Shiv Goel is a triple board-certified physician in Internal, Functional, and Aesthetic Medicine Mount Sinai-trained, formerly Medical Director at Methodist Hospital San Antonio, and an IFBB Masters Champion who lives the work he prescribes
No, you should not use standard sterile water for multi-dose vials
They are beneficial to plug injured blood vessels, which stops bleeding
Although the exact mechanism of apremilasts anti-psoriasis activity remains unclear, this medication inhibits an enzyme called phosphodiesterase 4
Fatigue accompanied by other concerning symptoms including: Persistent dizziness, lightheadedness, or fainting Rapid or irregular heartbeat Shortness of breath or chest pain Severe or unrelenting nausea and vomiting Inability to keep down food or fluids for more than 24 hours Dark urine, markedly reduced urination, or swelling (signs of dehydration or kidney problems) Yellowing of skin or eyes Severe abdominal pain Mood changes, depression, or difficulty concentrating Signs of potential complications require immediate attention: Stop the medication and seek urgent medical care if you experience severe abdominal pain (especially radiating to the back) which could suggest pancreatitis Stop the medication and seek urgent care if you develop symptoms of severe allergic reaction (rash, itching, swelling, severe dizziness, trouble breathing) Symptoms suggesting gallbladder disease (right upper abdominal pain, especially after eating) Hypoglycemia in patients taking diabetes medications (shakiness, sweating, confusion) Inability to meet nutritional needs despite best efforts, or unintentional weight loss exceeding recommended rates (generally more than 1-2 pounds per week after the initial period)
