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Monday 1pm - 3pm Tuesday 8:30am - 11:30am Wednesday 8:30am - 11:30am Friday 8:30am - 11:30am Saturday 8:30am - 11:30am

Clinica Cayanga

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Philippines
San Fabian
Clinica Cayanga

We are both Fellows of the Philippine Academy of Family Physicians

Diplomate Philippine Academy of Family Physicians
Fellow Philippine Academy of Family Physicians
Diplomate Philippine Association of Academic Biochemists
Fellow Philippine Association of Academic Biochemists
Rank as Professor 1
Section Head Medical Informatics/ Research and Biostatistics at LNU- FQDMF College of Medicine
Faculty Department of Physiology and Biochemistry at LNU- FQDMF College of Medicine

28/09/2025

𝑴𝒚𝒕𝒉 𝒗𝒔 𝑭𝒂𝒄𝒕: 𝑴𝒂𝒔𝒕𝒖𝒓𝒃𝒂𝒕𝒊𝒐𝒏 𝒂𝒇𝒕𝒆𝒓 60 & 𝑪𝒂𝒏𝒄𝒆𝒓

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲: Ma********on doesn’t prevent cancer; it’s not a substitute for screening or healthy habits.

𝐌𝐲𝐭𝐡 → 𝐅𝐚𝐜𝐭
• Myth: Ma********on after 60 prevents prostate cancer.
Fact: No proof it prevents cancer. One study links frequent ej*******on to slightly lower risk but can’t prove cause.
• Myth: If I ej*****te often, I can skip screening.
Fact: Ej*******on isn’t screening. Discuss PSA (prostate-specific antigen) testing and symptoms with your doctor.
• Myth: Ma********on causes prostate cancer.
Fact: No evidence it causes cancer; ma********on is normal for many adults.

𝑾𝙝𝒂𝙩 𝙩𝒐 𝒅𝙤 𝙩𝒐𝙙𝒂𝙮: Know symptoms (weak stream, frequent night urination, blood in urine), stay active, eat balanced meals, and talk to your doctor. Men 55–69 should discuss PSA testing; routine PSA isn’t advised at 70+. Your Barangay Health Center or Clinica Cayanga can guide referrals; PhilHealth may help with costs.
Caution: Advice may differ with strong family history, other illnesses, or past prostate issues—consult your clinician.

𝐑𝐞𝐟𝐞𝐫𝐞𝐧𝐜𝐞𝐬:
• Rider JR et al., European Urology, 2016: https://pmc.ncbi.nlm.nih.gov/articles/PMC5040619/
• CDC (2025): https://www.cdc.gov/prostate-cancer/screening/get-screened.html
• USPSTF (2018): https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening
• DOH–PH CPG (~2022):https://pcs.org.ph/wp-content/uploads/2022/03/DOH.PROSTATE-CPG.pdf
• Mayo Clinic (Accessed 2025): https://www.mayoclinic.org/diseases-conditions/prostate-cancer/expert-answers/prostate-cancer/faq-20057800

25/09/2025

𝐌𝐘𝐓𝐇 𝐯𝐬 𝐅𝐀𝐂𝐓: 𝐇𝐢𝐠𝐡 𝐁𝐥𝐨𝐨𝐝 𝐏𝐫𝐞𝐬𝐬𝐮𝐫𝐞 (𝐁𝐏) 𝐌𝐞𝐝𝐬

𝐌𝐲𝐭𝐡: “I can stop my BP medicine when I feel okay.”
𝐅𝐚𝐜𝐭: High BP is often silent. Medicines control it; they don’t cure it. Stopping suddenly can make your BP rebound and raise your risk of stroke or heart attack.

What to do today: Keep taking your meds as prescribed. Check your BP at home or at your Barangay health center. Bring your readings and pill list to your next visit. If you have side effects or cost issues, message us—there are safe alternatives and PhilHealth Konsulta may help with coverage.

Note: Advice may differ if you’re pregnant, elderly, or have kidney/heart disease—please consult us.

