Just between you and me with Dr. MargiE

Just between you and me with Dr. MargiE Just Between You and Me with Dr. MargiE
Focusing on your health questions. Posts are not medical advice.
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01/30/2026

Noticing cloudy urine or stuff floating in it? 🚨
It’s not always serious—but it’s not something to ignore either.

01/29/2026

Part 2: Blood in urine & kidney trauma
Injury to the kidneys can lead to visible or microscopic blood in the urine.
After any significant impact to your back or abdomen, a medical evaluation is important.

01/28/2026

Blood in your urine can be visible (gross hematuria) or only seen under a microscope (microscopic hematuria).
Before giving a urine sample:
đźš« Avoid heavy exercise
🩸 Let your provider know if you’re on your period
When in doubt, always check in with your doctor.

01/27/2026

If you’re on Evenity® and planning dental work, knowledge is power. 🦷
Share your medication history, ask questions, and work with your providers to protect both your bone health and oral health. You deserve confident care. 💪🦴

01/27/2026

On Evenity® and need dental work? 🦷
Don’t panic—just communicate. Let your dentist and provider know so your care stays coordinated and safe. Strong bones, smart care. ✨

01/23/2026

Can osteoporosis meds cause brittle bones? 🦴
Short answer: very rarely.

Atypical femur fractures can occur with long-term bisphosphonate use (like Fosamax/alendronate), but the risk is extremely low—and the benefits in preventing spine and hip fractures far outweigh that risk.

Risk is slightly higher with long-term use (5+ years) and in certain groups, which is why some patients may take a “drug holiday.”

Bottom line: for most people, these medications protect bones, not weaken them.

01/22/2026

How long does Zometa stay in your body? 🦴

Zometa (zoledronic acid), also known as Reclast, stays in the body for months to years because it binds tightly to bone.

After an IV infusion:
• About 40% is excreted in urine within 24 hours
• The rest is absorbed into bone and released slowly over time

That’s why it’s usually given once a year.

Side effects to know:
Flu-like symptoms, muscle aches, and joint pain usually start within the first 3 days and resolve within 7–14 days.
In rare cases, severe musculoskeletal pain can appear weeks to months later and may last for several months.

Most symptoms resolve after stopping the medication—but if someone is re-challenged years later, those symptoms can return.

This is why it’s always worth discussing other treatment options if you’ve had a severe reaction.

01/21/2026

Part 2: Let’s talk sinusitis 🤧
Sinusitis happens when your sinuses become inflamed and can’t drain properly.
That trapped mucus leads to pressure, congestion, facial pain, and thick drainage.
Nasal washes help by flushing out irritants and thinning mucus so your sinuses can drain the way they’re supposed to—helping reduce symptoms and prevent flare-ups.

01/20/2026

Post-nasal drip worse at night? 🤧
Here’s why it happens—and how nasal washes can help fast.
By thinning the mucus, it drains the way it’s supposed to (instead of down your throat while you sleep).
✨ Many people feel relief almost immediately when they use nasal rinses consistently

More than 50 years after his death, Dr. Martin Luther King Jr.'s impact is still felt today. Dr. Martin Luther King Jr. ...
01/19/2026

More than 50 years after his death, Dr. Martin Luther King Jr.'s impact is still felt today. Dr. Martin Luther King Jr. focused on community, kindness, courage, and unity. Martin Luther King Jr. Day is not just a day of remembrance—it is a Day of Service, a call to action to give back, uplift others, and strengthen our communities in his honor.

01/18/2026

Part 2/2: What do the guidelines actually say about LDL targets?

The evidence for lowering LDL cholesterol is strong — especially in secondary prevention (patients who’ve already had a heart attack or stroke). Multiple studies, including a 2020 New England Journal of Medicine publication, show that lower LDL levels reduce the risk of future cardiovascular events.

While much of the research started in secondary prevention, today’s clinical guidelines go further:
đź“Ś High-risk primary prevention: LDL

01/17/2026

Part 1/2: Why do we care about LDL being under 70?

LDL = the “bad” cholesterol — but how low is low enough?

Most of the strongest data we have comes from secondary prevention studies — meaning people who’ve already had a heart attack or stroke. In these patients, getting LDL below 70 significantly lowers the risk of another cardiovascular event.

But what about people who haven’t had an event yet?

The JUPITER trial helps answer that. It looked at higher-risk patients with normal baseline LDL levels and showed that lowering LDL with statin therapy still led to a meaningful reduction in major cardiovascular events.

Bottom line:
Lowering LDL isn’t just about treating disease — it’s about preventing it.

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