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Home / Ask the Expert

Effectiveness of ARAVA in Relapsing Polychondritis

Are there any studies showing effectiveness of ARAVA in Relapsing Polychondritis . What would you recommend for treating it.

Treating RA with Antibiotics

I’ve been reading about antibiotics (minocycline, for instance) as treatment for RA.  As you probably know, Kathleen Turner is taking antibiotics for her RA, and my wife had diminished symptoms when she took a “Z-pack” for a cold that turned into an infection. She’s currently on methotrexate. Can you comment on research or theory on antibiotic protocals for treatment of RA?

Increasing Methotrexate causing problems?

I have been taking Methotrexate for 6 months. i started with 15 mg, bumped to 20 mg and things seemed to be improving, but still active so I was bumped to 25 mg. The very nexy day after taking the new dose i started becoming symptomatic with very stiff joints and throbbing pain. It subsides a little as the week continues, but once I dose again the pain is back. Is this normal and will my body eventually adjust and the activity subside, or is this my body saying this med isn’t working?

Foot swollen and inflammed

My right foot is very swollen and becomes more inflammed at times. This started when I was pregnant. Saw a specialist and wore compression hose for a while. My daughter is now 19 months old so I am afraid that the swelling is permanent. I cannot fit into my shoes on my right foot, but my left foot still fits most of my shoes. Left foot is slightly wider than before too. Do you think this is lymphedema and do you think it may be permanent. If not, I would like to know how it may be treated so I can be normal with conformed feet again. Read about Sequential Gradient Pump Therapy and Complete Decongestive Therapy but these seem to be for very severe cases. Do you think these therapies would help?

CPK and Cholesterol Medications

My dad is 56yrs old and he has a CPK level of 1000 and also high cholesterol. He has now been taken off his cholesterol tablets due to his high CPK. He has also had a shoulder replacement which gave him a Staph infection. The infection has said to be gone now but i am really worried. What other cholesterol medications can he go on which dont rise CPK level and how can we treat CPK?

Elevated CPK from Excercise

medical history, the client had cholesterol and no trygliceride, and from his family diabetic history he is predisposed to have diabetes, but not taking any medications . We started the first two weeks with a cardio exercise (not Exceeding 75% of the heart rate reserve), with body weight floor exercises. After two weeks, I did the 1RM testing on the weight training machines. The subject was feeling great training 6 days a week. After one month, he was hyper and and sleeping only 3 hours a day. I asked him to check with the physician. he did a blood test and his cpk level was high (around 5600). Normally the first question was if he uses cocaine, but the answer was no. His phsyician told him to stop exercising for 10 days, and asked for a calium/potassium test. What do you think the problem is?  Would it be rhabdomyolisis?I am a personal trainer. I have a client who started to train with me a month ago.

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