Відео

Thank you for your support. I really appreciate it 🙏

Thanks. You never know whether humour will work in these things!😅

Thank you very much for your comment. It really helps a lot 🙏

Thank you very much for your support. It helps a lot. 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your support. It helps a lot. 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your support 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you for your support. I really appreciate it 🙏

Thank you for your comment. I really appreciate it. The video on the full guidance on vitamin B12 deficiency is coming very soon. Stay tuned! 🙏

Thank you for your comment. Yes, it's a relatively new drug and not widely used in th UK either. It'll probably be better known after a few more months 🙏

Thank you for your comment. I really don't know much about that but there are Facebook groups that you can join facebook.com/share/2ZrqB5xLkAtWcXDm/?mibextid=K35XfP 🙏

@@practicalgp Thank you sir

Thank you for your support. I really appreciate it 🙏

Thank you very much for your comment. It means a lot to me. I have often thought that audiovisual learning is useful in dyslexia and neurodivergence and your feedback is extremely helpful in that respect 🙏

Thank you nicely 😜. I really appreciate your support. No major changes from the previous guidance as such but they make references to the technology appraisals on SGLT2 inhibitors for heart failure which have changed relatively recently with dapaglifozin and empaglifozin being recommended for both HFrEF and HFpEF

Thank you for your support. It means a lot 🙏

Thank you for your comment. I really appreciate it 🙏

Thank you very much for your support. It helps a lot 🙏

Thank you very much for your comment and request. I will look into it 🙏

Thank you very much for your comment, I really appreciate it. 🙏

Thank you for your comment. Omeprazole is not typically associated with significantly elevated alkaline phosphatase levels. However, as with any medication, individual responses can vary and there have been rare reports of transient liver enzyme changes in some people taking omeprazole, meaning that some people may be more sensitive to medication effects. I am pleased that she is having further investigations, so that you can all put your mind at rest. There may be a simple explanation for this abnormality 🙏

Exact this happened to me. I’m increasing my protein intake and taking multi & zinc, b12.

Thank you very much for your support. It really helps 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you for your comment. I really appreciate it 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your support. I really appreciate it 🙏

Thank you very much for your support. It helps a lot 🙏

Thank you for your comment. Your readings are not concerning in principle but you should discuss all your results and your overall health with your doctor. They are in the best position to advise you 🙏

Thank you for your comment. I never looked at it the way that you have interpreted it and I now think that the wording that NICE has used is confusing. What they actually mean is that, if the CCB is not tolerated, then you stop it and substitute it with a thiazide-like diuretic. So you are giving the thiazide-like diuretic for their hypertension, not for the oedema. The reason why you would favour a thiazide-like diuretic over an ACEI or ARB is because in this group (age >55 and Afro Caribbean people), thiazide-like diuretics are more effective than ACEIs and ARBs. I hope that his makes sense 🙏

@practicalgp thank you Fernando! Clarifies and also useful to apply for exams - I am a reg x

@@glowaesthetics9801​​⁠Thank you! You can’t be the only one that interpreted it like that so I’m going to see if I can insert a little pop up window in the video clarifying the issue 🙏. Good luck with your exams 🤞

Thank you for your comment. It is a long video but I created time stamps every 15 minutes approximately so that you can do the revision in smaller chunks. We are all busy! Thanks again 🙏

Thank you for your comment. Hashimoto’s thyroiditis is an autoimmune disease and the true cause is not clearly understood. It could be genetic, environmental or a combination of the two. Vitamin D deficiency should not be longstanding as long as you have adequate initial loading supplementation to correct it and long term maintenance thereafter. I’d recommend discussing this with your doctor again to make sure that you get all your questions answered 🙏

Thank you for your comment. I really appreciate it 🙏

Thank you for your comment. No, daridorexant is a type of drug known as a dual orexin receptor antagonist (DORA) which acts by blocking the activity of orexin. The orexin system promotes wakefulness so by blocking it, daridorexant helps sleep

Thank you for your comment. I really appreciate it 🙏

Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your support. It really means a lot. 🙏

@@practicalgp my pleasure doc🙏

🙏

Thank you for your comment. Submucosal fibroids can give you hassle with bleeding and I would simply recommend that you consult with your gynaecologist. A lot of the advice is down to the details of your case 🙏

@@practicalgp okay doctor. I appreciate 👏👏👏

🙏

Thank you very much for your support. I really appreciate it 🙏

Thank you very much for your support. I’m glad that your issue has resolved 🙏

Thank you for your comment. I’m pleased that your BP at home is good. Any specific concerns should be discussed with your doctor, as they have your full medical records but by what you describe, it doesn’t seem that you have anything to worry about 🙏

@@practicalgp okay doctor. I appreciate your response.

Not at all, keep well 🙏

Thank you for your comment. I really appreciate it. NICE are working with BTS/SIGN to produce UK-wide guidance that will update and replace the current NICE guideline. The methodology is also different. BTS/SIGN use literature appraisal and clinical studies whereas NICE combine critical appraisal with health economic modelling. The differences in the guidance are probably varied. I have not compared them both in detail but this article, although from 2017, will give you a flavour. One big difference is the use of SABA alone for some in the NICE guideline, whereas for BTS they go more for combination with ICS. blogs.bmj.com/thorax/files/2017/12/BTS-SIGN-and-NICE-Asthma-guidelines.pdf

@@practicalgp truly enlightened.. Thank u.. U r a great doctor

@@jasniangel9155 Thank you again for your kind words and support 🙏

Greetings. Thank you for your comment 🙏

Thank you very much for your support. I really appreciate it. 🙏

Thank you very much for your comment. I do appreciate it 🙏

Thank you very much for your comment. I really appreciate it 🙏