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❤️ДИАБЕТ. КАКИЕ ПРОДУКТЫ ОПАСНЫ❓ #сахарныйдиабет #сахаркрови #диабет #здоровье #диабетик #сд

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Channel: Ольга Павлова

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00:00:02

nutritionist Olga Mikhailovna Pavlova,

00:00:05

today we’ll talk about diabetes by type

00:00:08

and talk about how to

00:00:11

recover from a

00:00:14

coronavirus infection with diabetes

00:00:16

mellitus.

00:00:17

In order to talk about recovery,

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first we need to understand how exactly the

00:00:23

type affects the human body For

00:00:26

those suffering from diabetes mellitus, the

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first thing we see is disturbances in

00:00:32

carbohydrate metabolism, that is, even in people

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with healthy carbohydrate metabolism without

00:00:38

previous diabetes, the

00:00:41

corona virus itself can lead to disturbances in

00:00:44

carbohydrate metabolism and the development of diabetes,

00:00:47

even without the use of glucocorticoids, that

00:00:50

is, hormones in therapy It’s

00:00:52

natural that in patients with existing

00:00:55

diabetes, carbohydrate metabolism also worsens. Why does

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this happen because,

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firstly, the viral load is carried, and

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secondly, to any stress, to any

00:01:06

inflammation, our body reacts by

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releasing stress hormones

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adrenaline and norepinephrine, cortisol, they are a

00:01:13

circuit of insulin, and that is, our

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sugar rises blood against the background of any disease

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that is quite severe, like a

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bacterial viral one that

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is accompanied by inflammation, and the third

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important fact is that often in the treatment of corona

00:01:28

viral infection,

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hormonal drugs are used

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glucocorticoids dexamethasone prednisolone

00:01:35

against the background of glucocorticoids there is a sharp

00:01:37

increase in blood sugar, which is why very

00:01:40

often when the type of

00:01:43

tablet therapy for diabetes changes

00:01:45

on insulin and because insulin still

00:01:48

lowers sugar more strongly, if a

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person went on insulin, for example, the

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first type of diabetes, children with diabetes, then

00:01:56

insulin therapy is intensified, that is, we

00:01:59

increase the dosage of insulin for the period of

00:02:02

the disease, respectively, upon

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recovery and our task is to

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work over carbohydrate metabolism and then

00:02:11

we’ll talk about how and back to return to

00:02:14

softer therapy the following targets for the

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species are blood vessels and nerves, that is, a type of

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neurotropic virus, a virus that

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affects both the peripheral and

00:02:24

central nervous system

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because of this, insomnia because of this,

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panic attacks from - because of this

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polyneuropathy they give me goosebumps

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various pains pain muscle pains

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nerves tingling sensation paresthesia

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changes in sense of smell this is all a consequence of the fact

00:02:40

that the kapets affects the blood vessels and

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nerves plus it affects the

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gastrointestinal tract on

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liver function, that is, very often after being

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transferred to the especially patients

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with diabetes who receive massive

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therapy with

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hypoglycemic drugs drugs for

00:02:59

concomitant pathology and also plus

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therapy for the type of antiviral drugs

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blood irritating drugs often

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hormones often an antibiotic if

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pneumonia is added and as a result, upon

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exiting the form we see a massive

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cytolist there are markers of damage to

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liver cells high tests in the blood, we

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have to work for a long time to

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restore the liver, but also the

00:03:24

gastrointestinal tract itself, that is, the

00:03:26

microbiota, our microorganisms in

00:03:30

the intestines, the so-called dysbiosis,

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that is, bloating, loose stools,

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alternating constipation and diarrhea, firstly, the

00:03:38

very influence of the virus produces

00:03:40

gastrointestinal on the form that is, a

00:03:42

form in which it is the

00:03:44

gastrointestinal tract that suffers,

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so yes, some people confuse cinnamon with

