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    <title>NOOR GAJRAJ, MD, FRCA, DABPM</title>
    <link>https://www.northtexascenterforpainmanagement.com</link>
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      <title>Low Energy: 5 Reasons You’re Tired All the Time</title>
      <link>https://www.northtexascenterforpainmanagement.com/low-energy</link>
      <description>Life is busy – we all feel that every day. There’s just not enough hours in the day all the time to do the things...
The post Low Energy: 5 Reasons You’re Tired All the Time appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
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                    Life is busy – we all feel that every day. There’s just not enough hours in the day all the time to do the things we want. But 
    
  
  
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      how much easier would it all be if we had more energy
    
  
  
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    ?
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                    Most people go through what should be the prime of their lives wondering why they’re so tired all the time – where has their energy and vitality gone? If you’re one of them, know you’re not alone, and you don’t have to live with this.
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                    Here are the top five reasons you’re so tired all the time – and what to do about it.
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  1. Lifestyle Choices

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      Getting enough physical activity and eating a healthy and balanced diet is key to getting a good night’s sleep
    
  
  
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    , which is critical to feeling rested and vibrant.
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                    With the sedentary nature of modern life, it’s easy to do the minimum. So maybe add an after-dinner walk into your day, add a few more veggies on your plate at lunch, and try to make sure you’re going to bed early enough to get your 8 hours a night when possible.
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  2. Too Much Screen Time

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                    Studies have shown that too much blue light, like the kind your phone, tablet, and laptop emit, can interfere with sleep because they send a signal to your brain telling you it’s still daytime.
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      Try putting the devices down at least an hour before bed
    
  
  
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     and see if it makes a difference in how you feel in the morning.
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  3. Thyroid Issues

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                    Many hormones can impact your energy levels and make you feel tired, but hypothyroidism is one of the most common. Fortunately, it’s highly treatable once you’ve been diagnosed by a doctor and given the appropriate medication.
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  4. Menopause

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      For women, hormonal changes during menopause can lead to decreased sleep
    
  
  
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    . Whether it’s because your sleep in interrupted by hot flashes or because your stress levels are higher, know that this is a common problem.
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                    This is one to talk to your doctor about – see what solutions can help, like hormone-replacement therapy or other potential options.
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  5. Stress

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      Chronic stress can take a serious toll on your energy levels
    
  
  
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    , as your body frequently stays in flight-or-fight mode and releases too much cortisol. Eliminating possible causes of stress. Are important where possible.
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                    But for the causes, you can’t control (the traffic on the way to work, the scramble to get the kids ready in the morning), make sure you’re practicing stress-reducing techniques for yourself. Meditation, yoga, and breathing exercises can all be helpful.
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  We Can Help

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                    Finding the cause of fatigue is one of the best things you can do for your quality of life. More energy means more life for you to live joyfully, whenever your age.
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                    Ready to learn more about the real cause of your fatigue? 
    
  
  
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    &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
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        Call us today to make an appointment
      
    
    
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    . Our compassionate staff will evaluate you and your health and find what works best for you, whether that is:
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                    Don’t wait one more day to live your best life – 
    
  
  
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    &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
      
                      
    
    
      schedule your appointment today
    
  
  
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    .
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  Resouces

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                    The post 
    
  
  
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      Low Energy: 5 Reasons You’re Tired All the Time
    
  
  
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     appeared first on 
    
  
  
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      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
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      <pubDate>Tue, 16 Jun 2020 16:44:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/low-energy</guid>
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      <title>Chronic Pain: Ways to Help a Loved One</title>
      <link>https://www.northtexascenterforpainmanagement.com/help-a-loved-one</link>
      <description>Chronic pain can have a ripple effect when it comes to relationships. Not only does the person who has chronic pain suffer, but it trickles...
The post Chronic Pain: Ways to Help a Loved One appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
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                    Chronic pain can have a ripple effect when it comes to relationships. Not only does the person who has chronic pain suffer, but it trickles over to their connections with friends, family, and loved ones.
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                    There’s an 
    
  
  
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      inherent physical and emotional strain that comes from being in pain continually
    
  
  
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    .
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                    And, it’s no wonder that when a 
    
  
  
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    &lt;a href="https://www.noorgajraj.com/nerve-pain/"&gt;&#xD;
      
                      
    
    
      chronic pain
    
  
  
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     patient suffers, those nearest and dearest can suffer as well.
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  Navigating Chronic Pain

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                    So how do you help a loved one who suffers from chronic pain? It starts with these critical guidelines for navigating these tricky waters.
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  1. Show Compassion

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                    One of the hardest aspects is 
    
  
  
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        chronic pain is challenging
      
    
    
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       to see, but easy to notice
    
  
  
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    . You and your loved one may not understand the source of the pain – or 
    
  
  
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      how, when, and why it may go from manageable to debilitating
    
  
  
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    , but you both feel the effects.
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                    It’s natural to be frustrated when chronic pain slows your loved one down and prevents you from enjoying activities together daily.
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                    Use compassion whenever necessary. 
    
  
  
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      Offer sympathy, support, and encouragement
    
  
  
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    , whenever you can to let your loved one know you are there when they need you.
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  2. Find Little Ways to Help

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                    Depending on the location and the source of the pain, c
    
  
  
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      hronic pain sufferers may have trouble doing everyday tasks
    
  
  
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     – from mowing the lawn to simply putting away the dishes.
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                    So instead of asking open-ended questions like “What can I do to help,” find little ways to pitch in and lend a hand.
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                    Even the little things can do a world of good for someone who is struggling with their pain regularly.
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  3. Let Go of the Guilt

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                    When it comes to chronic pain – and especially when the patient is a spouse or partner – 
    
  
  
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      feelings of guilt can naturally arise
    
  
  
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                    You may feel angry and aggravated that you can’t do all the things you used to, or you may feel bad that you are unable to “fix” the problem, and that’s OK!
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                    Recognize it’s fine to have negative feelings, and that 
    
  
  
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      neither you nor your loved one is to blame for their condition
    
  
  
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  4. Be a Barrier

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                    Your loved one may need to
    
  
  
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       explain to many people why they aren’t as productive or functional as they used to be
    
  
  
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    , so lend a hand in letting people know what’s happening!
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                    By informing other friends and loved ones of the patient’s condition, you can ward off excess questions. You can help other people understand the situation and the reasons why your mutual loved one is not as active as usual.
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  5. Encourage Your Loved One to Seek the Right Help!

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                    Too much advice is never a good thing when it comes to medical conditions, with one big caveat – if your loved one has not seen an 
    
  
  
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      experienced 
      
    
    
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        pain management specialist
      
    
    
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    , encourage them to make an appointment!
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  We Can Help

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                    All too often, chronic pain can lead to months of doctors’ visits, tests, specialists’ visits, and even multiple surgeries, when the best course of action is to get to the root of the problem first.
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                    So encourage your loved one to delve deeper into the cause of their pain, and 
    
  
  
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        make your appointment today
      
    
    
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  Resources

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                    The post 
    
  
  
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      Chronic Pain: Ways to Help a Loved One
    
  
  
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     appeared first on 
    
  
  
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      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
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      <pubDate>Wed, 13 May 2020 15:00:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/help-a-loved-one</guid>
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      <title>Hot Flashes at Night: Causes, Symptoms and How to Prevent Them</title>
      <link>https://www.northtexascenterforpainmanagement.com/hot-flashes-at-night-causes-symptoms-and-how-to-prevent-them</link>
      <description>Have you been waking up wondering how it got so darn hot and why you are drenched in sweat? It could have been a reaction...
The post Hot Flashes at Night: Causes, Symptoms and How to Prevent Them appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
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                    Have you been waking up wondering how it got so darn hot and why you are drenched in sweat? It could have been a reaction to a nightmare. Or it could have been because you don’t have the A/C on in the dead of summer. But if you are a woman in the 40-55-year-old age range, it’s probably hot flashes and night sweats caused by menopause.
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                    Researchers have discovered that up to 
    
  
  
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      85 percent
    
  
  
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     of women have reported hot flashes during 
    
  
  
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      menopause
    
  
  
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    . Although the experience is common, the severity and duration of these symptoms can be very different. Some women have hot flashes and night sweats that are mild. They come and go and are completely manageable. Other women have a more challenging experience with 
    
  
  
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      hot flashes and night sweats that are intense and interfere with their quality of life.
    
  
  
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     Either way, it’s good to know what’s going on and what your options are for treatment and prevention.
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  What Causes This Inconvenient and Uncomfortable Cycle of Hot Flashes?

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                    If you are between the ages of 45-55 it’s probably menopause. During menopause, your body goes through a natural change in 
    
  
  
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    &lt;a href="https://www.medicalnewstoday.com/articles/277177.php"&gt;&#xD;
      
                      
    
    
      estrogen
    
  
  
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     and 
    
  
  
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      progesterone
    
  
  
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     levels. When these hormones shift, it affects other hormones that are responsible for regulating the body’s temperature too. The imbalance in hormones may cause feelings of sudden warmth, flushing, and 
    
  
  
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    &lt;a href="https://www.medicalnewstoday.com/articles/182130.php"&gt;&#xD;
      
                      
    
    
      excessive sweating
    
  
  
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    . And that equals- hot flashes and night sweats.
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      Although menopause gets a bad rap, it’s nothing to worry about, and it’s completely manageable.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Particularly when it comes to hot flashes and night sweats. According to the 
    
  
  
                    &#xD;
    &lt;a href="https://www.nia.nih.gov/health/what-menopause"&gt;&#xD;
      
                      
    
    
      National Institute of Ageing
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    , menopause can last for 7-14 years, but that doesn’t mean you will have these particular symptoms the whole time.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    If you are too young to be going through perimenopause or menopause or have already gone through it, the cause of your night sweats and hot flashes could be reactions to surgery, 
    
  
  
                    &#xD;
    &lt;a href="https://www.medicalnewstoday.com/articles/158401.php"&gt;&#xD;
      
                      
    
    
      chemotherapy
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    , medications, or stress, or it could be a hormone imbalance.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Want to know more about how hot flashes and night sweats work? Read on!
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  What Happens During a Hot Flush Cycle?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    A hot flash will come on suddenly and lasts only a few minutes. Here is how the cycle works:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Pretty cool how the body works, right?
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Yes, except it can be extremely uncomfortable and inconvenient, so you probably want to know how to prevent this cycle. There are plenty of home remedies that you can try before moving on to medication or hormone therapy, but
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
       if your symptoms are severe, skip the home remedies and make an appointment with your doctor.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  12 Excellent and Easy Tips to Cool You Off and Keep you Dry During a Hot Flash

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    It can take time for many of the following remedies to be effective. It will also take time for you to get into the habit of consistently applying them. Be compassionate with yourself and allow up to three months of consistent application before you decide whether or not they are working.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      1.) Know your triggers, note them down, and avoid them.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Here are five questions to ask yourself:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    A few specific triggers to look for:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Here is a great example of how to apply your new-found knowledge: If you notice that your symptoms increase after you eat a plate full of spicy Thai food, avoid ordering spicy food.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      2.) 
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    Wear light-weight clothing or 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      dress in layers that can be removed when a hot flash strikes.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      3.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Keep a fan at your bedside.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      4.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Keep your room cool.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      5.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Open your windows and use an air conditioner or fan to keep air circulating.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      6.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Take cool showers
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     whenever needed, especially before bed.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      7.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Keep your wrists cool.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Lots of blood vessels are in the wrists. Running cool water on them or applying cool compresses can help you cool off quickly.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      8.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Maintain a healthy weight. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      People who are overweight or obese tend to experience hot flashes more often.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      9.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Find ways to relax and de-stress. If you don’t already practice breathing and meditation, start now.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      10.) 
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Avoid processed foods. Eat whole foods with at least 5 servings of vegetables and 2 servings of fruit each day.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      11.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Drink a lot of water.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Not sure how much to drink? The general recommendation is to drink half your body weight in ounces each day, minimum.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      12.)
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     Boost your endorphins to help alleviate symptoms. Exercise is an excellent way to boost endorphins.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  We Are Here to Help You Treat and Prevent Hot Flashes

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Some women learn to manage hot flashes and night sweats and can live a normal life even when symptoms are present. Other women, however, find them unmanageable and disturbing. If you are in the latter category and none of these tips is working, 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/contact/" target="_blank"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        it’s time to make the call.
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      &lt;a href="https://www.noorgajraj.com/contact/" target="_blank"&gt;&#xD;
        
                        
      
      
        Set up an appointment with us
      
    
    
                      &#xD;
      &lt;/a&gt;&#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     and we will go over your medical history, run tests and take the time to uncover the cause of the problem. Most of the time it has to do with hormones— if that’s the case for you, then we will create 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      a customized 
      
    
    
                      &#xD;
      &lt;a href="https://www.noorgajraj.com/hormone-optimization/" target="_blank"&gt;&#xD;
        
                        
      
      
        Hormone Replacement Therapy
      
    
    
                      &#xD;
      &lt;/a&gt;&#xD;
      
                      
    
    
       plan jus for you to help your life become livable again.
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Resources

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The post 
    
  
  
                    &#xD;
    &lt;a href="/hot-flashes-at-night-causes-symptoms-and-how-to-prevent-them/"&gt;&#xD;
      
                      
    
    
      Hot Flashes at Night: Causes, Symptoms and How to Prevent Them
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     appeared first on 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com"&gt;&#xD;
      
                      
    
    
      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/d4032616/dms3rep/multi/Hot-Flashes-at-Night.jpg" length="16904" type="image/jpeg" />
      <pubDate>Wed, 01 Apr 2020 14:07:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/hot-flashes-at-night-causes-symptoms-and-how-to-prevent-them</guid>
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    </item>
    <item>
      <title>Hormone Replacement Therapy: Is It for Me?</title>
      <link>https://www.northtexascenterforpainmanagement.com/hormone-replacement-therapy</link>
      <description>Did you know that your body’s hormones control most of your essential bodily functions?  That they serve as an internal communication system between all of...
The post Hormone Replacement Therapy: Is It for Me? appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Did you know that your body’s hormones control most of your essential bodily functions?  That they serve as an internal communication system between all of your cells?
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    That hormones coordinate everything from digestion and growth to your appetite, immune function, mood, and libido?  Can you imagine what would happen if they got out of their natural balance?
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    You’ve likely experienced some hormonal imbalance in your lifetime.  Nearly everyone, men and women, goes through shifts in their hormones at some point in their lives.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Remember Puberty?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    All those emotions swirling, moods swinging, feelings of anxiety, and maybe even depression? Puberty is a prime example of what happens when your hormones get out of whack.  But for most of us, puberty was manageable, and eventually, around hormones balanced back out.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    But what happens when the symptoms of hormone imbalance are unmanageable and create debilitating conditions that make it hard to live a happy, or even just okay life?  Then what?
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    If you are suffering the symptoms of hormonal imbalance— may be a woman struggling with menopause symptoms or man dealing with the effects from decreases in testosterone— you’ve likely tried a lot of things to help you feel better.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Maybe you’ve changed your diet, started a regular exercise plan, addressed bad sleep habits, or integrated stress-relief practices into your daily routine.  But these alone may not be giving you the relief you crave.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The best way to treat a hormone imbalance is by rebalancing the hormones. This is where hormone replacement therapies come in.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    One such therapy that you may have heard of is bio-identical hormone replacement therapy (BHRT).  But you may be a little confused about what it is and how’s it different from other hormone replacement therapies.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    We’re here to help you get clarity on what BHRT is, how it differs from traditional hormone replacement therapy, and whether it may be just the right treatment for you.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  What Is BHRT?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    We use BHRT to treat men and women when their hormone levels drop or become unbalanced. It’s most frequently used to ease symptoms of 
    
