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PTSD 101: Prazosin or SSRI? | The Carlat Psychiatry Podcast Side Effects 1 Views • 2 months ago

Should psychiatrists stick with FDA-approved SSRIs like sertraline and paroxetine for PTSD, or consider off-label options like prazosin? This episode dives into the evidence, exploring prazosin’s benefits for PTSD nightmares and hyperarousal, alongside tips for titration and alternative treatments like fluoxetine, trazodone, and topiramate.
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00:00 Intro
00:04 Podcast

================
When it comes to PTSD treatment, the debate between sticking to FDA-approved medications or exploring off-label options is ongoing. SSRIs like sertraline and paroxetine are FDA-approved but have limitations, including inconsistent efficacy in military trauma and significant side effects like sexual dysfunction, withdrawal symptoms, and weight gain. This episode of the Carlat Psychiatry Podcast delves into why some experts, including Dr. Chris Aiken and Kellie Newsome, recommend fluoxetine over FDA-approved SSRIs and why prazosin might be a first-line choice for PTSD patients with nightmares and nocturnal hyperarousal.

Prazosin, an alpha-1 antagonist, has shown significant benefits in reducing PTSD nightmares and hyperarousal, with additional benefits for daytime symptoms like hypervigilance, difficulty concentrating, and anhedonia. Despite a large 2018 trial casting doubt on its efficacy, meta-analyses continue to support prazosin for sleep and daytime PTSD symptoms. This episode provides practical guidance on starting and titrating prazosin, including dosage recommendations (starting at 1 mg QHS and titrating up to 12–16 mg/day) and monitoring for risks like orthostatic hypotension and falls. Learn why prazosin’s safety profile and tolerability make it a compelling choice, particularly for patients struggling with SSRI-induced apathy, sleep disruption, or sexual dysfunction.

For patients with alcohol use disorder, the combination of prazosin and cyproheptadine has shown promise in reducing alcohol consumption. The episode also explores other off-label options like clonidine, trazodone, mirtazapine, and topiramate, each with unique benefits and considerations for PTSD comorbidities. While SSRIs remain a standard recommendation, this podcast emphasizes patient-centered care, highlighting the importance of tailoring treatment to individual needs and symptoms.

Additionally, we tackle common misconceptions about medications like mirtazapine’s role in sleep apnea and clarify recent research errors, ensuring listeners stay informed with accurate and practical insights. Whether you’re considering prazosin, fluoxetine, or other pharmacological strategies for PTSD, this episode equips you with evidence-based recommendations and thoughtful commentary on managing this complex condition. Stay tuned for next week’s episode, where we’ll explore topiramate and additional off-label options for PTSD.

Pravastatin 10+ side effects | Things to watch out for! Side Effects 1 Views • 2 months ago

Pravastatin belongs to a group of medicines called HMG-CoA
reductase inhibitors, also known as statins. It is most common
known by its brand name Pravachol

What is it use for?
Pravastatin is also used to treat children and adolescent patients
aged 8 years and older who have heterozygous familial
hypercholesterolaemia (an inherited disorder which produces high
blood cholesterol levels).

Before you start Pravastatin, you need to tell your doctor the
following
* if you are allergic to any statin that you might be prescribed in the
past, or to any ingredients listed on the packaging.
* if you have any liver disease, kidney disease
* If you are of an asian descendent

and more in the video

What Strength it comes in?
Pravastatin comes in 10,20,40 and 80mg

How to take it?
Swallow the tablets whole with a glass of water. For
best results, take your medicine on an empty stomach such as two
or more hours after your last meal.

Things to be aware of:
Avoid drinking large quantities of alcohol.

Drinking large quantities of alcohol may increase your chance
liver problems when taking pravastatin

more in video

Side Effects:

muscle and joint pain, muscle weakness, numbness; trembling;
feeling unusually tired or weak
unable to sleep, nightmares

More side effects in video and below link
https://www.nps.org.au/assets/....medicines/b6d88bc4-6

These are not the only side effects, more side effects, if you feel unwell, let your doctor or pharmacist know.

More information and side effetcs about simvastatin can be found on
https://www.nps.org.au/assets/....medicines/da530e9f-5
https://www.nhs.uk/conditions/....statins/side-effects

Want to see more videos about health and fitness or any other videos? Let me know in the comments below.

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DISCLAIMER:
This video is for general information only and should not be used for the diagnosis or treatment of medical conditions. Pharmacist Soonkie has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.

