Dr. Brian Costiniano - Internal Medicine

05/03/2026

🧬 HIV Awareness: Know the Facts, Stay Protected

HIV (Human Immunodeficiency Virus) attacks the immune system and, if untreated, can lead to AIDS. But the good news is—HIV is preventable and manageable with proper care.

🔴 How HIV spreads:
• Unprotected sexual contact
• Sharing needles or syringes
• Mother-to-child during pregnancy, birth, or breastfeeding
• Infected blood transfusion (rare with modern screening)

🟢 How to protect yourself:
• Use condoms consistently
• Get tested regularly
• Consider PrEP for prevention
• Avoid sharing needles

💊 Treatment works:
With proper antiretroviral therapy (ART), people living with HIV can live long, healthy lives and reduce transmission risk.

📍 Take action today:
✔ Get tested
✔ Learn the facts
✔ Support those living with HIV
✔ Help stop stigma

Together, we can create a more informed and healthier community. ❤️

For more information or need help?
Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

25/02/2026

A large study from the UK Biobank found that people with hypertension who meet the recommended weekly exercise amount have a significantly lower risk of early death.

And here’s the encouraging part:
You don’t have to exercise every single day.

Whether you spread your workouts throughout the week or do most of them in 1–2 days (“weekend warrior” style), the benefits were similar — as long as you hit the total recommended amount.

Bottom line:
If you have high blood pressure, some exercise is much better than none — and consistency over the week (in any pattern) can help you live longer.

Move more. Your heart will thank you.

RESEARCH ARTICLE: Weekend Warrior Physical Activity Pattern and Mortality in Patients With Hypertension: A Prospective Cohort Study From UK Biobank

https://ahajrnls.org/4s6oKHm

20/02/2026

🦟 What is Malaria?

Malaria is a preventable and treatable disease spread by infected mosquitoes. Early awareness can save lives! 💚

⚠️ Watch out for symptoms like:
✔️ Fever
✔️ Headache
✔️ Chills
✔️ Fatigue
✔️ Nausea

🛡️ Protect yourself and your family:
• Use insect repellent
• Sleep under mosquito nets
• Wear long sleeves & pants
• Remove standing water around your home

If you experience symptoms, seek medical help immediately. Early treatment matters!

Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian
Or
📲 Scan the QR code to learn more.

16/02/2026

Did you know that Tuberculosis (TB) is a serious but 100% curable disease? 🫁✨
Let’s break down the facts based on the DOH National Tuberculosis Control Program so we can keep our communities safe and healthy! 👇
🦠 WHAT IS TB?
TB is caused by the Mycobacterium tuberculosis bacteria, which usually attacks the lungs. It spreads through the air when an infected person coughs, sneezes, or spits.
🤒 SPOT THE SYMPTOMS:
Don't ignore the signs! Watch out for:
• Coughing that lasts for 2 weeks or more
• Fever (especially rising in the evening)
• Night sweats
• Unexplained weight loss & poor appetite
• Chest pain or coughing up blood
🛑 DOH MYTHBUSTERS (Tandaan!):
Let's stop the stigma! TB is...
❌ HINDI namamana (Not inherited).
❌ HINDI nakukuha sa pagpapagod, puyat, o natuyuan ng pawis.
❌ HINDI naipapasa sa paggamit ng kubyertos o pag-inom sa iisang baso.
💊 THE CURE: TB-DOTS (Tutok Gamutan)
Good news: Treatment is FREE and EFFECTIVE at DOH Health Centers! 🏥
• You need to take your medicines every single day for at least 6 months.
• WARNING: Do NOT stop taking your meds just because you feel better! Stopping early causes Multi-Drug Resistant TB (MDR-TB), which takes 18-24 months to cure and has much harsher side effects.
🛡️ PROTECT YOUR FAMILY:
If you or a loved one is getting treated, keep the house safe:
• Cover your mouth with a tissue when coughing.
• Wear a face mask.
• Open your windows! Fresh air and sunlight scatter and kill TB germs. 🌬️☀️
• Isolate in a separate bedroom for the first few weeks of treatment.

