My health and wellness with Fely

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Doctor of Pharmacy
From the pharmacy counter → to YOU
I break down labs, symptoms & diseases simply
Pharmacist 🩺
Diabetes • BP • Kidney • Autoimmune
Helping you catch what others miss

Alendronate (Fosamax) 💊 What you NEED to know before taking itWhat it’s forOsteoporosis (postmenopausal, men, steroid-in...
05/02/2026

Alendronate (Fosamax) 💊 What you NEED to know before taking it

What it’s for
Osteoporosis (postmenopausal, men, steroid-induced)
Prevents bone loss
Reduces risk of hip and spine fractures
⸻

How it works
Belongs to bisphosphonates
Binds to bone surface
Slows osteoclast activity (bone breakdown)
Allows bone to rebuild stronger over time
⸻

How to take it (CRITICAL ⚠️)
Take first thing in the morning
ONLY with plain water (6–8 oz)
No food, coffee, juice, or medications for 30 minutes
Stay upright (sit or stand) for 30 minutes
Do NOT chew or suck the tablet

💡 Weekly dose — same rules apply
⸻

Why these rules matter
Food can reduce absorption by up to 90%
Lying down increases risk of esophagus damage
Coffee or juice reduces effectiveness
⸻

Common side effects
Heartburn or acid reflux
Stomach discomfort
Trouble swallowing (early warning sign ⚠️)
⸻

Rare but serious ⚠️
Esophagitis or esophageal ulcers
Osteonecrosis of the jaw (higher risk after dental procedures)
Atypical femur fractures with long-term use
⸻

Who should NOT take it
Esophageal disorders (strictures, achalasia)
Cannot sit upright for 30 minutes
Low calcium (must be corrected first)
Severe kidney disease (CrCl < 35 mL/min)
⸻

Drug & supplement interactions
Calcium, iron, magnesium, and antacids 🚫
Take these at least 30–60 minutes AFTER
⸻

Pharmacist tips 💡
Take the same day each week (if weekly dosing)
Do not double dose if missed — follow instructions
Ensure adequate calcium and vitamin D intake
Inform your provider before dental procedures
⸻

🚨 RED FLAG (STOP & CALL)
Chest pain
New or worsening heartburn
Pain when swallowing
Jaw pain or loose teeth
⸻

From the pharmacy counter → to YOU

Alendronate is one of the most misused osteoporosis medications I see.

It’s not just what you take — it’s how you take it.

Take it wrong
• More side effects
• Little to no benefit

Take it right
• Stronger bones
• Real fracture protection

Most people were NEVER told this properly.

Were you given these instructions when you picked it up?

Save this — this one matters.

—My health and wellness with Fely

1. EGGS 🥚🟥 Vitamin D + proteinEggs are one of the few natural food sources of vitamin D, which is critical for calcium a...
05/01/2026

1. EGGS 🥚

🟥 Vitamin D + protein
Eggs are one of the few natural food sources of vitamin D, which is critical for calcium absorption, immune defense, and hormone balance.
→ The protein (especially leucine) supports muscle repair and satiety.
💡
Yolks contain choline → important for brain health
Highly bioavailable protein (your body uses it efficiently)
⸻

2. BRAZIL NUTS 🥜

🟥 Selenium powerhouse
Selenium is essential for thyroid hormone conversion (T4 → T3) and antioxidant protection.
→ Supports metabolism, immune system, and reduces oxidative stress

💡 Important:
Just 2–3 nuts daily is enough
Too much = toxicity (hair loss, nail issues)
⸻

3. ALMONDS 🌰

🟥 Calcium + healthy fats
Almonds provide plant-based calcium plus vitamin E (a powerful antioxidant).
→ Supports heart health, skin, and blood vessel function
💡
Helps reduce LDL (“bad cholesterol”)
Good snack for blood sugar control
⸻

4. SPINACH 🥬

🟥 Iron + folate
Iron supports oxygen transport (prevents fatigue), while folate is essential for DNA and red blood cell production.

💡 Important:
Contains non-heme iron (plant form) → absorb better with vitamin C
Cooking reduces oxalates → improves absorption
⸻

5. LENTILS 🫘

🟥 Plant protein + fiber
High in soluble fiber → slows glucose absorption and improves gut health
→ Supports diabetes control and cholesterol reduction
💡
Rich in iron + B vitamins
Keeps you full longer (great for weight management)
⸻

6. AVOCADO 🥑

🟥 Potassium + healthy fats
Contains more potassium than bananas → helps regulate blood pressure
→ Healthy fats (monounsaturated) support heart and brain
💡
Improves absorption of fat-soluble vitamins (A, D, E, K)
Anti-inflammatory effect
⸻

7. SWEET POTATO 🍠

🟥 Vitamin A (beta-carotene)
Converted into vitamin A → supports vision, immune function, and skin health
💡
Also contains fiber → helps gut health
Lower glycemic impact than regular white potatoes (when eaten with protein/fat)
⸻

8. KIWI 🥝

🟥 Vitamin C boost
Vitamin C supports immune defense, collagen production, and iron absorption
💡
Contains actinidin → helps digestion
Great for skin + wound healing
⸻

9. FLAXSEEDS 🌾

🟥 Omega-3s (ALA)
Plant-based omega-3 supports heart health and reduces inflammation
💡 Important:
Must be ground → whole seeds pass undigested
Also rich in lignans → hormonal balance benefits
⸻

10. DARK CHOCOLATE 🍫 (70%+)

🟥 Magnesium + antioxidants
Magnesium supports muscle relaxation, nerve function, and stress reduction
💡
Contains flavonoids → improves blood flow + brain function
Keep portions small (calorie-dense)

It’s not about eating more…
It’s about eating smarter.

Your body doesn’t need random foods —
👉 it needs the right nutrients, consistently.

🟥 Eliquis (Apixaban)💊 What you need to know before taking itEliquis is a blood thinner (anticoagulant)→ It helps prevent...
05/01/2026

🟥 Eliquis (Apixaban)💊 What you need to know before taking it

Eliquis is a blood thinner (anticoagulant)
→ It helps prevent dangerous blood clots
→ It does NOT actually “thin” your blood

What is it used for?

✔ Atrial fibrillation (AFib) → prevents stroke
✔ DVT (clots in the legs)
✔ PE (clots in the lungs)
✔ After surgery → prevents clots
⸻

How it works

Eliquis blocks a clotting protein (Factor Xa)
→ Slows down clot formation
→ Keeps blood flowing smoothly

💡 It prevents clots — it does NOT break existing ones
⸻

How to take it

✔ Usually twice daily
✔ With or without food
✔ Same time every day

⚠️ Skipping doses increases risk of stroke or clots
⸻

Most important side effect ⚠️

🟥 BLEEDING

Watch for:
• Easy bruising
• Nosebleeds
• Bleeding gums
• Blood in urine or stool
• Black stools
• Severe headache

Get help if bleeding won’t stop
⸻

What to avoid

⚠️ Ibuprofen / naproxen (NSAIDs)
⚠️ Other blood thinners (unless told)
⚠️ Heavy alcohol use

💡 Always check before adding new meds or supplements
⸻

Missed dose?

👉 Take it as soon as you remember (same day)
❌ Do NOT double the dose
⸻

Before surgery or dental work

⚠️ You may need to stop Eliquis temporarily

👉 Always inform your doctor or dentist
⸻

Why many patients prefer it

✔ No routine blood tests needed
✔ Fewer food restrictions than warfarin
✔ Predictable effect
⸻

Who should be cautious

⚠️ Kidney problems
⚠️ Liver disease
⚠️ History of bleeding
⚠️ Older adults (higher bleeding risk)
⸻

🟥 TAKE THIS HOME

• Prevents stroke and dangerous clots
• Missing doses can be life-threatening
• Bleeding is the main warning sign
⸻

From the pharmacy counter → to YOU 💊

Eliquis protects you from stroke…
but only if you take it consistently.

Skipping doses is riskier than most people think.

05/01/2026

If you eat good, you feel good. Food is medicine.

10 levothyroxine mistakes most people don’t realize ⚠️
04/30/2026

10 levothyroxine mistakes most people don’t realize ⚠️

9 COMMON SUPPLEMENTS THAT AREN’T ALWAYS THE BEST CHOICE
04/30/2026

9 COMMON SUPPLEMENTS THAT AREN’T ALWAYS THE BEST CHOICE

Did You Get It Right? Here’s the Answer ✔️
04/30/2026

Did You Get It Right? Here’s the Answer ✔️

Answer Revealed 💡 Statins & Muscle Pain
04/30/2026

Answer Revealed 💡 Statins & Muscle Pain

🧠 What is Levothyroxine?A synthetic form of T4 (thyroxine) — the hormone your thyroid normally makes.👉 It replaces what ...
04/29/2026

🧠 What is Levothyroxine?

A synthetic form of T4 (thyroxine) — the hormone your thyroid normally makes.

👉 It replaces what your body is missing when your thyroid is underactive.
⸻

⚙️ What does it treat?

• Hypothyroidism (low thyroid)
• After thyroid removal
• Certain thyroid conditions (like goiter)
⸻

How it works

Your body converts T4 → T3 (active form)
👉 This controls:
• Metabolism
• Energy levels
• Heart rate
• Body temperature
• Brain function

💡 When levels are low → everything slows down
💡 This medication brings your body back to balance
⸻

⏰ How to take it (THIS PART MATTERS)
• Take first thing in the morning
• On an empty stomach
• With a full glass of water
• Wait 30–60 minutes before eating

👉 Consistency = everything
⸻

⚠️ What to avoid around it
• Calcium supplements
• Iron supplements
• Antacids
• Soy products
• High-fiber meals (right away)

⏳ Separate by at least 4 hours
⸻

🚨 Common side effects (usually dose-related)

If dose is too HIGH:
• Fast heartbeat
• Anxiety
• Sweating
• Weight loss
• Insomnia

If dose is too LOW:
• Fatigue
• Weight gain
• Cold intolerance
• Depression

👉 It’s all about the right dose
⸻

Monitoring (don’t skip this)
• Blood test: TSH
• Checked every 6–8 weeks when adjusting
• Then every 6–12 months
⸻

💡 Pharmacist tips (real life)

• Take it the same time every day
• Don’t switch brands randomly
• If you miss a dose → take it when you remember (same day)
• Symptoms don’t improve overnight — give it time
⸻

❌ Who should be careful?
• Heart disease patients
• Elderly (start low, go slow)
• Pregnancy → dose often needs adjustment
⸻

💬 From the pharmacy counter → to YOU

Most issues I see with this medication?

👉 People take it with food or coffee
👉 Or mix it with supplements

That alone can make it “feel like it’s not working”
⸻

📌 Bottom line

This is not just a pill —
it’s your body’s metabolic engine support

Take it right → and it works beautifully.

Save this ✔️ Share this ❤️
— My Health & Wellness with Fely

Why CoQ10 Matters (Especially on Statins)
04/28/2026

Why CoQ10 Matters (Especially on Statins)

What to Take With Statins
04/28/2026

What to Take With Statins

From the Pharmacy Counter → Let’s Test You
04/28/2026

From the Pharmacy Counter → Let’s Test You

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