  
  
                    &#xD;
    &lt;a href="https://www.healthline.com/health/menopause/difference-perimenopause"&gt;&#xD;
      
                      
    
    
      perimenopause and menopause
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Many use it to improve symptoms of cancer treatment or to treat conditions such as:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  What Are Bio-Identical Hormones?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Bio-identical hormones are so named because they are identical in molecular structure to the hormones made by the human body.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    It’s important to understand that although these bio-identical hormones act in the body just like the hormones that we produce, they are not found in this form in nature. They are made or synthesized from a plant chemical extracted from yams and soy.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Hormones, most commonly replicated and used in the treatment, are estrogen, progesterone, and testosterone. Bioidentical hormones come in various treatment forms, including:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  How Are They Made?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Drug companies mass-produce bio-identical hormones, while a compounding pharmacy makes some according to a doctor’s orders.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The Food and Drug Administration (FDA) does not approve all bio-identical hormones. The FDA has approved some forms of manufactured bio-identical hormones. This approval includes bio-identical estriol (a weak form of estrogen) and progesterone, but custom-compounded bio-identical hormones have not.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Although many claim that compounded bio-identical hormones may be safer and more effective than synthetic hormones, these claims haven’t been proven in reputable studies.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Traditional Hormones vs. Bio-Identical

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Bio-identical hormones differ from those used in traditional hormone replacement therapy (HRT). The hormones used in traditional HRT are made from the urine of pregnant horses and other synthetic hormones. In contrast, bio-identical hormones are chemically identical to those our bodies produce naturally and are made from 
    
  
  
                    &#xD;
    &lt;a href="https://www.healthline.com/health/phytoestrogens"&gt;&#xD;
      
                      
    
    
      plant estrogens
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The use of traditional hormone replacement therapies declined when the
    
  
  
                    &#xD;
    &lt;a href="https://www.health.harvard.edu/womens-health/what-are-bioidentical-hormones"&gt;&#xD;
      
                      
    
    
       Women’s Health Initiative (WHI) trial
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     of combined estrogen and progestin (as Prempro) for preventing menopause was stopped early because hormone users had a higher risk of:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Many consider hormone therapy the most effective treatment for symptoms, and many women are now choosing BHRT over HRT.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Why Is It Important for Hormones to Be Bioidentical?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    A base of cholesterol makes up human hormones. They have specialized attachments that allow them to fit perfectly into receptor molecules in your body.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    When a hormone perfectly nestles into a receptor, it tells that receptor to turn on or off certain behaviors.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    This is how hormones act as command stations making us act in specific ways and feel certain things.  When you experience drops in hormones:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Do Physicians Commonly Use BHRT?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The compounded type of Bio-Identical hormones is most commonly used in the U.S. in women in 
    
  
  
                    &#xD;
    &lt;a href="https://my.clevelandclinic.org/health/articles/what-is-perimenopause-menopause-postmenopause"&gt;&#xD;
      
                      
    
    
      menopause
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The North American Menopause Society (NAMS) reports that about 1.4 million women are using BHRT to treat their symptoms. According to NAMS, this comprises 40% of all prescriptions for hormone therapy in women who are in menopause. The number of men using this treatment has not been studied yet.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Are Any of the Following Symptoms Making Your Life Unmanageable?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;a href="https://www.noorgajraj.com/contact/" target="_blank"&gt;&#xD;
      
                      
    
    
      If the answer is yes, then it may be time to talk with your doctor
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    . Your doctor will meet with you, perform blood tests, and come up with a treatment plan for you.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Resources

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
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                    The post 
    
  
  
                    &#xD;
    &lt;a href="/hormone-replacement-therapy/"&gt;&#xD;
      
                      
    
    
      Hormone Replacement Therapy: Is It for Me?
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     appeared first on 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com"&gt;&#xD;
      
                      
    
    
      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/d4032616/dms3rep/multi/Hormone-Replacement-Therapy.jpg" length="21675" type="image/jpeg" />
      <pubDate>Wed, 18 Mar 2020 08:00:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/hormone-replacement-therapy</guid>
      <g-custom:tags type="string" />
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      <title>Chronic Pain: 4 Things To Know</title>
      <link>https://www.northtexascenterforpainmanagement.com/chronic-pain-4-things-to-know</link>
      <description>Millions suffer from chronic pain daily. And because this condition is so widespread and individualized, it can lead to questions and plenty of confusion. As...
The post Chronic Pain: 4 Things To Know appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
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      Millions suffer from chronic pain daily
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    . And because this condition is so widespread and individualized, it can lead to questions and plenty of confusion.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    As a result, patients tend to take a few missteps along the way to finding an effective treatment.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    So before you live with pain for a moment longer, consider these four things many patients wish they knew, before they finally found an effective treatment.
                  &#xD;
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&lt;h2&gt;&#xD;
  
