Molnupiravir as Treatment for Covid 19 Infection

October 8, 2021

A glimmer of hope in this era of Covid 19 pandemic.Finally we now have data on an investigational antiviral pill Molnupiravir that has been shown to significantly reduce the chances that patients newly diagnosed with Covid-19 would be hospitalized by about 50%.A five-day course of this new oral pill is shown to reduce both hospitalization and death compared to a placebo with good safety profile.This pill will surely help mitigate the risk of infection for all of us on top of Covid 19 vaccination and other health safety protocols. Now awaiting more data before its release to the general public.https://youtu.be/l6O6XXlyYW4


Sinovac is as Effective as mRNA vaccine based on the Malaysia Real World Data

October 1, 2021

Real World Data on Vaccine Effectiveness has been limited most to experiences in US Israel and UK especially with regard to delta variant.

However very few data on Sinovac have been published creating much suspicions and doubts about its overall effectiveness as a Covid 19 vaccine especially with the Delta surge.

Now comes another real world data from Malaysia on Vaccine effectiveness among the different vaccines used including AZ, mRNA vaccines and Sinovac during the time of Delta surge.

Its therefore about time that we stop the Misinformation about vaccine effectiveness as data have shown that all vaccines are proven effective against severe disease and death due to Covid 19 infection. https://youtu.be/tByRURmu0p8


The Chile Experience and SINOVAC… a Real World Data

September 24, 2021

Although Several Preliminary results of the effectiveness of other Covid-19 vaccines across different populations have been published….However, existing vaccine-effectiveness estimates have focused mainly on outcomes of the messenger RNA vaccine (Pfizer–BioNTech and Moderna), (Oxford–AstraZeneca), and JJ.

Data on vaccine effectiveness in the prevention of Covid-19 using Inactivated Virus like SINOVAC are definitely lacking up to now.

Now comes this new data from Chile that provide us with Real World Evidence on Coronvac/ Sinovac Effectiveness against Covid 19 Infection.


Flu Vaccine and Covid 19 Vaccine… a Tandem for the Pandemic

September 10, 2021

Our goal during this COVID pandemic is simply to get as many people healthy or with co-morbidities, young or old to get vaccinated with COVID 19 Vaccine.

However, while we are very busy with Covid 19, data have shown that In any given year, anywhere from 12,000 to 60,000 people will die from another virus causing disease called flu which we know is actually a preventable disease since we have the yearly flu vaccination.

The sad reality is less than 50% of eligible adults for flu vaccine get vaccinated.

So, Do we need to get flu vaccinated this year?

Can the flu vaccine help fight COVID-19 infection? Or can it help reduce severity of illness?

Watch and learn…https://youtu.be/_rU7dU0yPYM


Sinovac Effectiveness Against the Delta Variant of COVID 19

September 8, 2021

The Delta variant of the virus that causes Covid-19 doubles the risk of hospitalization compared to the Alpha variant and has now become the dominant strain worldwide.

BUT always remember, the vaccine is not 100% protective against Covid 19 infection. It is therefore important not to blame a brand of vaccine on cases where you get Covid infection inspite of vaccination. Whether you got mrna like Pfizer or AZ or Sinovac, breakthrough infections can occur.

Sinovac which is the widely used vaccine in the country and other parts of Asia and China has made a lot worried due to lack of real world data on its effectiveness against the delta variant.

What the world knows is that China’s inactivated vaccines continue to be very protective during a recent outbreak of Covid-19 in the southern Chinese province of Guangdong.

The data from their experience has finally been published pending review which now provides us the real world evidence about the ability of Sinovac to stave off the highly infectious variant.


Is Ivermectin effective for Covid 19?

August 27, 2021

Those advocating Ivermectin for prophylaxis and treatment have provided some scientific studies, touting ivermectin as the magic silver bullet against COVID-19.

Recent data regarding Ivermectin will be discussed and assessed whether it can indeed help people prevent and cure infection due to Covid 19.


Why are the Covid Vaccine Antibody Levels Waning in 6 months? Do We Need to Worry?

August 13, 2021

Six months after vaccination, some immunity to the COVID-19 virus seems to be waning… Do we need to Worry?

