Preventive Health Check Ups

Health Q&A
Coq10 suppliment

Dear Doctors, We are writing to request clinical clearance regarding a supplement for 60 year old diabetic patien. She is currently being treated for Triple Vessel Disease (TVD) and Congestive Heart Failure with a 42% Ejection Fraction (EF). Lately, she has been experiencing persistent muscle pain, weakness, and generalized fatigue. Since her regimen includes Ecosprin AV 75/40 (which contains Atorvastatin), we are wondering if these muscle aches might be statin-induced myalgia due to a secondary CoQ10 depletion. Furthermore, we understand that CoQ10 supports mitochondrial energy production in a weakened heart muscle, which might help address her fatigue. Her current full prescription is: - Prolomet-XL 25 (1/2 tablet) - Dytor Plus 5 (1/2 tablet) - Axcer 90 - Ecosprin AV 75/40 - Insulin (NovaRapid and Lantus) Given her exact medication profile especially the concurrent use of dual antiplatelets (Axcer and Ecosprin) is it safe to introduce an over-the-counter CoQ10 supplement ?

5 sten/ 5 baloone and modrateMR

My wife with 5 sten and 5 bloone and modrateMR I want to attached CT Anjiography test report resently we did. Give me advice about her resent condition and treatment

Hypercholesterolemia

Im having elevated ldl cholesterol above 190mg/dl from past 3 yrs , with lifestyle modification and diet changes i have reduced my weight by 7kg and ldl cholesterol to 158mg/dl. Despite of the changes im having borderline high ldl  cholesterol. I have also done lipoprotein a test which is also on the higher side . Do I require to take statins for indefinite period or I can decrease cholesterol levels further by diet and exercise alone.

Blood Pressure Medication

In Feb'26  I got stressed out and became very anxious. I was put on Concor 2.5mg. All test 2D Echo and ECG were done and normal. Then at the same time I developed a UTI infection and after I got better I was put on Concor 5T as in the doctor office my BP went 150/100 whereas at home it has been 115-145/72-86 in that range, Now my BP is always between 110-118/62-76. I have been taking Concor 5T since a month now. Can I reduce and completely stop the medication as I never had BP before in my life, only during the time of my anxiousness it went up and only whenever my BP is checked at a doctor's place it goes up with the fear.

Help Please

On my left centre chest side, sharp, pinching pain is occuring while i breathe deeply, yawn, burp and during bending. It started from 1-1:30 hour before..

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Doctors
Dr. James Karas - Cardiologist
Dr. James Karas Cardiologist (Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Doctor of Medicine, Residency - ID, Fellowship 2, Medical degree, DO, Fellowship in Cardiovascular Medicine) 36 years experience Cleveland Clinic
Columbus 43212, COLUMBUS
Dr. John P Kovalchin - Pediatrician
Dr. John P Kovalchin Pediatrician (Medical School, Fellowship in Pediatric Cardiology, Residency in Pediatrics, Residency - ID, Fellowship 2) 37 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. John Jay Warner - Internal Medicine
Dr. John Jay Warner Internal Medicine (Medical School, Residency) 34 years experience The Ohio State University Wexner Medical Center General Surgery
Weinland Park, COLUMBUS
Dr. Fareed Raza Shaikh - Cardiologist
Dr. Fareed Raza Shaikh Cardiologist (Medical School, Class of 1999, Residency - ID, Fellowship 2) 29 years experience Mount Carmel Medical Group
Columbus 43213, COLUMBUS
Dr. Lee R Davis - Internal Medicine
Dr. Lee R Davis Internal Medicine (Fellowship, Medical School, Residency, Internship, Residency - ID, Fellowship 2, Class of 1973) 53 years experience Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS