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BIG TREES MD
A Direct Primary Care Practice
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Sleep Apnea and Hormones: The Midlife Connection Most Women Never Hear About
If you are a woman somewhere between your late 30s and your late 50s, and you feel like your body stopped cooperating with you at night, this post is for you. Keep in mind, this is not medical advice and this is for education purposes and is a letter from my 43 year old self to other individuals out there who can relate. You are not imagining it. You are not lazy. You are not "just getting older." There is a real and well-documented connection between shifting hormones and sl
Maryal Concepcion
Apr 226 min read


Why Lifelong Statin Therapy Is Essential for Familial Hypercholesterolemia
Understanding Familial Hypercholesterolemia and Why You Need to Stay on Your Statin If you have familial hypercholesterolemia (FH), you may be wondering whether you can stop taking your statin medication now that your cholesterol levels have improved. This is a common question, but the answer is clear: continuing your statin therapy is essential for your long-term health , even when your cholesterol numbers look good. What Makes Familial Hypercholesterolemia Different Familia
Maryal Concepcion
Apr 94 min read


Understanding and Managing Constipation: A Patient Guide
Educational purposes only. Please contact your doctor if you have questions about your symptoms or care. What Is Constipation? Constipation means having fewer than three bowel movements per week. You may also notice hard stools, straining, a feeling that you can't fully empty your bowels, or needing to use your fingers to help pass stool. When these symptoms have been present for at least six months, it's considered chronic constipation. If this sounds familiar, you're not al
Maryal Concepcion
Mar 273 min read
Taking a Break from Your Bone Medicine: What Is a Drug Holiday and Is It Right for You?
BONE HEALTH EDUCATION A Plain-Language Guide to Bisphosphonate Drug Holidays If you have been taking alendronate (Fosamax) or another bisphosphonate medication for your bones, your doctor may eventually suggest something that sounds a little surprising: stopping the medication for a while. This planned pause is called a "drug holiday," and it is actually a well-established, science-backed approach recommended by major medical organizations. But like any medical decision, it
Maryal Concepcion
Mar 125 min read
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