You’re Never too Old to Get Immunized!

Vaccines for Adults:

Vaccines work with your immune system to help protect you from infections and disease.

Vaccination, also called immunization, works by giving you a weekend or dead form of certain germs. These germs are not strong enough to make you sick, yet you will still make antibodies to fight them. The antibodies will then stick around to be ready to fight off an actual infection if you are ever exposed to one.

Fight Excuses with Facts:

Excuse:”Vaccines are just for kids“

Fact: Both adults and children benefit from vaccines. And some vaccines are only for adults of certain age. Plus, some vaccines you may received as a child will need boosters during adulthood.

Excuse: ”Vaccines will make me sick”

Fact: Vaccines won’t make you sick because they are made from a weakened or dead form of the disease. You might have mild side effects like aches and fever, but these usually only last a day or two.

Excuse:”I’m healthy so I don’t need it”

Fact: Vaccines are not just for sick or elderly people. And they are a simple step you can take today to help keep you feeling well.

You never outgrow the need for vaccines. No matter what your age, there are recommended vaccines to help keep you healthy.

• Following your immunization schedule is one of the best ways to stay on track with the vaccines you need.

• If you were vaccinated as a child, some of the protection from the vaccines can decrease over time. Plus, there are vaccines now available that may not have been available when you were a child.

• It’s never too late to get vaccinated. Even if you are behind on your vaccines or were not vaccinated as a child, your healthcare provider can help get you back on track.

• Each year more than 50,000 people in the U.S. die from vaccine-preventable diseases. That is more than the number of people who die from HIV/AIDS, breast cancer, or traffic accidents combined.

• You cannot get the flu from the flu vaccine.

• The following diseases are especially serious in adults 65 years old or older: flu (influenza), diphtheria, herpes zoster (shingles), pneumococcus and tetanus.All of them can be prevented by vaccines.

• Everyone should keep a record of the vaccines they’ve received.

• It’s important to talk to your doctor about your immunization history. It’s also a good idea to check if you need additional vaccines whenever you plan to travel outside the U.S. Newborns are particularly vulnerable to many vaccine-preventable diseases but are too young to be vaccinated against most of them. Adults who will be around newborns should take special care to keep up with their vaccines so they do not pass a vaccine-preventable disease to the unprotected baby. Pertussis and the flu are two of the most common vaccine-preventable diseases that infected adults can pass to a baby.

Visit us at Med-Ped Health Care LLC, and ask our doctors which vaccine you need and you will receive right away because most of the vaccines are available in our offices.

One of our patients shared her experience saying;

I decided to get the pneumonia vaccine because I had just killed off a bout of some unknown lung infection and never want to go through that again (with the pleurisy for weeks, as well…very painful) and I’m 64. I’m thinking it’s one of the best things I can do for myself, together with the flu vaccine and the shingles-prevention vaccine I got as soon as I turned 60 (that’s the suggested age for the shingles vac.) My pneumonia vaccine was a little sore at the injection site, but went away within the day. I’m wondering if I’ll need a booster in five years since I wasn’t 65 at my 1st pneum. vaccine. Since I’m only 1 year away, what do you think? Get your vaccination… it may save your life, down the road.

Another patient said;

I got mine because I got the infection three years in a row, at the same time. It was not fun. The doctor finally gave the vaccine!

vaccinations, vaccine

Forget About 5 Hour Energy

B12, also called Cobalamin, is a water soluble vitamin naturally produced by a gut bacteria that feeds on the cobalt of the soil (hence the name ‘cobalamin’). This vitamin helps the body to properly form red blood cells, grow tissues, replicate DNA, lower Homocysteine levels and thereby reduces the risk of strokes or heart attacks, and to also form a fatty substance called Myelin that protects the nerve cells.

People, who have difficulties absorbing this vitamin, are expected to have B12 deficiency. These difficulties are usually caused by a protein in the stomach named “Intrinsic Factor”, which is a necessity for a proper absorption of B12. These people can’t absorb enough of this vitamin from oral sources (food or tablets), so absorption effectiveness is actually the biggest of all benefits of vitamin B12 injections over other possible supplements.

Vitamin B12 deficiency is common also in people who eat few or no animal products, such as vegetarians and vegans. Vegetarians do not eat any meat but they may eat sea food, eggs and dairy products.