First comment (pin this with references)

𝐒𝐨𝐮𝐫𝐜𝐞𝐬
• WHO. Guideline for the Pharmacological Treatment of Hypertension in Adults. 2021.https://apps.who.int/iris/bitstream/handle/10665/344424/9789240033986-eng.pdf
• Philippine Society of Hypertension. 2020 CPG Executive Summary. 2021. https://pubmed.ncbi.nlm.nih.gov/34343391/
• American Heart Association. Managing High Blood Pressure Medications. Reviewed 2025. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/managing-high-blood-pressure-medications
• WHO. Adherence to Long-Term Therapies: Evidence for Action. 2003.https://apps.who.int/iris/bitstream/handle/10665/42682/9241545992.pdf

24/09/2025

Frozen Shoulder: Gentle Daily Stretches for Recovery

Frozen shoulder (adhesive capsulitis) causes pain and stiffness that usually get better over months to years. Today, keep the joint moving—gently. Take a warm shower or use a warm compress for 10–15 minutes, then do slow pendulum swings and “wall-climb” finger walks. Stop if you feel sharp pain. Paracetamol or, if safe for you, an NSAID (non-steroidal anti-inflammatory drug) can help. Good sugar control matters if you have diabetes. Visit Clinica Cayanga or your Barangay Health Center to confirm the diagnosis and plan supervised physical therapy or discuss a steroid injection when pain blocks exercise.

Note: Advice may differ if you’re pregnant or have heart, kidney, ulcer, or shoulder injuries—please consult us first.

Do: Stretch gently daily after heat.
Don’t: Force painful movements.
Do: Ice 10 minutes after exercise.
Don’t: Use a sling long-term.
Do: Ask about PT or injection.
Don’t: Ignore severe night pain or numbness.

References
1. StatPearls. Adhesive Capsulitis. 2025. [https://www.ncbi.nlm.nih.gov/books/NBK532955/](https://www.ncbi.nlm.nih.gov/books/NBK532955/)
2. AAOS OrthoInfo. Frozen Shoulder. 2024. [https://orthoinfo.aaos.org/en/diseases--conditions/frozen-shoulder/](https://orthoinfo.aaos.org/en/diseases--conditions/frozen-shoulder/)
3. NICE Clinical Knowledge Summary. Frozen shoulder. 2022. [https://cks.nice.org.uk/topics/frozen-shoulder/](https://cks.nice.org.uk/topics/frozen-shoulder/)
4. American Family Physician. Adhesive Capsulitis: Diagnosis & Management. 2019. [https://www.aafp.org/pubs/afp/issues/2019/0301/p297.html](https://www.aafp.org/pubs/afp/issues/2019/0301/p297.html)

23/09/2025

🧠💤 Why 7-9 Hours of Quality Sleep Isn’t a Luxury—It’s a Biological Necessity

Most people think of sleep as something expendable when life gets busy. But science tells us that 7-9 hours of good, uninterrupted sleep is essential—not optional—for:

* Optimal brain performance—during sleep, the brain consolidates memory, clears metabolic waste (like beta-amyloid), and strengthens neural connections. Without sufficient sleep, attention, learning, decision-making, and creativity all suffer.
* Immune defense – sleep supports the production of cytokines, antibodies, and immune cells. Chronic sleep restriction increases susceptibility to infections and slows recovery.
*Hormone balance—key hormones like cortisol, growth hormone, leptin, and ghrelin are regulated during sleep. Disrupted or inadequate sleep throws off appetite, stress response, growth and repair, and even metabolic health.

So, the next time you think you can “make up” for lost sleep after a long night, remember: sleep isn’t mere rest; it’s repair, regulation, and resilience.
Here are some tips to make your 7-9 hours count:

✅ Keep a consistent sleep schedule—even on weekends
✅ Make your bedroom dark, cool, quiet
✅ Limit screens at least 1 hour before bed
✅ Avoid caffeine late in the afternoon/evening
✅ Wind down with calming activities (e.g., reading, gentle stretching, mindfulness)

Sleep well—it’s one of the most powerful medicines your body already has. 🌙

References
1. Walker, M. P. (2017). Why We Sleep: Unlocking the Power of Sleep and Dreams. Scribner.
2. Zielinski, M. R., McKenna, J. T., & McCarley, R. W. (2016). Functions and Mechanisms of Sleep. AIMS Neuroscience, 3(1), 67-104.
3. Irwin, M. R. (2015). Why Sleep Is Important for Health: A Psychoneuroimmunology Perspective. Annual Review of Psychology, 66, 143-172.
4. Spiegel, K., Leproult, R., & Van Cauter, E. (1999). Impact of sleep debt on metabolic and endocrine function. The Lancet, 354(9188), 1435-1439.