00:03:48

poisoning; this form happens and after

00:03:51

this, problems with the microbiota very often persist,

00:03:54

and therefore, during rehabilitation, we

00:03:56

must also take this into account; what else is

00:03:59

Kovalenko’s appearance; it is insidious in that it can

00:04:02

affect the function thyroid gland, that

00:04:04

is, the occurrence of thyroiditis with

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hyperfunction, that is, transient

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thyrotoxicosis, increased function of the

00:04:12

thyroid gland and all the symptoms of thyrotoxicosis,

00:04:14

that is, a lot of energy, a person is too

00:04:17

excitable, a person does not sleep, an

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anxious person, a person is losing weight, a

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cynical person, all exhausted, and when it is

00:04:24

precisely from overexcitation, or

00:04:26

vice versa,

00:04:28

decreased hypothyroidism functions of the thyroid

00:04:31

gland when we have weakness, drowsiness,

00:04:34

swelling, we don’t have the strength to cope with a reduced

00:04:36

emotional background, but the virus itself is

00:04:39

exhaustion, it’s astanaization, that is,

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it’s often a long-term weakness upon

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exiting the form, respectively, we figured out

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what the virus negatively affects,

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respectively,

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such rehabilitation measures we

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must apply rehabilitation

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measures will depend on what

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consequences to the type we received,

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of course, changes in carbohydrate metabolism,

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that is, often this is a decrease in

00:05:08

insulin sensitivity, an increase in

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insulin resistance, an increase in blood sugar,

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we will restore

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that is, if we go on drugs

00:05:18

that increase

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insulin sensitivity, be it then the metformin group

00:05:22

Siafor glucophage glucophage long farming

00:05:25

or Magomed and other drugs of the

00:05:27

metformin group and then after the examination we

00:05:30

often increase the dosage of these

00:05:32

drugs if we receive

00:05:34

tableted hypoglycemic

00:05:35

drugs, again depending on the

00:05:39

group and we see that our

00:05:41

blood sugar has risen, then we either increase dose of

00:05:44

these drugs, or we can use a

00:05:47

combination of several mild

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hypoglycemic drugs,

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plus what is important is that if after the test our

00:05:53

liver function is affected or our

00:05:55

kidneys are damaged,

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we will adjust the sugar-lowering therapy

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taking into account the effect of the

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glucose-lowering drugs on the liver on the

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kidneys, so after undergoing the test

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it is necessary we donate blood biochemistry, we go to the

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attending physician in order to adjust the

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diabetes therapy, if a person

00:06:15

was transferred to insulin therapy during the course of the disease,

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this is often done with glucocorticoids dik

00:06:20

summit zones prednisone we recovered,

00:06:23

our blood sugars begin to decrease

00:06:25

because we removed the hormones, we gradually

00:06:28

introduce physical activity, we return to

00:06:31

normal mode nutrition,

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glucocorticoids are removed, sugar decreases and we

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go back to tablet

00:06:38

drugs, someone returns to the

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previous antihyperglycemic therapy,

00:06:43

someone switches to other groups of

00:06:45

drugs,

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again we look at the biochemistry of the blood, as

00:06:49

for blood vessels and nerves, if we

00:06:52

consider classical

00:06:53

recovery, then this alpha-lipoic

00:06:55

acid, that is, thioctacid ohta le pen

00:06:58

berlition is a substance that improves

00:07:01

the condition of blood vessels, improves the condition of

00:07:03

nerves, is used for polyneuropathy,

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plus has a positive effect on

00:07:08

liver function, these are various vascular

00:07:11

drugs that are selected by the doctor, be it

00:07:13

Actovegin, weight of milk yield, cytoflavin,

00:07:17

these are various dietary

00:07:19

supplements, these are various amino acids

00:07:22

my elargenin can go glutamine can go halen

00:07:27

can go nicotinic acid

00:07:30

dihydroquercetin we often introduce

00:07:32

b vitamins, again we need to

00:07:34

look at what the starting level is b

00:07:36

why because like 12 and

00:07:38

folic acid have a positive effect

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on both blood vessels and nerves, but the main thing here is

