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New Dry Eye Drop: Anakinra. Rarely used due to cost and compounding issue.

Below is a relatively new option for dry eye patients. Anakinra (brank name Kineret) is a biopharmaceutical drug used as in pill form to treat rheumatoid arthritis. It is a recombinant and slightly modified version of the human interleukin 1 receptor antagonist protein.  When used as a drop, Anakinra effectively suppresses IL-1-mediated inflammation at the level of the […]

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Dr. Cremers’s Favorite Cookie

Patients often ask me what I eat. Generally, I am very good about maintaining a gluten-free, sugar-free diet and intermittent or prolonged (48hrs) fasting. I have never done Dr. Longo’s diet, but am a believer in his research results: https://valterlongo.com/ Occasionally, I love a good gluten-free, low sugar cookie. Below is my favorite cookie! I love

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Best Dry Eye Options for Severe Dry Eye Patients: IPL and Meibomian Gland Probing (IPL & MGP)

The most important objective in treating patients with dry eye symptoms (ie, dryness, redness, burning, itching, rebound tearing, foreign body sensation, pain) is to save the meibomian glands and attempt to restore their function. It is essential also to save and restore any damaged tissue in the lacrimal gland and conjunctival goblet cells, but this

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Rebamipide Eye Drops for Dry Eyes:

Rebamipide has been noted to help with symptoms of dry eye disease but to date, I could not any data to say it is FDA approved nor find anyone selling this. SLC References: 1. https://iovs.arvojournals.org/article.aspx?articleid=2677081 OPEN ACCESS Cornea  |   March 2018 The Role of 2% Rebamipide Eye Drops Related to Conjunctival Differentiation in Superoxide Dismutase-1 (Sod1) Knockout

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Keratinolytics for Meibomian Gland Dysfunction and Dry Eye disease from MGD

Thank you to our wonderful patient who sent the below video. Using keratinolytics makes sense to me for patients with MGD, particularly in patients who have rosacea. One of the key components of Lipiflow is the removal of the keratin layer covering the meiboman glands that is often present prior to Lipiflow. Similarly, IPL may

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IPL a intense Pulse Light for Dry Eyes: Poof that it helps from authors without financial interest

Below are some papers reporting the effect of IPL aim dry eyes from Meibomian Gland Dysfunction.  Reluctantly, as I am a skeptic at heart and am married to the world’s most skeptical man, I must admit that IPL does help dry eyes. I have now treated over a hundred patient and the quality and quantity

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Fracture prevention

Below is for a dear friend’s parents.  A recent meta analysis confirms Vit D with Calcuium May help prevent fractures.  Combined supplementation with 800 IU of vitamin D per day and 1200 mg of calcium per day has been recommended for prevention of fractures in older adults living in institutions and in those with low

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