and there already in the eveni

good afternoon alexander leonidovich my name is anna, i have been from the city of barnaul for many years. i struggle with increased appetite in other ways, and recently i read advice on the internet that you need to drink more water before eating so that the stomach is filled, so that pressure is exerted on the wall of the stomach and a signal goes to the brain that saturation is in progress, and then, you want to eat less. how do you feel about this advice, is it not harmful to drink so much water before meals. what do you think you are drinking water? here is our stomach, it swells under the influence of water, right? that's where the water comes in. a reaction is formed and the brain goes to the brain command, that's enough, i won't eat. well , it's beautiful anyway. the fact is that you can drink water no problem. it's in the stomach it doesn't stagnate, it's not like you know take it and you fill your stomach with water. and so he moves apart and gives the command no, the stomach is a muscle that forms a food lump, the gastric high impregnates and it must be there for a certain time

the further good afternoon alexander leonidovich my name is anna , please tell us about phytoestrogensnd their effect on the female body. how are they different from hormone replacement therapy? and can this estrogens completely replace their own hormones? can i use uh them for a long time to feel good look better and not feel hot flashes want to feel younger. well, at least as in 35 years, i will be very grateful. actually a very very interesting question before it was all just hormone replacement therapy with estrogen combined with progesterone and everything was fine. we are diseases, they prevented all kinds of osteoporosis and looked good, and so on and so forth, but then came across that everything is not so simple, then why further into the forest, the more firewood. the longer you take hormone replacement therapy, the more you increase the risk of heart disease cancer, and that's just the topic of phytoestrogens. especially, by the way, she was popular in russia, she was in europe in america. no, she grew up there, because it became risky to carry out carbon replacement therapy

good afternoon alexander leonidovich my name is mila. the city of essentuki even before covid. i went through a dispensary. in my biochemistry , liver enzymes were exceeded. uh, i was planning to make an appointment with the doctor, but they announced a lockdown, and i couldn't get in. and now i found these tests and i think whether it is worth re- registering with a doctor, the liver does not bother me. the mood is excellent, the appetite is good, maybe drink some hepatoprotectors and not worry at all for now. look at my analysis, please, i'll take a look now, but no matter what i see there. here's the question, don't worry at all anymore. it's not right if your liver enzymes are elevated, you should get to the bottom of it. why is this fundamentally important? well, you have minimally elevated liver enzymes, we know basically four liver enzymes, two of them are lte if they say inflammation, they have you and two are elevated other alkaline phosphate and gt is the installation of cholestasis, when the stone yes lived badly, it absolutel

good morning. dobroe alexander leonidovich astroscopic and a neoplasm was found on biopsy results. morphological signsd out if i still have maternal lineage. we have oncology mom grandmother, i wanted to know how to do gastroscopy often. here's a period of time. but the tumor was not found, but we must follow what they said. so he did the research. he said come with the result. at first she prescribed treatment, then she took tests for hill, this bank is not there, he did not find it. and about the experience, i decided to explain to you when the results are handed over conclusion. well, without really explaining it, but a person cannot have a varnal. i understand it was cancer. yes, she is wary, and of course, and either her colleagues were in a hurry. she did everything right. she took the weight of the border pelore. gave you medicine. said no. there are no questions here, but, but you came with a question, because when a person is afraid of oncology, having a reason, starting to read the description that the biopsy specimens of the gastric mucosa at the level of the gastric pits are different from

good morning, dear alexander leonidovich my name is irina, i read somewhere that a bad microbiome provokesis it true that echinococci live in the human body in the liver in the heart and also in other organs and also provokes. uh, all these bad diseases, including those that can really affect various organs. it's still the southern regions. after all, these are asian regions, where this really has some pronounced significance for us. i've only seen this one in recent years. only his visitors. but the microbiome is an interesting question. yes, today we believe we know that they brought out a bad microbe. and we don’t know which is bad which is good, but the microbiota is a collection of bacteria weighing 1.5 kg. everyone has about in the intestines, which is factors close to heart attack stroke diabetes obesity and cancer, including the farther the farther we are. from the forest we descend, the more we see this value. what is a bad microbion, but in our understanding, it is a microbiome that we poisoned zeus with antibiotics and, as a result, oncology and other diseases are poured on us.

good. a. my name is tatyana alexander leonidovich, i have the following question. my heart rate is 110-120.xamine the hearts. uh clouds. there are no two nodes. well they say that it's ok, you don't need to take any pills. well , when it sputters at all, the pulse is the first thing we check for everyone. these are undoubtedly the thyroid glands, because it determines the increased function of two nodes, you need to understand which nodes and the function of the thyroid gland is higher or lowered or the doctor did not say normally to answer the question, he looked at the tests and said where i am walking for another 2 years. well, because if we say that you have, let's say the acceleration of the pulse. this is a problem with the thyroid gland, then you have no options, the function should be higher, then there is a low elevated hormone. it's three or four, most likely not. once the doctor looked and said, he has already determined how by chance, a find is really a chance find by every second woman. and we really don’t do anything special, we just observe, although before, we definitely did