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not to there was an overdose, what else do we

00:07:46

administer, we often administer magnesium, we administer

00:07:49

mild sedatives, that is,

00:07:52

Mexidol mexicor mexiprim, we can

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administer stronger

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sedatives if there are severe

00:07:59

sleep disturbances, if there are panic

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attacks, very often patients then

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turn to a neurologist and

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select sedatives with the neurologist therapy is the norm for

00:08:10

about two to three months before you

00:08:12

can actually go to rehabilitation

00:08:14

after seeing a neurologist, what else is

00:08:18

important is to look at liver function, that

00:08:21

is, we donate blood biochemistry lts then

00:08:24

alkaline phosphatase gamma glutamine

00:08:27

transport to for bilirubin direct

00:08:28

indirect

00:08:30

if we see that our liver function is

00:08:33

intact, everything is fine, but if we see

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that we have

00:08:37

liver dysfunction, then we introduce hepatoprotectors, we

00:08:40

introduce drugs that improve

00:08:42

liver function, such as tablet drugs

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or drugs for intravenous

00:08:48

administration, heptral hepa-merz, yes, they

00:08:50

go perfectly into the vein, or for example phosphogliv

00:08:54

essentiale to tablet preparations

00:08:56

plus we can introduce herbal medicine, be

00:09:00

it burdock root, be it hodgepodge, be it

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milk thistle, that is, liver function is also

00:09:06

restored, often it takes more than one

00:09:08

month and also two to three months, the

00:09:11

next is the restoration of digestion,

00:09:14

that is, the restoration of the microbiota of the

00:09:16

intestinal microflora here the first is a

00:09:18

gentle diet, then all soft foods,

00:09:21

heat-treated vegetables, light protein and

00:09:25

this is the restoration of the microbiota, that is,

00:09:28

it is often about prebiotics such as boxed

00:09:31

hilak forte and others like them, the next is the

00:09:35

restoration of the thyroid gland

00:09:37

if we see that we have

00:09:40

dysfunction of the thyroid gland, that is, we

00:09:42

after If we definitely take TSH and T4 and

00:09:45

T3, then we contact an endocrinologist and,

00:09:48

together with the doctor, we select medications;

00:09:52

only an endocrinologist is involved in restoring the function of the thyroid gland,

