Dr. Joshua Paul M. Gamallo Butuan

05/08/2025

05/08/2025

𝐉𝐮𝐬𝐭 𝟕,𝟎𝟎𝟎 𝐒𝐭𝐞𝐩𝐬 𝐚 𝐃𝐚𝐲 𝐂𝐚𝐧 𝐓𝐫𝐚𝐧𝐬𝐟𝐨𝐫𝐦 𝐘𝐨𝐮𝐫 𝐇𝐞𝐚𝐥𝐭𝐡!
A major new study published in The Lancet Public Health (August 2025) confirms what many health experts have long suspected, walking more each day can dramatically reduce your risk of chronic disease and death.

Here’s what the study found when adults walked just 7,000 steps per day:

𝑻𝒉𝒆 𝑯𝒆𝒂𝒍𝒕𝒉 𝑩𝒆𝒏𝒆𝒇𝒊𝒕𝒔 𝒐𝒇 𝑫𝒂𝒊𝒍𝒚 𝑺𝒕𝒆𝒑𝒔:
✅ 47% lower risk of death (all causes)
✅ 37% lower risk of cancer death
✅ 25% lower risk of heart disease
✅ 38% lower risk of dementia
✅ 22% lower risk of depression
✅ 14% lower risk of type 2 diabetes

𝑀𝑜𝑟𝑒 𝑠𝑡𝑒𝑝𝑠 = 𝑙𝑜𝑤𝑒𝑟 𝑟𝑖𝑠𝑘. 𝐵𝑢𝑡 𝑒𝑣𝑒𝑛 𝑚𝑜𝑑𝑒𝑟𝑎𝑡𝑒 𝑠𝑡𝑒𝑝𝑠 (6,000–8,000/𝑑𝑎𝑦) ℎ𝑎𝑣𝑒 𝑚𝑎𝑠𝑠𝑖𝑣𝑒 𝑏𝑒𝑛𝑒𝑓𝑖𝑡𝑠!

As a lifestyle medicine physician, I strongly encourage you to walk your way to better health, literally. Prevention is powerful, and every step counts!

03/08/2025

𝐍𝐚𝐧𝐠 𝐠𝐚𝐡𝐢, 𝐥𝐢𝐬𝐨𝐝 𝐮𝐠 𝐠𝐢𝐧𝐡𝐚𝐰𝐚, 𝐮𝐠 𝐠𝐢 𝐭𝐚𝐛𝐚𝐧𝐠?

Ingon ani kasagaran isulti sa naka-experience og hyperventilation, kondisyon nga sobra ang pagginhawa.

𝑼𝒏𝒔𝒂 𝒂𝒏𝒈 𝑯𝒚𝒑𝒆𝒓𝒗𝒆𝒏𝒕𝒊𝒍𝒂𝒕𝒊𝒐𝒏?
Ang hyperventilation mao ang paspas o lawom nga pagginhawa, kasagaran tungod sa kaguol, stress, ug emosyonal nga problema.

𝑴𝒈𝒂 𝑯𝒊𝒏𝒖𝒏𝒈𝒅𝒂𝒏:
• Kakulba ug kabalaka (anxiety)
• Stress sa trabaho o eskwelahan
• Problema sa pamilya o relasyon
• Pagka-trauma sa panghitabo
• Kaguol o problema sa kaugalingon
• Nakainom ug inimnon

Ang atong utok usahay mo react nga murag adunay peligro, bisan wala. Mao ni ang fight and flight response.

𝑺𝒊𝒎𝒕𝒐𝒎𝒂𝒔:
• Lisod pagginhawa
• Guot ang dughan
• Pang gahi sa nawong o kamot
• Malipong
• Mag palpitate
• Mabalaka o mahadlok

𝑼𝒏𝒔𝒂 𝒂𝒏𝒈 𝑩𝒖𝒉𝒂𝒕𝒐𝒏:
• Kalma lang. Ayaw kahadlok, kalma ang huna-huna.
• Hinay pagginhawa. Sa ilong mo-inhale, sa baba mo-exhale.
• Gamit ug brown bag sa pag ginhawa
• Lingkod o higda og komportable.
• Adto dayon sa health center o ER kung dili gihapon maulian

Ang hyperventilation usahay makapahadlok sa mga tao sa atong palibot, labi na ug mang gahi ka. Pero kung masabtan nato kung unsay hinungdan niini ug unsay angay buhaton, dako kini’g ikatabang. Kasagaran kini tungod sa stress, kabalaka, o personal ug pamilya nga problema. Pero kasagaran dili kini delikado ug pwede ra matabangan pinaagi sa tarong nga pagginhawa, suporta gikan sa uban, ug pagbag-o sa lifestyle.

𝑲𝒖𝒏𝒈 𝒑𝒊𝒓𝒎𝒆 𝒏𝒂 𝒌𝒊𝒏𝒊 𝒎𝒂𝒉𝒊𝒕𝒂𝒃𝒐, 𝒂𝒚𝒂𝒘 𝒑𝒂𝒔𝒂𝒈𝒅𝒊, 𝒑𝒂𝒏𝒈𝒂𝒚𝒐 𝒐𝒈 𝒕𝒂𝒃𝒂𝒏𝒈 𝒔𝒂 𝒅𝒐𝒌𝒕𝒐𝒓 𝒐 𝒄𝒐𝒖𝒏𝒔𝒆𝒍𝒐𝒓.