                  
  1. Chronic pain isn’t just physical.

                &#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
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      Pain certainly impacts the body, but it also interferes with all aspects of life
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    . Many patients report feeling:
                  &#xD;
  &lt;/p&gt;&#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    As such, 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      getting treatment as soon as possible is essential
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     to ensure all aspects of your well-being are remedied, and not just the pain itself.
                  &#xD;
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&lt;h2&gt;&#xD;
  
                  
  2. Chronic pain doesn’t go away on its own.

                &#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
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                    Many patients initially think that they can just “wait it out,” and the chronic pain will eventually go away on its own. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      But unlike a cut or a bruise, chronic pain can linger for weeks, months, and years
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , and in many cases, the pain simply gets worse over time.
                  &#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The only way to eliminate chronic pain is to seek help. So if you have been suffering from regular or even sporadic pain for 12 weeks or more, it’s time to seek out the assistance of an experienced interventional pain management specialist.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  3. Pills and surgery aren’t always the best treatment.

                &#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Many general practitioners recommend pain relievers or prescription pills. Many eventually recommend surgery to fix the problem hopefully.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    But 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      pills and surgical procedures aren’t always the best or most effective treatment
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , and can even be dangerous and lead to additional health issues, such as addiction.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    So before you look for a generalized cure, be sure and explore all of your options. You may not have to go through invasive surgery, or rely on prescription painkillers, to deal with your chronic pain.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  4. A chronic pain specialist is your best resource for getting to the source of the problem.

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Most patients first go to their general practitioner or family doctor when they first suffer from chronic pain. While a general doctor can certainly help with the initial diagnosis or with broad treatments, 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        your best bet to find long-term relief is to schedule a visit with a specialist
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    who deals solely with pain.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Contact Us

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Above all else, 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      remember chronic pain is a condition you don’t have to deal with
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , and you don’t have to put your life on hold to find an effective treatment.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        Contact us today to schedule your consultation
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    , and we’ll work together to find the root cause of your pain and to identify an effective and safe treatment that works best for you.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Resources

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The post 
    
  
  
                    &#xD;
    &lt;a href="/chronic-pain-4-things-to-know/"&gt;&#xD;
      
                      
    
    
      Chronic Pain: 4 Things To Know
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     appeared first on 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com"&gt;&#xD;
      
                      
    
    
      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/d4032616/dms3rep/multi/man-2734073_1280-768x768.jpg" length="71814" type="image/jpeg" />
      <pubDate>Wed, 19 Feb 2020 16:09:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/chronic-pain-4-things-to-know</guid>
      <g-custom:tags type="string" />
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    <item>
      <title>Hormones and Weight Loss: What You Need to Know</title>
      <link>https://www.northtexascenterforpainmanagement.com/hormones-and-weight-loss</link>
      <description>It happens to most of us at a point in our lives – weight gain. Sometimes we know why it’s happening – we stopped going...
The post Hormones and Weight Loss: What You Need to Know appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    It happens to most of us at a point in our lives – weight gain. Sometimes we know why it’s happening – we stopped going to the gym and started picking up a donut on the way into work every day.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    But too often, it’s unclear. Our habits haven’t changed in a big way – we’re eating our salads and running a couple of times a week – and yet the weight keeps creeping on.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  How Do We Figure out What’s Going On?

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    One of the most common culprits for unexplained weight gain is a change in hormones. As we age, our hormone balance shifts naturally. But there are also underlying hormone disorders that can pop up without us noticing:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    You can read more about how to know if your 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/hormone-optimization/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        hormone balance is off in our previous blog post
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    So many different hormones can affect your weight.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    More info on each hormone and its relationship to weight loss can be found 
    
  
  
                    &#xD;
    &lt;a href="https://www.healthline.com/nutrition/9-fixes-for-weight-hormones"&gt;&#xD;
      
                      
    
    
      here
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    As you think about making a doctor’s appointment to figure out what’s going on, take a close look at your habits and lifestyle.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    All this information is valuable to both you and your doctor – it will help narrow down what’s really going on and ensure the right tests are run.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    You know your body best, and you deserve a doctor and a medical team who will listen carefully and patiently to you and take your needs and your health seriously.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  We Can Help

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Just because it’s a common problem doesn’t mean it can’t be fixed. We believe every one of us deserves to live a life that’s healthy. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      We’ll work one-on-one with you, taking the time to really get to know you and your unique needs, problems, and life
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    So, if you’re struggling to lose weight despite your best efforts at dieting and exercising, don’t lose hope. Schedule an appointment and start getting answers and solutions today.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Resources

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The post 
    
  
  
                    &#xD;
    &lt;a href="/hormones-and-weight-loss/"&gt;&#xD;
      
                      
    
    
      Hormones and Weight Loss: What You Need to Know
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     appeared first on 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com"&gt;&#xD;
      
                      
    