00:09:54

that is, in no case

00:09:56

on your own, be it thyrotoxicosis,

00:09:59

be it hypothyroidism, minimal

00:10:01

thyroid disc thread syndrome, that is, a small

00:10:04

decreased thyroid function, we

00:10:06

are working with him completely, as for

00:10:09

weakness, very often after the type of

00:10:11

weakness, firstly, as a consequence of

00:10:14

disruption of the functioning of those organs that we have

00:10:17

already discussed, secondly, as an effect on

00:10:19

energy exchange, what is possible, firstly,

00:10:22

soft preparations can be used to improve

00:10:24

energy exchange, such as amber acid

00:10:27

elargenin such as [ __ ] be it eats

00:10:31

be it burdock roots and very important

00:10:34

friends adequate amount of vitamins

00:10:37

microelements vitamin c

00:10:40

b vitamins vitamin a vitamin

00:10:43

d zinc and the exercise regime is very important, that

00:10:47

is, those doctors who work in hospitals

00:10:50

if the doctor still tries to

00:10:52

give a person at most, when discharged, the doctor directly

00:10:55

says that he is a dear friend and you come

00:10:57

home and you do gymnastics every day,

00:10:58

I also tell my

00:11:01

patients who have been ill,

00:11:04

physical rehabilitation is very important, I

00:11:06

understand that there is no strength, no strength, we

00:11:09

woke up and did minimal exercises for 35 minutes and

00:11:15

lay down had breakfast walked around before

00:11:18

lunch again a little gymnastics

00:11:20

go outside for at least 5-10 minutes we walked,

00:11:23

that is, the more we introduce

00:11:26

loads, it is clear that according to tolerance, that

00:11:29

is, we walked, we should come to

00:11:31

feel normal, not like that, I

00:11:33

fell, the more we introduce

00:11:35

loads, the the faster our

00:11:37

energy metabolism is restored, the

00:11:40

faster our

00:11:41

systemic circulation is restored,

00:11:44

according to the examination,

00:11:47

general blood test, biochemistry,

00:11:50

thyroid function, carbohydrate metabolism, that and

00:11:53

sugar, insulin, glycated hemoglobin, we

00:11:56

were examined further, we select therapy

00:11:59

together with the doctor and what we do

00:12:01

on our own, a complete diet, that is,

00:12:04

protein, fish, chicken meat, vegetables in

00:12:07

adequate quantities, fruits and berries,

00:12:10

little by little porridge, remember that we do not

00:12:12

abuse carbohydrates, after all,

00:12:14

more protein, more vegetables for diabetes, and

00:12:17

be sure to do a little physical exercise, this is something

00:12:20

that we can do ourselves, you will learn more

00:12:22

information about the treatment of diabetes about

00:12:24

proper nutrition in schools

00:12:27

on the website Olga Pavlova r.f. like,

00:12:30

subscribe to my channel and write

00:12:32

what you are interested in hearing about in the next videos,

00:12:35