02/08/2025

𝐃𝐫. 𝐆𝐚𝐦𝐚𝐥𝐥𝐨’𝐬 𝐂𝐥𝐢𝐧𝐢𝐜 𝐒𝐜𝐡𝐞𝐝𝐮𝐥𝐞 – 𝐀𝐮𝐠𝐮𝐬𝐭 𝟐𝟎𝟐𝟓 🩺
Here’s my updated clinic schedule for August:
• August 1-2
• August 4-6
• August 11-15
• August 20-23
• August 25-27

🕢 𝑯𝒐𝒖𝒓𝒔 (𝒅𝒂𝒊𝒍𝒚): 7:00 AM – 3:00 PM
📍 𝑳𝒐𝒄𝒂𝒕𝒊𝒐𝒏: Hi-Precision Clinic, Watergate Complex, Butuan City

Need a check-up, follow-up, or consultation? I’ll be glad to assist you on these dates. Let’s prioritize your health, see you at the clinic! 💙

25/07/2025

𝐖𝐡𝐚𝐭 𝐢𝐬 𝐃𝐢𝐚𝐛𝐞𝐭𝐞𝐬?
Diabetes is a long-term condition that affects how your body uses sugar for energy. When the body can’t produce enough insulin or can’t use it properly, sugar builds up in the blood, leading to serious complications over time.

🩺 𝐓𝐡𝐞𝐫𝐞 𝐚𝐫𝐞 𝐭𝐰𝐨 𝐦𝐚𝐢𝐧 𝐭𝐲𝐩𝐞𝐬:
• Type 1 – often starts in childhood and requires lifelong insulin.
• Type 2 – commonly develops in adults and is linked to lifestyle, but is now also seen in younger people.

🔍 𝐄𝐚𝐫𝐥𝐲 𝐬𝐢𝐠𝐧𝐬 𝐦𝐚𝐲 𝐢𝐧𝐜𝐥𝐮𝐝𝐞:
frequent urination, excessive thirst, fatigue, slow-healing wounds, blurry vision, and unexplained weight loss.

𝑻𝒉𝒆 𝒈𝒐𝒐𝒅 𝒏𝒆𝒘𝒔 𝒊𝒔 𝒕𝒉𝒂𝒕 𝒕𝒚𝒑𝒆 2 𝒅𝒊𝒂𝒃𝒆𝒕𝒆𝒔 𝒄𝒂𝒏 𝒃𝒆 𝒑𝒓𝒆𝒗𝒆𝒏𝒕𝒆𝒅 𝒐𝒓 𝒅𝒆𝒍𝒂𝒚𝒆𝒅 𝒕𝒉𝒓𝒐𝒖𝒈𝒉 𝒃𝒂𝒍𝒂𝒏𝒄𝒆𝒅 𝒏𝒖𝒕𝒓𝒊𝒕𝒊𝒐𝒏, 𝒓𝒆𝒈𝒖𝒍𝒂𝒓 𝒑𝒉𝒚𝒔𝒊𝒄𝒂𝒍 𝒂𝒄𝒕𝒊𝒗𝒊𝒕𝒚, 𝒆𝒏𝒐𝒖𝒈𝒉 𝒔𝒍𝒆𝒆𝒑, 𝒂𝒏𝒅 𝒔𝒕𝒓𝒆𝒔𝒔 𝒎𝒂𝒏𝒂𝒈𝒆𝒎𝒆𝒏𝒕.

Let’s take diabetes seriously. Prevention starts with awareness.
📍Hi-Precision Watergate Complex, Butuan City
🕘 Mon–Sat, 7:00 AM – 3:00 PM
📞 0918 806 050
🌐 facebook.com/joshuapaulgamallo

15/07/2025

🔴Management of Obesity in HF – 2025 ACC Update⤵️

🔹 BMI ≥35 ➡️ Obesity confirmed
🔹 BMI 30–34.9 ➡️ Check waist / DEXA
🔹 HFpEF or HFrEF?
🔹 💊 GLP-1 RA or 🥗 lifestyle
🔹 🔪 Bariatric surgery if indicated
🔹 📋 Monitor symptoms & labs

Summary By updates_in_medicine

🔹https://www.jacc.org/doi/10.1016/j.jacc.2025.02.018

09/07/2025

“𝐋𝐨𝐰𝐞𝐫 𝐁𝐥𝐨𝐨𝐝 𝐏𝐫𝐞𝐬𝐬𝐮𝐫𝐞 𝐈𝐬 𝐍𝐨𝐭 𝐀𝐧𝐞𝐦𝐢𝐚”

I’ve seen a viral post claiming that any blood pressure below 120/80 mmHg means you’re already anemic. That’s a misconception we need to clear up right away. 𝑳𝒐𝒘 𝒃𝒍𝒐𝒐𝒅 𝒑𝒓𝒆𝒔𝒔𝒖𝒓𝒆 𝒂𝒏𝒅 𝒂𝒏𝒆𝒎𝒊𝒂 𝒂𝒓𝒆 𝒕𝒘𝒐 𝒄𝒐𝒎𝒑𝒍𝒆𝒕𝒆𝒍𝒚 𝒅𝒊𝒇𝒇𝒆𝒓𝒆𝒏𝒕 𝒄𝒐𝒏𝒅𝒊𝒕𝒊𝒐𝒏𝒔, and you can’t self-diagnose anemia based on your BP cuff reading alone.