23/09/2025

I'm sharing this website because it can act as an AI tutor for students who are having trouble understanding the material they learned in class and preparing for tests. It's free!

22/07/2025

🩸 Insulin Icodec: A New Once-a-Week Insulin Option for Diabetes 🩸

📍 Available soon in more countries! Ask your doctor if it's right for you.

Managing diabetes just got easier.
Insulin Icodec is a once-a-week basal insulin designed for people with type 2 diabetes. Unlike traditional insulins that are taken daily, Icodec works with just one injection per week — helping control your blood sugar throughout the week while fitting better into your schedule.

💉 Benefits of Insulin Icodec:
✅ Only 1 injection per week
✅ Long-acting blood sugar control
✅ May help improve treatment adherence
✅ Less burden for people with busy lives

🚨 Note: Insulin Icodec is not yet widely available in the Philippines but is already approved in several countries. Talk to your doctor about the best insulin option for you.

👩‍⚕️ At Clinica Cayanga, we help our patients explore new treatment options for better diabetes control. Visit us for personalized advice.

📅 Clinic Hours: MWF & Sat, 8 AM – 10 AM
📍 Cayanga, San Fabian, Pangasinan
📞 Message us here on Facebook to book an appointment

20/04/2025

🌸✨ Happy Easter from Clinica Cayanga! ✨🌸
“Christ is Risen, Alleluia!”

This Easter, we join the entire Christian community in celebrating the victory of life over death, hope over despair, and healing over suffering. The Resurrection of Jesus is not only a spiritual truth—it is a reminder for all of us that healing is always possible, and that new life can begin even after great trials.

🙏 As your partners in health, we at Clinica Cayanga believe in caring for the whole person—body, mind, and spirit.
💛 Just as Christ brings light to the world, we are here to bring comfort, guidance, and healing to our community.

✨ May the joy of Easter strengthen your faith, inspire forgiveness, and fill your home with peace.
From our family to yours—have a blessed, healthy, and joyful Easter!

📍 Clinica Cayanga – Where Faith, Healing, and Compassion Meet

10/04/2025

🎉 Proud Parent Moment! 🎉

Congratulations to our beloved son, Engr. Ralph Anthony Ramos Rafael, ECT, for officially becoming an Electronics Engineer and Electronics Technician! 💙💛

After years of dedication, hard work, and perseverance, he has successfully passed the April 2025 Electronics Engineering and Electronics Technician Licensure Exams. A proud graduate of Ateneo de Manila University, Ralph now steps into the world as a licensed engineer—ready to make a difference.

We are so proud of you! Your journey is just beginning, and we know great things lie ahead. 🙌💡📡

03/02/2025

☕ Does Adding Sugar to Your Coffee Increase Your Diabetes Risk? 🤔

Many of us love starting the day with a cup of coffee. But if you’re adding sugar to it, you might wonder—does it cancel out coffee’s benefits for diabetes prevention? Let’s break it down.

🔹 Coffee and Diabetes Protection
Studies show that drinking at least three cups of coffee daily can reduce the risk of type 2 diabetes by 20-25%. This is due to bioactive compounds like chlorogenic acids, which improve insulin sensitivity and reduce inflammation. Even decaffeinated coffee has these benefits!

🔹 What Happens When You Add Sugar?
While sugar-sweetened drinks are linked to higher blood sugar and insulin resistance, research suggests that moderate sugar in coffee does not completely erase its health benefits. However, drinking excessively sweetened coffee regularly may raise fasting blood sugar and HbA1c levels, making diabetes harder to control.

🔹 Can Milk Help?
Some studies found that adding milk and sugar to decaf coffee before a high-carb meal actually helped improve post-meal blood sugar levels compared to drinking black coffee alone.