    
      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/d4032616/dms3rep/multi/slimming-2728331_1920-768x768.jpg" length="57333" type="image/jpeg" />
      <pubDate>Wed, 15 Jan 2020 15:00:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/hormones-and-weight-loss</guid>
      <g-custom:tags type="string" />
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      <title>Hormones: Are You Functioning as You Should Be?</title>
      <link>https://www.northtexascenterforpainmanagement.com/hormones-balance</link>
      <description>We all want to look and feel our best every day. Especially as we age and get into the middle of our life – we...
The post Hormones: Are You Functioning as You Should Be? appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    We all want to look and feel our best every day. Especially as we age and get into the middle of our life – we should feel like we’re in our prime.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    But often, 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      we spend most of our days feeling tired, lacking energy, and not knowing why
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    . Sure, life is busy – kids, work, the general bustle of daily living – but even with that, we should be feeling more vitality and vigor.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Overlooked Cause

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    One significant but often overlooked cause of general fatigue is unbalanced hormones. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Hormones are the messenger system for your body
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    . Hormones send signals through your bloodstream to your organs and your tissues.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    They help control critical biological processes like reproduction and metabolism. So, as you can imagine, when these essential hormones get out of balance – whether you have too much or too little of one or more – your body feels the difference and reacts.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Here’s 
    
  
  
                    &#xD;
    &lt;a href="https://www.healthline.com/health/hormonal-imbalance"&gt;&#xD;
      
                      
    
    
      a great outline
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     of the many possible symptoms of hormone imbalance:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Men and women can often have different symptoms of hormonal imbalances since each gender has a different balance of hormones.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  For Women

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    For women, 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      hormone imbalances are usually related to fertility hormones
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    . Polycystic ovarian syndrome (PCOS) is the most common hormonal disorder found in women affecting about 10% of the population.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  For Men

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    For men, 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      low testosterone is the leading hormonal imbalance
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    But there are so many possible symptoms – how can you tell if your fatigue and low libido is just due to the exhausting demands of everyday life or something bigger?
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Let’s Look at Your Symptoms

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    It’s a very important question, as it can mean the difference between a life full of energy and promise, and one spent feeling tired all the time. So, first, make a list of the symptoms you’re experiencing, no matter how small.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Preparing all of these answers in advance will help you decide what’s most important and give you a written record of your symptoms.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Schedule Your Appointment

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Once you’ve gotten all your symptoms and any additional questions you have written down, 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        it’s time to schedule an appointment with your doctor
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    If you don’t have a primary care doctor (and you should, for all the reasons we’ve written about 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/primary-care-practice/"&gt;&#xD;
      
                      
    
    
      here
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    ), this is the time to find one.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;a href="https://www.noorgajraj.com/hormone-optimization/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        Look for one with an office that also specializes in hormone testing and treatment
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    , as we do here. That way, you can get your care, your testing, and your treatment in one convenient place.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The tests your doctor will do varies by your particular symptoms, but the most common one is a blood test. Since your hormones use your bloodstream to travel around the body, they’re usually easy to detect by testing a sample of your blood.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Your doctor might also perform a pelvic exam or an ultrasound to get a clearer picture of what’s going on – PCOS, for example, is often marked by cysts on the ovaries, which can be seen on an ultrasound.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Let’s Talk Treatment

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Once your doctor has run the tests and figured out what’s going on in your body to cause a hormonal imbalance, it’s time for treatment. Treatment may involve:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    And then you have hopefully found answers, clarity, and – most importantly – relief from whatever is keeping you from feeling your best and living your most healthful life.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  We Want to Help

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Want more information about your hormones and how you can make sure yours are in balance? 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        Give us a call today, and schedule an appointment to learn more.
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Resources

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The post 
    
  
  
                    &#xD;
    &lt;a href="/hormones-balance/"&gt;&#xD;
      
                      
    
    
      Hormones: Are You Functioning as You Should Be?
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     appeared first on 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com"&gt;&#xD;
      
                      
    
    
      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/d4032616/dms3rep/multi/post2.jpg" length="14600" type="image/jpeg" />
      <pubDate>Wed, 11 Dec 2019 15:00:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/hormones-balance</guid>
      <g-custom:tags type="string" />
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    <item>
      <title>Pain Management: Treat Chronic Pain</title>
      <link>https://www.northtexascenterforpainmanagement.com/treat-chronic-pain</link>
      <description>When you are suffering from chronic pain daily, you are willing to do whatever it takes to feel better again. This is why many chronic...
The post Pain Management: Treat Chronic Pain appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    When you are suffering from chronic pain daily, you are willing to do whatever it takes to feel better again.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    This is why many chronic pain patients undergo a series of doctors’ visits and different treatments, like pain medications and prescriptions. And yet, the cycle continues indefinitely, looking for a solution.
                  &#xD;
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&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Using Surgery to Treat Chronic Pain

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Sometimes, as a last resort, you may even consider a major surgical procedure to alleviate your pain and to get your life back on track. Understandably, this would seem like the best option, too, especially if previous treatments haven’t worked.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Chronic pain is common, and it rarely goes away on its own. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Patients will often consider drastic measures to find any relief
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    But before you make such a significant decision, it’s essential to understand some of the issues that may occur. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Surgery may not be the best option for your specific chronic pain
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , and for a myriad of reasons which include the following.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  1. It’s Risky