𝑼𝒏𝒔𝒂𝒚 𝒌𝒂𝒍𝒂𝒉𝒊𝒂𝒏?
1. 𝑩𝒍𝒐𝒐𝒅 𝑷𝒓𝒆𝒔𝒔𝒖𝒓𝒆 (𝑩𝑷) makuha na sya gamit ang BP apparatus. Ang optimal adult reading is around 120/80 mmHg. If ubos, kintahay 90/60, basin ubos ra imong resting BP. Dili na sya anemia or anemic.

2. 𝑨𝒏𝒆𝒎𝒊𝒂 mahitabo kung ubos ang hemoglobin (p**a nga dugo) pinaagi sa pagkuha sa CBC. Ang normal nga hemoglobin range kay 13–17 g/dL para sa lalaki, ug 12–15 g/dL para sa babae. Kung anemic ka, makabati ka og kakapoy, kutasan mag lakaw, ug pale tan-awon.

Bisan pa man ang imong BP kay 120/80 paubos o 90/60, dili pasabot nga anemic na ka. Siguroha kanunay ang sakto nga laboratory tests ug professional evaluation para sa sakto nga diagnosis.

𝐁𝐨𝐭𝐭𝐨𝐦 𝐋𝐢𝐧𝐞:
Regardless of your BP, it doesn’t tell you anything about your hemoglobin level. You can't diagnose anemia based on BP. Always consult your doctor! Dili mag tuo-tuo sa silingan.

03/07/2025

𝐃𝐫. 𝐆𝐚𝐦𝐚𝐥𝐥𝐨’𝐬 𝐂𝐥𝐢𝐧𝐢𝐜 𝐒𝐜𝐡𝐞𝐝𝐮𝐥𝐞 – July 2025 🩺

Here’s my updated clinic schedule for July:
📆 Dates:
• July 1-4
• July 8-12
• July 14-15
• July 23 – 26
• July 28- 30

🕢 Hours (daily): 7:30 AM – 3:00 PM
📍 Location: Hi-Precision Clinic, Butuan City

Whether you need a check-up, follow-up, or a quick consultation—feel free to drop by during these dates and hours. Let’s take charge of your health together! 💪✨

28/06/2025

𝐇𝐈𝐆𝐇 𝐁𝐋𝐎𝐎𝐃, 𝐇𝐈𝐆𝐇 𝐑𝐈𝐒𝐊: 𝐖𝐇𝐘 𝐇𝐘𝐏𝐄𝐑𝐓𝐄𝐍𝐒𝐈𝐎𝐍 𝐈𝐒 𝐀 𝐒𝐈𝐋𝐄𝐍𝐓 𝐊𝐈𝐋𝐋𝐄𝐑

Wala ta’y gibati usahay, pero ang taas nga blood pressure (hypertension) makadaot na diay sa atong kasing-kasing, utok, ug kidney, ug mahimo pa kini mahimong deadly!

𝑼𝒏𝒔𝒂 𝒂𝒏𝒈 𝒎𝒈𝒂 𝒌𝒐𝒎𝒑𝒍𝒊𝒌𝒂𝒔𝒚𝒐𝒏 𝒔𝒂 𝒉𝒊𝒈𝒉 𝒃𝒍𝒐𝒐𝒅?
• Heart disease (heart attack, heart failure)
• Stroke
• Loss of vision
• Bone loss
• Depression & anxiety
• Kidney disease
• Sexual problems

𝑴𝒈𝒂 𝑯𝒊𝒏𝒖𝒏𝒈𝒅𝒂𝒏 (𝑹𝒊𝒔𝒌 𝑭𝒂𝒄𝒕𝒐𝒓𝒔)
• Stress sa trabaho, bills, ug personal life
• Sobra ka tam-is na pagkaon ug imnonon (3-in-1 instant coffee, milktea, etc)
• Fast food, unlimited rice, noodles, bulad, etc (sodium overload)
• Kulang sa sa tulog
• Panigarilyo ug sobrang inom

𝑼𝒏𝒔𝒂𝒚 𝑵𝒐𝒓𝒎𝒂𝒍 𝒏𝒂 𝑩𝑷?
• Normal: BP

24/06/2025

Good news, mga Ka-Hipre!
Affordable 2D Echo is BACK at Hi-Precision Butuan for just ₱2,800.

Give your heart the check-up it deserves. Book your slot today at our Butuan branch and see you soon!

Good news mga Ka-Hipre

Affordable 2D echo is now back at HPD Butuan Branch.

For only Php2800 you can get your 2d Echo procedure here at the branch.

See you soon…