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ENDOCRINE

How accurate are blood glucose meters?

picture of glucometer

A vast array of glucose meters are available to the general public today. Some devices make Bluetooth connections to phones and send readings to apps for charting and sharing. more

Wegovy and Saxenda go head-to-head in weight loss trial

doctor measuring obese patient's abdomen

Wegovy (semaglutide) is a GLP-1 analog that was recently FDA-approved for weight loss. The drug has received a lot of press because it performed well in trials, and the more

2021

When to repeat osteoporosis screening

Illustration of osteoporotic bone

Current guidelines recommend that all women 65 years of age or older be screened for osteoporosis with bone mineral density (BMD) testing. more

GASTROINTESTINAL

Cologuard pros and cons

cologuard kit

Nobody looks forward to a colonoscopy, and the manufacturer or Cologuard knows this. more

AGA issues impractical fatty liver recommendations

illustration of fatty liver

The AGA recently issued recommendations on the screening, diagnosis, and treatment of nonalcoholic fatty liver disease (NAFLD). more

Another study finds that antibiotics do not help uncomplicated diverticulitis

illustration of the intestines

Diverticulitis is a condition where outpocketings along the colon's lining become inflamed. more


GENITOURINARY

AUA 2021 BPH guidelines

The AUA published new benign prostatic hyperplasia (BPH) guidelines in 2021. The recommendations offer guidance on prescribing alpha blockers and when to consider tadalafil and combination therapy with 5-alpha-reductase inhibitors.


Study looks at vaginal "rejuvenation" lasers

Woman with hands over vagina

Vaginal "rejuvenation" therapy has become big business, as evidenced by Internet searches that bring up long lists of local practitioners who advertise these services. more

MUSCULOSKELETAL

Are knee injections effective?

knee receiving an injection

There is no question that knee injections are a popular treatment for knee pain. Patients who complain of chronic osteoarthritic pain almost always receive one or more steroid injections, and some are given hyaluronic acid (Synvisc®). A third type of injection, platelet-rich plasma, is becoming more popular. more

Study compares platelet-rich plasma to placebo for the treatment of ankle osteoarthritis

Vial of plasma

Sports Illustrated recently reported that Dallas Cowboys quarterback Dak Prescott received platelet-rich plasma (PRP) injections for a calf injury. more


NEPHROLOGY

Chlorthalidone improves kidney disease in small study

illustration of kidneys

Patients with chronic kidney disease retain sodium and fluid, and this causes their blood pressure to rise. Current guidelines state that thiazide diuretics are not as effective in patients with a GFR < 30 ml/min, and loop diuretics are preferred. This guidance has never been confirmed in a randomized controlled trial. A small study (N=160) published in the NEJM looked at the effects of chlorthalidone, an old thiazide diuretic, in patients with hypertension and stage 4 kidney disease (GFR < 30 ml/min). more

NEUROLOGY

AAN issues updated diabetic neuropathy guidelines

foot with neuropathy

The American Academy of Neurology (AAN) issued an update to their diabetic neuropathy guidelines; the last update was in 2011. The recommendations are mostly broad, and when it comes to drug therapies, they list possible treatments but do not give preference to one therapy over another. This is in contrast to the ADA recommendations, which list pregabalin, duloxetine, and gabapentin as first-line agents. The AAN also includes sodium channel blockers (e.g. carbamazepine, lamotrigine), where the ADA does not. Highlights from the guidelines are listed below. more

OPHTHALMOLOGY

Varenicline (Tyrvaya®) nose spray for the treatment of dry eyes

woman using nose spray

When most providers think of varenicline, they think of smoking cessation, and when they think of dry eye treatment, they think of eye drops. A new product aims to change these perceptions. Tyrvaya is a nasal spray for dry eyes that contains varenicline, the active ingredient in the smoking cessation drug Chantix. more

2021

Vuity® eyedrops for age-related farsightedness

picture of eye

As people age, the lens in their eye loses elasticity, and this can cause difficulty in focusing on nearby objects, such as a newspaper or book. The condition is called presbyopia, and it affects millions of people. It usually begins around the age of 45 and progresses until the age of 65. more


PSYCHIATRY

New antipsychotic combines olanzapine with an opioid antagonist

lybalvi pills

A new antipsychotic called Lybalvi® is now available. The drug is a combination product that contains olanzapine (Zyprexa®) and samidorphan, an opioid antagonist. more

2021

Emotional support animal laws spur an entire industry

emotional support dog

By now, most primary care providers have been asked if they are willing to sign something or write a letter stating that a patient's pet is an "emotional support animal." more

Qelbree® (Viloxazine) - New nonstimulant treatment for ADHD

ADHD pills

A new drug for the treatment of ADHD is now available. Qelbree® (viloxazine) is a nonstimulant that works by inhibiting the reuptake of norepinephrine; this mechanism of action is the same as Strattera®.more