Special Thanks to
* Dr. Joel Ten MBBS, FRACGP

Ref:
NPS Medicine Wise
NHS UK
Yellow Card UK

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Rivaroxabán cuándo y cómo debemos tomarlo - Tu Farmacéutico Informa Side Effects 1 Views • 2 months ago

Videoconsejo sanitario sobre el Rivaroxaban, para qué sirve este medicamento, cuándo y cómo debemos administrarlo. Videoconsejo impartido por la farmacéutica Laura Martínez, elaborado por el Consejo General de Colegios Farmacéuticos y producido por Medicina TV.

El rivaroxabán es un medicamento anticoagulante que aumenta la fluidez de la sangre, impidiendo y previniendo la formación de coágulos.

Existen presentaciones de 2,5, 10, 15 y 20 mg en comprimidos y se puede administrar con o sin alimentos.

El uso de rivaroxabán está indicado para prevenir la formación de coágulos de sangre en las venas después de una operación de sustitución de cadera o rodilla y para tratar y prevenir los coágulos de sangre en las venas de las piernas (lo que se conoce como trombosis venosa profunda) y en los vasos sanguíneos de los pulmones (o embolia pulmonar).

Las interacciones del rivaroxabán se relacionan principalmente con la toma de otros medicamentos que pueden producir aumento o disminución de su concentración en sangre, conllevando una modificación de sus efectos sobre la coagulación. Ciertos antiinflamatorios, fármacos para el SIDA o antifúngicos pueden aumentar la capacidad de rivaroxabán mientras que la Hierba de San Juan o hipérico puede disminuirla. Por ello, es muy importante que evite tomar medicamentos sin recomendación de su médico o farmacéutico, y por supuesto avise a estos profesionales de que está tomando rivaroxabán.

Como todos los medicamentos, puede existir la posibilidad de sufrir efectos adversos, sobre todo si hacemos un mal uso de ellos, ya que podría dar lugar a un tratamiento insuficiente o un efecto excesivo, produciendo sangrados. Se recomienda vigilar la aparición de moratones, mareo, dolor, cansancio, náuseas o signos de reacción alérgica.

En caso de sufrir disfuncionalidad renal o hepática, se requiere su monitorización, así como de la presión arterial y parámetros hematológicos.

No debes empezar, detener ni modificar la dosis ni posología de rivaroxabán, sin consultar a tu médico, y sigue sus indicaciones. Avisa a los profesionales sanitarios que toma rivaroxabán, especialmente, en caso de someterte a una intervención quirúrgica, incluidas extracciones dentales

Por último, desecha el tratamiento que te haya sobrado en el punto SIGRE de tu farmacia. Y recuerda, pregunta siempre a tu farmacéutico de confianza. Él te informará sobre cualquier duda que tengas.

Accede a más videoconsejos #TuFarmacéuticoInforma en nuestro canal:
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The #1 Nutrient Deficiency in High Blood Pressure (Hypertension) Side Effects 1 Views • 2 months ago

Download My FREE guide: First Signs of a Nutrient Deficiency 👉 https://drbrg.co/4dcH3Ee

Learn about one of the top causes of hypertension and how one important mineral can help.

0:00 Introduction: Essential hypertension
0:32 What is high blood pressure?
1:11 What causes hypertension?
2:29 Potassium and heart health
4:04 Best sources of potassium
5:08 How to lower blood pressure naturally

In this video, we’re going to take a look at hypertension. Ninety percent of all hypertension is considered essential hypertension. This means the cause is unknown. Anti-hypertensive medication is one of the most prescribed medicines in the world.

Normal blood pressure is 120/80. Research suggests a strong relationship between potassium deficiency and high blood pressure. Many people are deficient in potassium because the requirements are so high—4700 mg daily.

You need about half as much sodium as potassium, but many people consume three times as much sodium as potassium!

Potassium directly controls the tone of the vascular system. This directly affects blood pressure. Potassium also supports the endothelial layer of the arteries and helps improve insulin resistance.

Potassium supplements often only contain 99 mg of potassium, which is incredibly low considering how much potassium you actually need.

You can get potassium from salad, but you must consume around 7 to 10 cups daily. This also provides magnesium. The combination of potassium and magnesium can help reduce high blood pressure.

Diets high in carbs and sugar cause you to lose potassium. Adrenaline and cortisol deplete potassium as well.

To support healthy blood pressure levels, try increasing your salad intake. You can also look for a high-quality electrolyte powder that's high in potassium.

Dr. Eric Berg DC Bio:
Dr. Berg, age 59, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

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Disclaimer:
Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full-time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

#keto #ketodiet #weightloss #ketolifestyle

Thanks for watching! I hope this explains why potassium is the best mineral for lowering blood pressure naturally. I’ll see you in the next video.

