Archive for December 2023

Respiratory Syncytial Virus, RSV

Respiratory Syncytial Virus, RSV, is a common respiratory virus that usually causes mild, cold-like symptoms. Most people recover in a week or two, but RSV can be serious. Infants and older adults are more likely to develop severe RSV and need hospitalization. 

What is the best medicine to treat RSV? include the Ribavirin, antiviral drug which can be used in severe high-risk cases, and Bronchodilators.  Your provider may try a breathing treatment with Albuterol, to assess whether the medication helps your child breathe better. This involves using a nebulizer to get the albuterol into the lungs. Usually, RSV will get better on its own without antibiotics.

Vaccination for RSV: CDC recommends adults > 60 years of age and older have the option to receive a single dose of RSV vaccine, based on discussions between the patient and their health care provider.

These are the 2 RSV vaccines that will be available: 

Arexvy, by Glaxo Smith Kline. 

Abrysvo™, made by Pfizer and advised by the Food and Drug Administration (FDA), for prevention of RSV-associated lower respiratory tract illness, in infants, from birth up to six months of age, by active immunization of pregnant women.

How long does RSV vaccine last? So far, RSV vaccines appear to provide some protection for at least two RSV seasons. Additional evaluation is planned to assess how long the protection lasts and whether additional doses will be needed.

Who should not get RSV vaccine? People younger than age < 60, including people with cancer, are not eligible for the vaccine. 

Vitamin D


Function:

  1. Stimulate intestinal absorption of calcium and phosphorus
  2. Stimulate PTH dependant reabsorption of clacium in the distal tubules
  3. Coordinate with PTH in mobilization of calcium from bone
  4. Prevents Rickets from children
  5. Prevents osteomalacia in adults
  6. Prevents hypocalcemic tetany
  7. It helps in reabsorption of calcium from kidneys
  8. It promotes immune system by increasing phagocytic acitivty
  9. It has anti-tumor activity
  10. It stimulates intestinal absorption of calcium and phosphorus

Promotes:

Calcium absorption in the gut and maintains adequate serum calcium and phosphate concentrations to enable normal bone mineralization and to prevent hypocalcemic tetany (involuntary contraction of muscles, leading to cramps and spasms).

Benefits:

Strengthens Your Bones

Can Help Strengthen Muscle’s

Can Support the Immune System and Fight Inflammation

Can Help Support Oral Health

May Help Prevent Type 1 and Type 2 Diabetes

May Help Treat Hypertension.

The normal range of 25-hydroxy vitamin D  

is measured as nanograms per milliliter (ng/mL). 

Many experts recommend a level between 20 and 40 ng/mL

Levels of 50 nmol/L (20 ng/mL) or above are adequate for most people for bone and overall health. 

Levels below 30 nmol/L (12 ng/mL) are too low and might weaken your bones and affect your health. 

Levels above 125 nmol/L (50 ng/mL) are too high and might cause health problems

Evaluating the results of a 25-hydroxy vitamin D test

Deficiency: less than 30 nmol/L (12 ng/mL) 

Potential deficiency: between 

30 nmol/L (12 ng/mL) and 50   

nmol/L (20 ng/mL) 

Normal levels: between 50 nmol/L (20 ng/mL) and 125 nmol/L (50 ng/mL)

To increase vitamin D level quickly?

Spend time in sunlight. Vitamin D is often referred to as “the sunshine vitamin

Consume fatty fish and seafood

Eat more mushrooms

Include egg yolks in your diet. 

Eat fortified foods:

   Breakfast cereals.

   Eggs

   Fruit juice

   Salt

   margarine, 

   snack bars, 

   dairy, yogurt, milk and 

   plant-based milk alternatives, 

   Soy milk 

   baby foods 

   Bread, baked (white and brown    

   bread flour) 

   maize meal 

Take a supplement

Try a UV lamp.

Overweight or obesity individuals: often have lower vitamin D levels than people with BMIs in the “normal” range.

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