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    A recent study that was published in a 2018 issue of 
    
  
  
                    &#xD;
    &lt;em&gt;&#xD;
      
                      
    
    
      Pain 
    
  
  
                    &#xD;
    &lt;/em&gt;&#xD;
    
                    
  
  
    magazine found that invasive procedures for chronic pain aren’t readily justifiable, and more importantly, are significantly risky.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
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                    Focusing on 25 clinical trials that involved 2,000 patients with various chronic pain conditions, (like back pain, arthritis, and abdominal pain), the researchers compared the outcomes of invasive procedures versus “sham” procedures.
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  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    (A sham procedure involves all of the rituals of surgery, including preparations and set up, anesthesia if needed, and tissue penetration, but no actual manipulation of the tissue.)
                  &#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      The results found there was a significantly higher risk for adverse events to occur during actual procedures
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     – a troubling 12% – versus sham procedures, which had a 4% risk.
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  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  2. It’s Costly

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    More than 100 million Americans suffer from chronic pain. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Across the country, medical costs associated with chronic pain are astronomical
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , with some estimates putting the annual costs at roughly $635 billion.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    On an individual level, 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      the expenses for surgery can be high too – even with insurance
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     – as not all inpatient or outpatient care costs may be covered, and there are outside expenses once you’re off the operating table.
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&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Consider the time lost at work, physical therapy, and medication costs. And, all the other extra impacts on your income that can have long-term repercussions, well after the surgery is over.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  3. It’s Not Always Effective

                &#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The time it takes to 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      recover from an invasive surgical procedure can range from 3 months to 12 months
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    . And even then, it may not alleviate all of your pain, or can also cause new problems.
                  &#xD;
  &lt;/p&gt;&#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Though the statistics vary based on the procedure, a large percentage of surgeries for chronic pain are unsuccessful.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  4. There May be Better Options!

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Before you decide to undergo surgery, make sure you’ve covered all of your options. 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Start with a visit to our clinic!
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    An experienced pain management provider will take time to examine your specific case before making a recommendation for treatment. They won’t just rely on common treatments for similar situations.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Partner with a pain management provider who will research and thoroughly examine your specific pain before proceeding.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    You may be able to avoid a costly and risky surgical procedure. Also, you may be able to find a clearer path to chronic pain relief.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Tips for Coping With Chronic Pain

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    If you suffer from chronic pain, you know you need to find ways to cope in everyday life.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    There is no substitute for enlisting the help of an experienced pain management specialist. However, there are a few things you can do before your initial consultation and appointment to mitigate the pain.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  1. Breathe

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Deep breathing and meditation has been shown to provide temporary relief to treat chronic pain sufferers, as it relieves tension and stress, which can increase the physical effects of pain, as well as provide a much-welcomed distraction.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Focusing on your breath or practicing other relaxation techniques is also a coping mechanism that you can perform anywhere, and any time that chronic pain starts to flare up.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  2. Increase Your Endorphins

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Endorphins, which are released during exercise and physical activity, not only provide an instant mood boost, but they have also been shown to block pain signals temporarily.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    If you are unable to engage in rigorous physical activities like running or jogging, try finding more gentle ways to increase your heart rate and to work up a sweat, such as through yoga or swimming.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Be sure and consult your pain management physician before starting any exercise program, however, so that you don’t inadvertently affect the root cause of your chronic pain.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  3. Cut Back on Alcohol

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Alcohol can make it harder to sleep as it interrupts and interferes with your sleep cycle, and poor quality sleep can easily make chronic pain worse.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Also, although alcohol or other self-medicating attempts can provide temporary relief, it can easily lead the way for dependence, substance abuse, and addiction.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  4. Eat Well

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Good nutrition has a significant role when it comes to the production of mood-related chemicals, such as the stress hormone cortisol, and too much stress can easily trigger chronic pain.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Avoid foods high in sugar, fat, and unrefined carbohydrates
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     to ensure your mood-regulators are in check.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  5. Try a Gentle Massage

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    You can make an appointment with an experienced massage therapist. Or if you need immediate relief, you can enlist the help of a loved one or try it yourself.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Use very soft strokes for the location of your pain, and also  sure and address other parts of your body during the massage for overall relaxation.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    A simple massaging of the temples can bring your focus away from your chronic pain while alleviating stress and a calmer and more relaxed state of mind.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  6. Switch Positions

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Too much time in any position can put added pressure on certain body parts. Also, it can make chronic pain worse – especially when it comes to the back, knees, neck, and legs.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    So if you start to feel your pain flare up, try moving to a different position – whether it’s sitting, standing, or lying down – and see if removing the pressure also helps to remove the pain.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  We Can Help Treat Chronic Pain

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Remember, the only way to fully address and treat chronic pain is to get to the root cause of the problem.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    So while these techniques may help in the short-term, working with an 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
        
                        
      
      
        experienced pain management specialist
      
    
    
                      &#xD;
      &lt;/a&gt;&#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     is the best and ultimate way to stop chronic pain at the source.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;a href="https://www.noorgajraj.com/contact/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        Schedule your consultation today
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    so we can get to work uncovering this root cause of your pain.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Resources