🔹 Final Verdict: Enjoy, But in Moderation
Adding a little sugar to coffee won’t entirely cancel its protective effects. But too much sugar—especially in sweetened coffee drinks—can contribute to higher diabetes risk. If you’re watching your blood sugar, try cutting back on sugar or using alternatives like cinnamon or unsweetened plant-based milk to flavor your coffee.

💬 Do you add sugar to your coffee? How do you enjoy your daily cup? Let us know in the comments! 👇

21/01/2025

🌊 A Prostate Cancer Tsunami: What You Need to Know 🩺

Experts are warning of a “prostate cancer tsunami” by 2040, with cases expected to double and deaths rising by 85%. This surge isn’t just a statistic—it’s a call to action for better awareness and early detection.

📈 Why the Rise?

Aging populations mean more cases globally.
Men of African ancestry are at higher risk.
Many cases in low-income countries are diagnosed too late, leading to poor outcomes.
💡 How Can We Respond?

Early Detection: Regular prostate checks, especially for men aged 50-70 or those at high risk, can save lives.
Innovative Screening: Mobile testing units and outreach programs like “The Man Van” make screening accessible.
Lifestyle Matters: Healthy habits may reduce risk factors.
🛑 Don’t Wait: Prostate cancer often shows no symptoms in early stages. Talk to your doctor about screening if you're at risk.

Together, we can fight this wave before it hits full force. Share this message to spread awareness! 💙

20/01/2025

🌭 The Hidden Danger of Ultraprocessed Foods 🍟
Do you often grab a bag of chips, instant noodles, or hotdogs for convenience? These are ultraprocessed foods, and they might be harming your health more than you realize.

🛑 What’s the real issue? Ultraprocessed foods are designed to make us crave more. Packed with additives, salt, sugar, and oils, they’re made to taste amazing and be easy to eat. But here’s the problem: the more you eat, the harder it is to stop. Studies show they can lead to overeating by 500 extra calories a day!

✅ What can you do?
Choose natural foods like fresh fruits, vegetables, and whole grains.
Check food labels and avoid long ingredient lists full of unrecognizable chemicals.
Teach kids to enjoy real food early to build lifelong healthy habits.

Let’s break free from the cycle of “cravable” but harmful foods. Start small and take a step toward a healthier you today! 💪

19/01/2025

🌟 Do Antibiotics Before Conception Affect Fertility? 🤔

A recent study raised concerns about antibiotics taken before conception, suggesting potential links to reduced fertility, miscarriages, and congenital malformations. However, experts urge caution in interpreting these findings.

🔍 What the Research Says:
A meta-analysis involving over 1.2 million women found mixed results:
Macrolides: Associated with reduced fertility, but often prescribed for conditions like chlamydia, which itself affects fertility.
Sulfonamides: Linked to higher infertility risks.
Beta-lactams and fluoroquinolones: Surprisingly associated with lower infertility risks.
Trimethoprim was tied to increased miscarriage and malformation risks.

⚠️ What Experts Highlight:
Most antibiotics clear the body within hours and are unlikely to directly harm embryonic development.
Fertility issues may arise from the conditions being treated (e.g., infections) rather than the antibiotics themselves.
Misuse of antibiotics or disruption of the microbiome could contribute to adverse outcomes.

💡 Takeaways:
Antibiotics are crucial for treating infections and should not be avoided out of fear, especially for women trying to conceive.
If you’re planning for pregnancy, consider probiotics after antibiotic treatments to support gut and vaginal health.
Always consult your doctor for guidance on safe medications during preconception and pregnancy.

🔗 Your health and fertility deserve careful attention—ask questions, get informed, and make decisions with your healthcare provider.

Address

172 Quezon Highway, Cayanga
San Fabian
2433

Opening Hours

Monday	1pm - 3pm
Tuesday	8:30am - 11:30am
Wednesday	8:30am - 11:30am
Friday	8:30am - 11:30am
Saturday	8:30am - 11:30am

Telephone

+639159120724

Website

https://clinica-cayanga.business.site/, https://www.tinyurl.com/clinicacayanga-direction

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