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Tacrolimus for Dry Eye Disease and Blepharitis: Risk of Protopic (Tacrolimus)

Tacrolimus (Protopic) has been used to treat dry eye disease in Sjögren syndrome. Tacrolimus, a macrolide produced by Streptomyces tsukubaensis which was discovered in 1984 in Japan while searching for new immunosuppressive and cancer chemotherapeutic agents. It is effective in treatmenting of immune-mediated diseases, including Sjögren syndrome, Atopic Dermatitis, other dermatitis (as pills or ointment) and more: Tacrolimus

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Helps with Puffy Eyelids: Acuaiss Eye Roller Moisturizer for Puffy Tired Eyelids with Hyaluronic Acid & Vitamin B5.

A lovely patient found this product in Spain and had for months been getting family members to send some over from Europe. It is now available on Amazon, and she says it really helps her rosacea and eyelid swelling. I have not used this on my eyes, yet, but the ingredients look safe. As always,

Helps with Puffy Eyelids: Acuaiss Eye Roller Moisturizer for Puffy Tired Eyelids with Hyaluronic Acid & Vitamin B5. Read More »

Alzheimer’s Prevention

This JAMA (a top USA journal) presents some evidence that a ketogenic diet may help prevent diabetes and dementia.  It’s the diet I have been on for years but now more paleo: not high fat.  Sandra Lora Cremers, MD, FACS  https://jamanetwork.com/journals/jama/fullarticle/2758712?guestAccessKey=8cb260e1-2d9f-4ec9-bcf4-8d0e1de26454&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_term=mostread&utm_content=olf-widget_01152020 Medical News & Perspectives  January 8, 2020 In Alzheimer Research, Glucose Metabolism Moves to Center Stage

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Epidemic of Myopia

Myopia (nearsightedness–the eyeballs is longer than the average eye) progression is on the minds of many eye doctors and parents these days. Parents see their children on ipad & electronic screens for required homework and eye doctors are seeing the incidence of myopia climbing every year. Below is a great review article for a friend

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How to Live Longer: Exercise, Eat Healthy (avoid Sugar, Gluten), Don’t Smoke, Don’t get Diabetes, Don’t drink too much Alcohol

This is an Interesting Article.  It’s common sense, one might say. Why is it so hard? Likely because we are all so busy.  Here is the punchline. To live long, don’t get sick, don’t get diabetes, don’t smoke, don’t get drunk. Eat well: avoid too many carbohydrates, avoid sugar & gluten. Eat Omega 3 1000-4000mg

How to Live Longer: Exercise, Eat Healthy (avoid Sugar, Gluten), Don’t Smoke, Don’t get Diabetes, Don’t drink too much Alcohol Read More »

Palindromic rheumatism in young child with Headaches with slightly swollen optic nerve but no obscuration of the blood vessels: Has anyone seen a case?

Palindromic rheumatism in a young child with Headaches with slightly swollen optic nerve but no obscuration of the blood vessels: Has anyone seen a case? Vision is 20/20 Patient has a small cup to disc ratio so slight area of swelling of the optic nerve could be from the “disc at risk.” The patient will

Palindromic rheumatism in young child with Headaches with slightly swollen optic nerve but no obscuration of the blood vessels: Has anyone seen a case? Read More »

Does Skipping Breakfast Lead to Weight Loss or Weight Gain? The Punchline is that we do not know. But most school breakfasts are not good (some colleagues would say its “poison” or “child abuse:” strong fighting words) in that they are full of sugar & carbohydrates or transfats.

The Battle Over Breakfast This JAMA below is bit frustrating. The answer to their question is that more studies are needed. The question of whether to skip breakfast or not is important for everyone, especially mothers: do I feed my child a sugary cereal which is fast & at least something or do I let

Does Skipping Breakfast Lead to Weight Loss or Weight Gain? The Punchline is that we do not know. But most school breakfasts are not good (some colleagues would say its “poison” or “child abuse:” strong fighting words) in that they are full of sugar & carbohydrates or transfats. Read More »

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