7 Signs of Low Potassium: How many do you Have?? Side Effects 1 Views • 2 months ago

Is my potassium low? What are signs of low potassium?
Potassium helps with fluid balance, muscle contraction, and nerve impulse transmission. If potassium is too low these functions will suffer, and so will your health & happiness.

Your body controls your serum potassium level very tightly. It will steal potassium from muscles, bones and even your brain to keep the serum potassium within normal limits. Therefore, you can have a normal serum potassium lab result, and still be very deficient in potassium.

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Hyperkalemia Explained: The Dangers of High Potassium Levels Side Effects 1 Views • 2 months ago

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### **The Effects of High Potassium on Your Body (Hyperkalemia)**

**Potassium** is an essential mineral that helps regulate nerve signals, muscle contractions, and heart function. However, when potassium levels become too high (**hyperkalemia**), it can have serious effects on your health.

### **🔴 Symptoms of High Potassium Levels**
Mild cases may not show symptoms, but as potassium levels rise, you may experience:
✔️ Muscle weakness or cramps
✔️ Irregular heartbeats (arrhythmia)
✔️ Nausea or vomiting
✔️ Numbness or tingling in the hands and feet
✔️ Shortness of breath
✔️ Fatigue or dizziness

### **⚠️ Causes of High Potassium**
🔹 **Kidney Disease** – The kidneys regulate potassium levels, and if they don’t function properly, potassium builds up in the blood.
🔹 **Excessive Potassium Intake** – Eating too many potassium-rich foods (bananas, avocados, potatoes, spinach) or supplements.
🔹 **Certain Medications** – ACE inhibitors, ARBs, and potassium-sparing diuretics can cause potassium retention.
🔹 **Uncontrolled Diabetes** – High blood sugar can lead to potassium imbalances.
🔹 **Severe Dehydration** – Can cause the body to hold onto potassium.

### **🩺 Health Risks of High Potassium**
⚠️ **Heart Problems** – Hyperkalemia can cause dangerous heart rhythm issues, leading to cardiac arrest in severe cases.
⚠️ **Muscle Paralysis** – Extremely high potassium levels can weaken or paralyze muscles.
⚠️ **Nerve Dysfunction** – Can affect nerve signaling, causing numbness or tingling sensations.

### **📉 How to Lower High Potassium Levels**
✔️ **Limit High-Potassium Foods** – Reduce intake of bananas, oranges, potatoes, and beans.
✔️ **Stay Hydrated** – Drinking enough water helps flush excess potassium from the body.
✔️ **Take Medications if Needed** – Doctors may prescribe diuretics or potassium binders.
✔️ **Dialysis for Severe Cases** – In patients with kidney failure, dialysis may be required to remove excess potassium.

### **🩺 When to See a Doctor?**
Seek **immediate medical attention** if you experience:
🔴 Severe irregular heartbeats
🔴 Muscle paralysis or extreme weakness
🔴 Difficulty breathing

**High potassium can be life-threatening, but with the right management, it can be controlled!** 💙💊 Let me know if you need more details! 🚀

Can High Doses of Potassium Be Toxic? Side Effects 1 Views • 2 months ago

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Talk to a Dr. Berg Keto Consultant today and get the help you need on your journey. Call 1-540-299-1556 with your questions about Keto, Intermittent Fasting or the use of Dr. Berg products. Consultants are available Monday through Friday from 8 am to 10 pm EST. Saturday & Sunday from 9 am to 6 pm EST. USA Only.

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Is there such a thing as a toxic dosage of potassium? Watch and find out.

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Timestamps
0:00 Is there such a thing as a toxic dosage of potassium?
0:14 When to limit potassium consumption
1:13 The toxic effects of high potassium
2:05 A couple more things you should know about potassium
3:07 The right sodium and potassium ratio
4:14 Summary

The first thing you should know is that you will rarely if ever, have a problem with potassium if you get it from fresh food—even at 10 cups of vegetables per day. However, there are a few exceptions, including if you:

• Have stage 5 kidney disease
• Take an ace inhibitor
• Take a beta-blocker
• Use potassium-sparing diabetics
• Have Addison's disease
• Have hyperkalemia

Now let's talk about extreme doses of potassium. When you have between 8,000 and 10,000 mg of potassium, you may begin to feel nauseous. If you are already low on potassium and you take something like 14,000 mg of potassium, this could be very dangerous. Keep in mind that potassium doesn't store in the body. If you do prolonged fasting, you can deplete your potassium quickly. To prevent this, I recommend electrolyte fasting, which is including electrolytes in your fast.

