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Beautiful but Risky if Reliant on Weight-Loss Supplements

There is a lot of talk about the negative effects of weight loss pills, with many people reporting personal experience or witnessing side effects in others. The substances added to these products can impact the nervous and autonomic systems, causing mood swings, irritability, insomnia, depression, lack of concentration, hallucinations, seizures, fainting, dizziness, dry mouth, dry throat, palpitations, irregular heartbeat, and even death. Some weight loss pills contain substances like phentermine, which suppresses appetite by acting on the central nervous system and is a regulated, Category 2 psychotropic substance. Other substances like penfluramine, dexfenfluramine, methamphetamine, phenylpropranolamine, and sibutramine have been withdrawn from pharmaceutical use but can still be found in weight loss and disease treatment products, including thyroid hormone drugs and diuretics. Relying on weight loss drugs carries a significant risk of exposure to harmful substances. Thus, individuals seeking to lose weight should carefully consider whether or not to continue relying on such drugs. Instead of simply reducing food intake or skipping dinner, it may be more effective to adjust the proportion of food consumed at each meal, rather than reducing the overall amount of food at once. Gradually reducing the intake of starchy, sugary, and sweet foods that have been ingrained in eating habits for a long time, and replacing them with low-energy foods such as vegetables or vermicelli can reduce hunger pangs and aid in weight loss. Adjusting the consumption of sugary drinks, soft drinks, and desserts between meals can also contribute to effective weight management. Increasing metabolism is also crucial for effective weight control and overall health. Gradual weight loss, averaging half to one kilogram per month, may not be instant but is achievable if consistently decreased. Adjusting eating habits, being mindful of food intake, and regular exercise are effective ways to improve health without relying on drugs. Dr. Pakin Lowasataporn, General Practitioner, Internal Medicine Service Clinic

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Flu (Influenza)

Flu   Dr. Chidwate Worapiankul, Internal Medicine Physician at Vibhavadi Hospital The flu, also known as influenza, is a viral infection that primarily affects the nose and throat. Approximately 75-80% of flu cases are caused by viruses collectively known as Coryza Viruses, with Rhino Viruses being the most common. Other types include Adenoviruses and Respiratory Syncytial Virus. Although the illness typically resolves within a week, most patients seek medical attention due to symptoms such as mucous secretion. On average, children experience the flu 6-12 times, while adults may have it 2-4 times. Women are more susceptible than men due to their close contact with children, while older individuals may experience it once a year.   Symptoms: In adults, symptoms typically begin with fatigue and mild headaches, followed by sneezing and a runny nose. Fever is rare in adults. The virus usually clears from the respiratory tract within 2-3 days and disappears within 2 weeks. Some individuals may experience ear pain and tympanic membrane inflammation. In certain cases, conjunctivitis, sore throat, and difficulty swallowing may occur. The duration of the illness is usually no more than 2-5 days, but a runny nose may persist for up to 2 weeks. In children, symptoms can be more severe and often lead to complications such as bronchitis, pain, and swelling.   Transmission: The flu tends to be more prevalent during the winter due to low humidity and cool air. Transmission occurs through contact with saliva and sputum of infected individuals. Additionally, germs present on contaminated hands can cause infection through the nose and eyes. Patients can be contagious before symptoms appear and for 1-2 days after symptom onset. Those at higher risk of contracting the flu include children under 2 years old, malnourished children, and those raised in orphanages.   Methods of Transmission 1. Transmission can occur through contact with the hands of infected children or adults who have come into contact with the patient's phlegm. This can happen when touching your eyes, mouth, or nose after contact with contaminated surfaces or objects. 2. Breathing in bacteria that the patient coughs out can lead to transmission. 3. Inhaling airborne germs is another way the infection can be transmitted.   Treatment: - There is no specific treatment for the flu. If a fever is present, paracetamol can be given to reduce the fever. - Aspirin should not be administered. - Medications to alleviate symptoms, such as nasal decongestants and mild cough syrups, can be used. - Resting and drinking plenty of water are advised. - In children, the main complication is otitis media, which may require antibiotic treatment.   Prevention: Avoid crowded public places, such as cinemas and restaurants, during flu outbreaks. Cover your mouth with a handkerchief or tissue when coughing or sneezing. Practice frequent handwashing. Avoid touching your mouth or rubbing your eyes, as it may introduce the infection into your body. Minimize prolonged close contact with individuals who have a cold.     It is challenging to prevent flu infections completely; therefore, taking care of one's own health is essential.

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