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♥️КАК ВОССТАНОВИТЬСЯ ПОСЛЕ КОВИД ПРИ ДИАБЕТЕ❓КАК УБРАТЬ СЛАБОСТЬ? -частый вопрос на приёме. ⠀⠀⠀⠀⠀⠀ 👩⚕️ Пациенты с диабетом по- разному переносят ковид: кто-то в легкой форме, кто-то в тяжелой с дексаметозоном и высокими сахарами крови, которые приходится снижать инсулином. ⠀⠀⠀⠀⠀⠀ 🦠 КОВИД-это вирус, который НЕГАТИВНО ВЛИЯЕТ 🔴 НА УГЛЕВОДНЫЙ ОБМЕН- может привести к развитию диабета у человека, у которого ранее не было нарушений углеводного обмена, а при диабете привести к резкому росту сахаров крови даже без применения глюкокортикоидов, 🔴 на СОСУДЫ, 🔴 на НЕРВНУЮ СИСТЕМУ (нейротропный вирус), 🔴на ЖЕЛУДОЧНО-КИШЕЧНЫЙ ТРАКТ, в частности на ПЕЧЕНЬ. ⠀⠀⠀⠀⠀⠀ 👉ПРИ ВОССТАНОВЛЕНИИ после Ковид ВАЖНО ЗНАТЬ, КАКИЕ ОРГАНЫ и системы ПОВРЕДИЛ ВИРУС. Именно их мы и будем восстанавливать. ⠀⠀⠀⠀⠀⠀ 👩⚕️ Наиболее частые ПОСЛЕДСТВИЯ КОВИД ПРИ ДИАБЕТЕ: ⠀⠀⠀⠀⠀⠀ 📌сосудистые- поражение сосудов (микро- и макро-ангиопатия), ⠀⠀⠀⠀⠀⠀ 📌неврологические - поражение нервной системы: полинейропатия с болями, нарушения сна, панические атаки, нарушения эмоционального фона и др. ⠀⠀⠀⠀⠀⠀ 📌Нарушение углеводного обмена (декомпенсация диабета). ⠀⠀⠀⠀⠀⠀ 📌Нарушение функции печени: после ковид мы частно видим выраженный цитолиз-повреждение клеток печени, это проявляется в анализах резким ростом ферментов АЛТ, АСТ. ⠀⠀⠀⠀⠀⠀ 📌 Нарушения пищеварения, которые вызваны как самим вирусом, так и применением большого количества противовирусных и противобактериальных препаратов (антибиотиков). Часто нарушается микробиота кишечника: вздутие, жидкий стул, чередование запоров и поносов и тд. ⠀⠀⠀⠀⠀⠀ 📌Нарушения работы щитовидной железы (Тиреоидит), который может проявляться транзиторным тиреотоксикозом, гипотиреозом (сдаём ТТГ, свТ4, свТ3), с врачом подбираем терапию. ⠀⠀⠀⠀⠀⠀ ✅ КАК ВОССТАНОВИТЬСЯ: ⠀⠀⠀⠀⠀⠀ 🔰 Если рассматривать ВОССТАНОВЛЕНИЕ НЕРВНОЙ И СЕРДЕЧНО-СОСУДИСТОЙ СИСТЕМЫ, то часто применяется Альфа-липоевая кислота (тиоктацид/октолипен/берлитион), сосудистые препараты (актовегин, цитофлавин, вессэл дуэ ф), витаминные комплексы (С, Д, А, цинк). При нарушениях сна-магний, мягкие седативные препараты. ⠀⠀⠀⠀⠀⠀ 🔰 Для ВОССТАНОВЛЕНИЯ ПЕЧЕНИ часто применяют гепатопротекторы-лекарственные препараты, улучшающие работу печени- эссенциале, фосфоглив, гептрал, гепа-мерц; фитотерапию -корень лопуха, расторопша, солянка. ⠀⠀⠀⠀⠀⠀ 🔰 Для ВОССТАНОВЛЕНИЯ ПИЩЕВАРЕНИЯ- щадящая диета + препараты для восстановления микробиоты кишечника (бак-сет, хилак, симбионты и тд). ⠀⠀⠀⠀⠀⠀ 🔰 Для ВОССТАНОВЛЕНИЯ УГЛЕВОДНОГО ОБМЕНА мы применяем препараты, повышающие чувствительность к инсулину и часто усиливаем терапию диабета (выбираем более сильный сахароснижающий препарат либо комбинацию препаратов). ⠀⠀⠀⠀⠀⠀ 🔰 Для ВОССТАНОВЛЕНИЯ ФУНКЦИИ ЩИТОВИДКИ могут применяться как минералы и аминокислоты, так и тиреостатики/ гормоны, в зависимости от вида повреждения. ⠀⠀⠀⠀⠀⠀ И да, чтобы быстро убрать самую частую жалобу - на СЛАБОСТЬ- нам нужно качественно подобрать РЕАБИЛИТАЦИОННЫЕ МЕРОПРИЯТИЯ и ОБЯЗАТЕЛЬНО ВВОДИТЬ ❗️ФИЗ.НАГРУЗКИ: прогулки, гимнастика, бассейн. ⠀⠀⠀⠀⠀⠀ Кроме того, для улучшения общего состояния организма и энергообмена после перенесённого Ковид часто применяются травы: масло чёрного тмина, кыст, корень лопуха. ⠀⠀⠀⠀⠀ Главное-помните, что любые ПРЕПАРАТЫ💊 НАЗНАЧАЕТ ВРАЧ ПОСЛЕ ОБСЛЕДОВАНИЯ! ⠀⠀⠀⠀⠀⠀ 💕Здоровья, Красоты и счастья Вам!💚 ⠀⠀⠀⠀⠀⠀ ❤️ @dia_dietolog_olga_pavlova ____________________________________________________________ ✅ Подписаться на мой канал https://www.youtube.com/channel/UCtCZlRDWPhZgrjicSgP8drQ ✅ Мой Инстаграм https://www.facebook.com/unsupportedbrowser ❤️ Записаться на он-лайн консультацию: 📌 По номеру телефона +7-913-913-35-54 Ватсап (Мария). 📌 Через сайт https://xn--80aaahac9cevgh7m.xn--p1ai/platnaya-konsultatsiya 📌 Через моего ассистента https://www.facebook.com/unsupportedbrowser ____________________________________________________________

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