News reports again about apparent Antibody level declining only after 6 months of SINOVAC jab came about and made headlines causing worries among those vaccinated.

Do we need to worry? Does this mean the protection from Covid 19 infection really drops after 6 months? How Long Does Covid Vaccine Protection Lasts?

Information and data from this presentation were derived in part from researched papers, social media and interviews of a renowned Infectious Disease specialist from UCSF, Dr. Monica Gandhi( including the diagram on B and T cells.)


Sinovac and the Delta Variant

August 6, 2021

You may have heard of the Several News reports about the apparent failure of Sinovac in Indonesia and in Thailand, made some of my friends and patients to question whether the vaccine that they got is worth the jab in protecting them against Covid.

This Video will closely answer some of these questions by looking at some real world data form Indonesia, Thailand and Locally and analyze the information from the news report.


Diabetes is Reversible…

July 31, 2021

Although we know that there is no cure for Diabetes but in clinical studies and in my own clinical practice, Diabetes is Reversible.

This is the first of a series of Videos on Reversing Diabetes that will share the beauty of diagnosing early and managing properly do result in normalization of sugar without the need for medication among patients with prediabetes and diabetes.


Breakthrough Infections Happen and Why?

July 30, 2021

With Covid-19 shots reaching billions of people, reports have grown more common of people getting infected with the coronavirus despite being vaccinated.

Questions continue to Arise as this pandemic continues.

Fully Vaccinated but Got COVID and Died?

Are Covid Vaccines really Effective?

How Long Does the Protection of COVID 19 Vaccines Last?

Can One get a (+) PCR test After Vaccination?


The Delta Variant and the Covid Vaccines

July 27, 2021

Up to now we haven’t vaccinated enough people. Unfortunately, that means that everyone including the Vaccinated will suffer the consequences of the unvaccinated!

With the surge of the Delta Variant, we need to vaccinate as many people as we can before another mutation comes and breeds in us.

Covid Vaccines continue to be our hope to end this global pandemic.

But are Vaccines enough to save us from this new delta variant surge?


How Best To Protect ourselves against the Covid Delta Variant

July 16, 2021

How to protect yourself against the surge of the COVID 19 delta variant…

Are our vaccines effective enough to protect the population against the surging delta variant…

What Other measures are needed as add on protection aside from vaccination to help curb a rise in the delta variant surge…


Reasons for Sleepless Nights

July 10, 2021

Lack of Sleep results in major clinical complications including increasing ones risk to develop chronic diseases like Diabetes, High Blood Pressure and Heart Disease. Knowing what is responsible for the lack of sleep can help you change or correct the cause to resolve the issue of sleep debt.

Dr Gerry H Tan who is Mayo Clinic. trained endocrinologist will discuss in detail some common factors causing sleep loss. Understanding Ones disease can help control long term complications.

This is the second video of the Sleep series. Watch out for the 3rd of the series of videos soon as Dr Tan will discuss Simple Tips to help you sleep better.


Can We Mix and Match Covid Vaccines?

July 10, 2021

We know that Most vaccines against SARS-CoV-2 must be given in two doses, but the idea of mix and match came about the variable efficacy of different vaccines and the problem of side effects.

It’s called heterologous prime-boost vaccination: it’s where instead of first (“prime”) and second (“boost”) injection of the same vaccine, they’re 2 different ones – or perhaps a second boost (third shot) is another vaccine.

The theory is that this could widen immune responses more than same-same vaccination, as vaccines are targeted at stimulating the immune
system in different ways.

Is it possible and safe for patients to be given the 2 doses of Sinovac then mRNA Vaccine like Pfizer as third booster shot?


9 Proven Tips to Help You Sleep

July 7, 2021

How to Fall asleep Faster? How can you Sleep well at night? Are there tips to help you sleep?

Insomnia can make your day go from bad to worse. Sleep is an important commodity and best for everyone to have a good night sleep so you feel fresh and alive the next day.

However not everyone has the luxury of a good night sleep.

Dr Gerry H Tan who is a Mayo Clinic trained endocrinologist will provide some simple proven tips to help you sleep better and faster.

Watch and Enjoy your sleep!!!