If you already are deficient in potassium, vitamin B1 can exaggerate the symptoms. I also recommend that you keep your sodium and potassium levels balanced. If you consume a lot of potassium without any sodium, that's going to be a problem. The same problem happens if you have a lot of sodium and no potassium. You need four times as much potassium as sodium, so make your you have sodium and potassium in a 1 to 4 ratio.

In summary, the average healthy person would have to take a tremendous amount of potassium to develop a problem of high potassium levels in the blood. If you have 1,000-4,000 mg of potassium a day, you're not going to have a problem.

Dr. Eric Berg DC Bio:

Dr. Berg, 56 years of age is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of The New Body Type Guide and other books published by KB Publishing. He has taught students nutrition as an adjunct professor at Howard University. He no longer practices, but focuses on health education through social media.

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Disclaimer:
Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The Health & Wellness, Dr. Berg Nutritionals and Dr. Eric Berg, D.C. are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.

Plaquenil for Autoimmune Conditions | What You Need to Know Side Effects 1 Views • 2 months ago

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Sjogren's Disease Medications: Side Effects & Risks with Doctor-Patient Dr. Kara Wada Side Effects 1 Views • 2 months ago

Are you overwhelmed by managing your Sjogren's medications? Side effects, interactions, long-term risks –– it can feel like a lot!

In this video, Dr. Kara Wada, a board-certified allergist, immunologist, and fellow Sjogren's patient, breaks down everything you need to know about navigating your Sjogren's disease medications. She covers over-the-counter remedies for dryness, discusses prescription medications like hydroxychloroquine, methotrexate, corticosteroids, and rituximab, and shares practical tips for minimizing side effects and maximizing your long-term health. Dr. Kara also opens up about her personal experiences, offering valuable insights and a compassionate perspective.

Whether you're newly diagnosed or a seasoned Sjogren's superhero, this video offers practical advice and the support you need to thrive.

Watch now and learn:

- How to create a Sjogren's-friendly medication plan
- Simple strategies for managing dry eyes and dry mouth
- The benefits and risks of common Sjogren’s medications
- How to minimize side effects and stay healthy long-term
- Dr. Kara's personal tips for managing her own Sjogren’s medications

Plus, connect with the Sjogren's community for support and resources!

Chapters:

00:00 Introduction
00:19 Dr. Kara's Background and Sjogren's Journey
00:48 Managing Sjogren's Medications
01:38 Sjogren's Medication Toolkit: Over-the-Counter Essentials
02:05 Artificial Tears: Types, Usage, Preservative-Free Options
03:31 Oral Moisturizers, Lozenges, and Sugar-Free Gum: Dry Mouth Relief
04:50 Prescription Medications: DMARDs, Corticosteroids, and Rituximab
05:05 Hydroxychloroquine (Plaquenil): Benefits, Side Effects, Monitoring
06:07 Methotrexate: Administration, Side Effects, and Folic Acid
06:54 Corticosteroids (Prednisone): Short-Term Use, Long-Term Risks, Lifestyle Management
07:59 Rituximab: Severe Cases, Infusion Reactions, Infection Prevention
09:17 Sjogren’s Disease: Holistic Approach Beyond Medications
09:33 Building a Healthcare Team and Healthy Lifestyle for Sjogren's
10:29 Personal Experience with Sjogren’s Medications and Side Effects
10:53 Support and Resources: Facebook Group, Sjogren’s Superhero Starter Kit
11:17 Q&A and Conclusion

GET MORE SUPPORT:

Join the Success with Sjogren's Sisterhood Facebook group for support and connection →https://www.facebook.com/group....s/successwithsjogren

Download your free Sjogren’s Starter Kit for helpful resources → https://www.drkarawada.com/sjogrens-starter-pack

CONNECT WITH DR. KARA
Website → https://www.drkarawada.com/
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Twitter → https://twitter.com/CrunchyAllergy
TikTok → https://www.tiktok.com/@immuneconfident

#Sjogrens #SjogrensDisease #AutoimmuneDisease #Medications #SideEffects

Retinal Damage from Plaquenil | Hydroxychloroquine (Plaquenil) Side Effects and Testing Side Effects 1 Views • 2 months ago

Chloroquine and Hydroxychloroquine (Plaquenil) are antimalarial drugs that help with symptoms of autoimmune disease. Unfortunately, LONG TERM use of these medications can cause retinal toxicity and can lead to permanent vision loss. In this video, I review the testing used to screen for plaquenil retinopathy during an eye exam.