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The post 
    
  
  
                    &#xD;
    &lt;a href="/treat-chronic-pain/"&gt;&#xD;
      
                      
    
    
      Pain Management: Treat Chronic Pain
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     appeared first on 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com"&gt;&#xD;
      
                      
    
    
      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/d4032616/dms3rep/multi/yoga-2176668_1280.jpg" length="152290" type="image/jpeg" />
      <pubDate>Wed, 13 Nov 2019 15:00:00 GMT</pubDate>
      <guid>https://www.northtexascenterforpainmanagement.com/treat-chronic-pain</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/d4032616/dms3rep/multi/yoga-2176668_1280.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
    </item>
    <item>
      <title>CBD: How to Use It Safely</title>
      <link>https://www.northtexascenterforpainmanagement.com/medical-cbd</link>
      <description>CBD, short for cannabidiol, has become increasingly common over the past few years. It’s been legalized in many states, and seems like it can be...
The post CBD: How to Use It Safely appeared first on NOOR GAJRAJ, MD, FRCA, DABPM.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;a href="https://www.health.com/condition/pain/what-is-cbd"&gt;&#xD;
      
                      
    
    
      CBD, short for cannabidiol, has become increasingly common over the past few years
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    . 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      It’s been legalized in many states
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , and seems like it can be found in shops on every corner. But what are the real benefits, and how can you make sure you’re getting the best quality and using it appropriately?
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  The Benefits and Uses of CBD

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Many patients turn to CBD for relief from chronic pain, as this is one of the most effective uses for it. Millions of Americans suffer from chronic pain over months or years, and other solutions are imperfect.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Opioids have a very high risk of addiction
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , while lower-level solutions like NSAIDs can cause stomach issues or worsen kidney issues. CBD, when used appropriately, can avoid these issues while providing lasting relief.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      Some chronic conditions are particularly responsive to CBD treatment
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    , like:
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    And it shows evidence of being a very effective treatment for PTSD, though more studies are needed to know for sure. This isn’t a complete list of possible conditions and diseases that can be helped by CBD.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    If you have a specific ailment impacting you, 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        always check with a medical professional first
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     just to be sure.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  CBD vs. THC: What to Know

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Marijuana has two main active components: CBD (cannabinol) and THC (tetrahydrocannabinol). THC is what gives users the typical marijuana high – it’s a psychoactive chemical.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    CBD can provide pain and anxiety relief without the “high” of THC. So, if you’re looking for proven relief without intoxication, CBD-dominant strains or edibles are a good solution.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Both components work well for pain relief, though, so it’s a question of 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      finding what works for you personally
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     (preferably under the advice of a medical professional, like us!).
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Using CBD

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    After a medical professional evaluates you and you decide if CBD is right for you, 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      you can consider the variety of ways to take it
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Often when you picture marijuana, you’ll imagine smoking, which is the most common non-medical way of consuming it. But if you’re a CBD patient, you have many options.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  Vaping

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Vaping is one option, with many different strains to consider with different properties. You can also opt for oils, either to consume in food or under the tongue.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  Edibles

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Edibles like gummies and chocolates can be a delicious way to get the relief you need without being hard on your lungs.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  Tinctures

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    And there are tinctures – in 
    
  
  
                    &#xD;
    &lt;b&gt;&#xD;
      
                      
    
    
      salves, lotions, and ointments
    
  
  
                    &#xD;
    &lt;/b&gt;&#xD;
    
                    
  
  
     – to be used on your body that might provide relief to specific areas.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h3&gt;&#xD;
  
                  
  No One Size Fits All

                &#xD;
&lt;/h3&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    Options abound for treatments with CBD – it’s certainly not one size fits all. That’s why doing your research (like reading this blog post!) and talking to your doctor are vital steps.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    As CBD becomes more widespread in the US, there are more options but also more potential for confusion and abuse. Caution and a trusted guide are key to getting the most out of your prescription, just as they would be for any treatment.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
   We Can Help

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    To get the best experience, don’t just stop at the shop on the corner. 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com/medical-marijuana/"&gt;&#xD;
      &lt;b&gt;&#xD;
        
                        
      
      
        Your best bet for finding relief from your ailments in a holistic way is to visit a reputable medical practice to get a full evaluation from licensed medical professionals
      
    
    
                      &#xD;
      &lt;/b&gt;&#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    After taking the time to get to know you and your unique medical needs, we’ll be in the best position to prescribe you the solution that works for you.
                  &#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;h2&gt;&#xD;
  
                  
  Resources

                &#xD;
&lt;/h2&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    
                    The post 
    
  
  
                    &#xD;
    &lt;a href="/medical-cbd/"&gt;&#xD;
      
                      
    
    
      CBD: How to Use It Safely
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
     appeared first on 
    
  
  
                    &#xD;
    &lt;a href="https://www.noorgajraj.com"&gt;&#xD;
      
                      
    
    
      NOOR GAJRAJ, MD, FRCA, DABPM
    
  
  
                    &#xD;
    &lt;/a&gt;&#xD;
    
                    
  
  
    .
                  &#xD;
  &lt;/p&gt;&#xD;
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