Is Sinovac (+Other Covid Vaccines) Effective Enough? & Do We Need Booster Shots FOR DELTA VARIANTS

July 6, 2021

The first COVID-19 vaccines were a welcome development during this pandemic as they offered the world hope for an end to this global pandemic.

What we know is that these vaccines would keep us safe, and protected against severe disease and death from this COVID 19 Infection including the Alpha and the now dominant Delta Variant.

But a lingering question arises … are these Vaccines really Effective Enough FOR THE DELTA VARIANTS?

For how long will the protection from these Covid Vaccines lasts?

Would new and emerging COVID variants like the DELTA Variants make them less effective?

If so, Would everyone need a booster shot in 6 months or in a year or in two years?

Or Could some people get away without that boost? A Delta Variant specific Booster Shot? Or is it advisable for all?


My YT Channel now has 10,000 subscribers

July 6, 2021

https://goo.gl/zA8JcZ


Regular Exercise Best for Longer Life

October 24, 2018

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2707428

Regular Exercise means Longer Life. If you live a sedentary lifestyle, you have a 500% risk of premature death compared with a regular active person. The risk of “no exercise” is worst than smoking and diabetes to health 😵

There is no limit to the benefits of exercise for good health and long life👍👍👍 #longlifewithexercise


Is internittent fasting safe?

July 31, 2018

New data from University of Brazil shows that yes it may indeed make patients lose weight, but in the long run the production of free radicals due to fasting may instead damge the pancreas and result in developing diabetes, the disease we hope to prevent.

This data was presented at the recent 2018 European Society of Endocrinology Annual Meeting held in Barcelona…


Being Overweight Predicts Poor Health Outcome with Age

March 14, 2017

A recent study has come out from the recent Epidimeology and Preventive/Lifestyle and Cardiometabolic Health 2017 Scientific sessions showing that indeed Obesity in the youger age predicts future poor health outcomes.  At most what is affected is poor physical performance including poor walking speed and grip strength.

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“To examine this, Vu and colleagues analyzed findings from participants the Chicago Healthy Aging study, a subset of the Chicago Heart Association Detection Project, which enrolled 39,565 participants from Chicago workplaces who were 18 to 74 during 1967–1973.

The researchers had complete data from 1325 men and women who were examined at baseline and again from 2007 to 2010.

The three measures of physical performance at follow-up were: hand-grip strength, 4-m walking speed, and the SPPB score—a composite score of 4-m walking speed, time to rise from a seated position, and standing balance, for a total score of 0 (worst) to 12 (best).

The participants were classed into six groups depending on their baseline BMI and change in weight after 39 years:

BMI >25 kg/m2; >10-pound weight loss (n=50).

BMI <25 kg/m2; 10-pound weight loss up to a 20-pound weight gain (n=319; reference group; minimal weight change).

BMI <25 kg/m2; >20-pound weight gain (n=312).

BMI >25 kg/m2; >10-pound weight loss (n=130).

BMI >25 kg/m2; 10-pound weight loss up to a 20-pound weight gain (n=300).

BMI >25 kg/m2; >20-pound weight gain (n=214).

About a quarter of the sample (29%) were women and 9% were black.

At follow-up, 10.3% of the participants had a low SPPB score (≤8); 8.4% had slow walking speed (<0.8 m/s on a 4-m course); and 23.8% had low sex-specific handgrip strength (<18 kg for women and <30 kg for men).

Compared with participants with a normal initial BMI and minimal weight change at the follow-up examination, those who were initially overweight and had gained the most weight (>20 pounds) were significantly more likely to have a low SPPB score, a slow walking speed, or low sex-specific handgrip strength (odds ratios 4.55, 4.58, and 1.86, respectively, after adjustment for sex, race, initial cardiovascular disease risk factors, and current age, education, ankle-brachial index, systolic blood pressure, total cholesterol, smoking status, diabetes, cholesterol, and blood-pressure medication use).

Similarly, compared with the reference group, those who were initially overweight or obese and lost less than 10 pounds or gained up to 20 pounds were significantly more likely to have a low SPPB score or a low sex-specific handgrip strength (ORs 2.11 and 1.59, respectively)”

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Bottom line is:

We better shape up and invest in our health for a better physical well being when old age comes!!!!