NOTE: The risk of of Plaquenil Toxicity is higher when the cumulative dose is over 1000g not mg.

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MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading, or otherwise using this content does NOT create a physician-patient relationship between you and its author. Providing personal or medical information to the Principal author does not create a physician-patient relationship between you and the Principal author or authors. Nothing contained in this video or its description is intended to establish a physician-patient relationship, to replace the services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately-credentialed health care worker in your community in all matters relating to your health.

About this video: Do you take a malaria drug such as chloroquine or hydroxychloroquine? These drugs were originally designed to fight malaria but are not often prescribed to help with autoimmune diseases such as rheumatoid arthritis, lupus and sjogrens disease. Unfortunately, these medications can also have a toxic effect on the body. In this video, Joseph J. Allen OD FAAO from Doctor Eye Health reviews plaquenil side effects and the testing used during a plaquenil eye exam with either your optometrist or ophthalmologist.

How To Know If The Emergency Pill Has Worked | Tips To Ensure M.A.P Works For You! Side Effects 1 Views • 2 months ago

How To Know If The Emergency Pill Has Worked.
If you ever took the morning after pill, then agonised over the question 'Has the emergency pill worked?', then this video is for you.

Askawayhealth GP Dr Sylvia explains how to know if the morning after pill has worked when you use it following unprotected intercourse – and the answer may surprise you!

The video also looks at how emergency contraceptive pills work (Levonorgestrel - Plan B, Postinor, Take Action, Levonelle), the best emergency contraceptive pill option, and Ulipristal (and more).
Many women don’t realise that delay in using the pill is a crucial aspect of the problem - when does an emergency contraceptive pill fail – this video shares the scientific data backing this position.

And the bonus! - you will learn top Tips To Ensure M.A.P Works For You - yes - you will know what you can do to ensure you get all the 98% effectiveness of the emergency pill when you take it.

Don’t forget, you can Ask Dr Sylvia any questions on this topic or any related to contraception. Contact information below or leave a comment.

This video is meant for educational purposes and is not meant to replace advice from your health practitioner.

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Reproductive and Sexual Health Matters
https://youtube.com/playlist?l....ist=PLLZk0wepb4GUjyn

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Book a Consultation with Dr Sylvia - https://askawayhealth.org/digital-concierge/

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Related Videos:
*Vaginal Bleeding on Your Morning After Pill (M.A.P) - What It Means - https://youtu.be/UurBf7X5CEk
*Ulipristal Acetate - Best Emergency Contraception PILL - https://youtu.be/fB6g98_TCjE

Chapters
00:00 - Introduction
02:15 - What Happens After Ovulation
03:00 - How the EC Pill works
04:25 - Is There Any Sign The EC pill has WORKED?
06:00 - Tips To Ensure the Morning After Pill Works Best For You

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Video hashtags: #Askawayhealth #HowToKnowIfTheEmergencyPillHasWorked #Morningafterpill

Image Credits: @Canva @MotionIsland
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🌟Bio/Contacts/Disclaimer:
I'm Dr Sylvia Kama-Kieghe, AskAwayHealth Founder and creator of a healthcare platform of blogs, vlogs and other resources that provides simple health information online.

My training background is in family, community, and primary care medicine, and I'm licensed to practice in the United Kingdom as a General Practitioner and in Nigeria.

🎓Qualifications:
⚡️Membership of the Royal College of General Practitioners (MRCGP) UK
⚡️Fellowship, Royal Society of Medicine (FRSM); and Royal Society of Public Health (FRSPH) UK
⚡️Diplomate of the Royal College of Obstetrics and Gynaecology (DRCOG) and the Faculty of Sexual and Reproductive Health (DFSRH), respectively,
⚡️Post-graduate Diploma in Mental Health Practice from the University of Manchester UK
⚡️Urgent Care (Out Of Hours) Clinician and Supervisor
⚡️General Practice Examiner
⚡️Award for “outstanding contributions” to healthcare, in celebration of the NHS at 70, from the Nigerian Healthcare Professionals UK (NHCPUK) in 2019.
⚡️An alumnus of the African Women's Entrepreneurship Cooperative (AWEC) Fellowship Programme in leadership and enterprise, having been a member of the pioneer class of 200 female African entrepreneurs that completed a 12-month intensive programme in 2019.
⚡️Cherie Blair Women in Business Mentor program alumnus.

💡"What gets me up in the morning?
I ask myself: "What can I do to be the best version of myself today"?

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