If you or someone you know is experiencing symptoms, don't wait—visit your nearest DOH or. Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian . Early detection saves lives! ❤️

08/02/2026

Regular physical activity has significant benefits for health.

It can decrease people's risk of:
💔 Cardiovascular diseases
💔 Cancers
💔 Diabetes type 2
💔 Dementia

Every move counts!

30/01/2026

🦇🐷 What is Nipah Virus?
Learn how this zoonotic virus spreads, its symptoms, and how to protect yourself. Stay safe and informed!
🔹 Spread: From bats, pigs, and person-to-person
🔹 Symptoms: Fever, headache, coughing, brain effects
🔹 Fatality Rate: 40–75% | No vaccine yet
🔹 Protection: Wash hands, handle fruits carefully, avoid bats & pigs, keep distance

For more information book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian
📊 Share this to raise awareness and help prevent outbreaks!

15/01/2026

🎉 Health Watch sa Sinulog 🎉
Masaya ang Sinulog Festival, pero mas mahalaga ang kalusugan!

✔️ Uminom ng tubig
✔️ Magpahinga kapag pagod
✔️ Mag-ingat sa init at siksikan
✔️ Humingi ng tulong kapag masama ang pakiramdam

👉 I-enjoy ang pista, pero unahin ang kalusugan!

For more assistance please book an appointment at: https://seriousmd.com/doc/jbrian

🩺🎊

06/01/2026

Start small and be consistent!

https://www.facebook.com/share/p/1ADAPbpwsq/

Planning to make a change this year? You aren’t alone. Lots of people make resolutions. The key to making them stick is to start small, and if you have a setback, don’t give up!

06/01/2026

💙 January is Thyroid Awareness Month 💙

Your thyroid plays a big role in your energy, weight, mood, and overall health. Many thyroid problems go unnoticed because symptoms are often mild or mistaken for stress or fatigue.

✨ Watch out for signs like:
• Constant tiredness
• Sudden weight gain or loss
• Feeling too cold or too hot
• Neck swelling
• Mood changes

🩺 Early check = better care.
If you feel something isn’t right, consult a health professional and get your thyroid checked.

📢 Take care of your health this January—awareness saves lives.

Get check now, Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

01/01/2026

🎉 New Year Recovery Tips 🍃
Had a little too much to drink last night? Here’s how to feel better:

💧 Drink plenty of water
😴 Get enough rest
🥣 Eat light meals
💊 Take vitamins
🌬️ Get some fresh air

⚠️ If symptoms don’t improve, seek medical help. Please book an appointment at: https://seriousmd.com/doc/jbrian

Let’s start the year healthy and safe. Happy New Year! ✨🥳

31/12/2025

🎉 New Year, New Habits! 💚

Ngayong bagong taon, unahin natin ang kalusugan.
Maliit na hakbang araw-araw, malaking epekto sa katawan at isipan.

🥗 Kumain ng tama
💧 Uminom ng sapat na tubig
🏃‍♀️ Mag-ehersisyo
😴 Matulog ng sapat
🧠 Alagaan ang mental health
🩺 Magpa-check up
🚭 Iwas 𝑏𝑖𝑆𝑦𝑜

𝐹𝑜𝑟 𝑚𝑜𝑟𝑒 𝑖𝑛𝑓𝑜𝑟𝑚𝑎𝑡𝑖𝑜𝑛. Please book an appointment at: https://seriousmd.com/doc/𝑗𝑏𝑟𝑖𝑎𝑛

✨ Sa Bagong Taon, sa Healthy Tayo!

21/12/2025

📢 HOLIDAY SCHEDULE ANNOUNCEMENT
Please be advised of our clinic schedule for the upcoming holiday season:

📍 Perpetual Succour & North Gen Clinics:
• CLOSED: December 24, 2025 – January 1, 2026
• RESUMING REGULAR HOURS: January 2, 2026 (Friday)

🌐 Online Consultations:
We are still here for you! Our virtual clinic remains OPEN to serve your medical needs.

EVERYDAY:
• Hours: 8:00 AM – 10:00 PM

Book your online appointment today to avoid the holiday rush. Stay healthy and have a safe holiday season! 🎄✨