Pregnant women are at risk of Vitamin B12 deficiency. More Vitamin B12 is recommended for pregnant women because it helps in the forming of red blood cells for the woman and her fetus.

Adults older than 50 are at a greater risk for vitamin B12 deficiency because their body may not produce enough stomach acid to help absorb B12 from the food they eat. Diet and exercise is what most doctors will tell you is the best way to stay healthy and lose weight. For some people they just aren’t enough. If you exercise daily and eat healthy but still aren’t losing weight like you want to, consider a B12 injection to boost your energy levels and burn more calories. In Med-Ped Health Care, we offer the following Vitamin B12 injections and with suitable prices.

1 – B12 + B6 Injection (B12 + B6 + MIC)

2 – B12 Lipo Injection (B12 + MIC)

3 – B12 Cobalamin Injection

4 – B12 Super Lipo Injection (MIC + L-carnitine)

What happens when my vitamin B12 level is low?

If you have a low vitamin B12 level, you may have no symptoms, or you may develop different types of symptoms. If you don’t seek help from your doctor, you may damage your nervous system permanently. You may also increase your risk of heart disease and stroke. Symptoms of low vitamin B12 level can include:

• Confusion

• Pale skin

• Rapid heartbeat

• Muscle weakness

• Sever tiredness

• Loss of appetite

• Walking or balance problems

• Memory loss

• Depression

• Tingling of hands and feet.

Our urgent care Express Healthcare, LLC is open 7 days a week, you can walk in any day to get the B12 injection you need. Remember, we offer discount on all injections on Sundays.

Understanding High Cholesterol

Understanding Cholesterol:

High blood cholesterol affects more than 65 million Americans. It’s a serious, often symptomless condition that increases our risk of heart disease. The higher our blood cholesterol level, specifically low-density lipoprotein (LDL) cholesterol, the greater the risk.

How Does Cholesterol Cause Heart Disease?

When there is too much cholesterol (a fat-like substance) in your blood, it builds up in the walls of your arteries. Over time, this buildup causes “hardening of the arteries” so that arteries become narrowed and blood flow to the heart becomes slowed down or blocked.  This may cause chest pain or even a heart attack.

High blood cholesterol itself does not cause symptoms; so many people are unaware when their cholesterol is too high.  It is important to find out your cholesterol numbers.  Lowering levels that are too high lessens the risk of developing heart disease or dying from it if you already have it.

What should your Cholesterol profile be?

  • Total Cholesterol – less than 200 mg/dl
  • Triglycerides – less than 150 mg/dl
  • HDL (the “good cholesterol”) – greater than 50 mg/dl in men, greater than 55 mg/dl in women and the higher the better in everyone
  • LDL (the “bad cholesterol”) – at least below 130 mg/dl, ideally below 100 mg/dl, and the lower the better in everyone

Which high Cholesterol risk factors can you control?

There are many circumstances that could place you at risk for having high high cholesterol levels. While there are some risk factors you cannot control, there are other things that you can do to modify your risk of having high cholesterol levels down the road. Modifying these risk factors means making a few simple changes to your lifestyle. By lowering your risks of having high cholesterol, you are also lowering your risk of heart disease.

You have the power to change these following risk factors:

  • Smoking – Quitting smoking now can lower your cholesterol levels, as well as help boost your good cholesterol (HDL) levels.
  • Exercise – By adding exercise to your daily routine, you can modestly lower your LDL and raise your HDL, or good cholesterol.

There are many types of exercise that you can use to lower your cholesterol, so whether you’re a seasoned athlete or a recovering couch potato – there is an exercise regimen out there just for you. Additionally, it will help you to lose weight.

  • Diet – Modifying your diet can greatly improve your health – and your cholesterol levels. Reducing the amount of saturated fat and increasing the amount fiber in your diet can help you to keep your cholesterol levels within normal levels. This means minimizing the junk food and fast food in your diet, and increasing your consumption of fresh fruit and veggies.
  • Disease Management – Do you have diabetes or another chronic condition? Some chronic conditions can also cause your cholesterol levels to increase. Managing these conditions will also help you to manage your cholesterol levels.

To see if you or a loved one are at risk for developing high cholesterol please make an appointment now with our doctors in Med-Ped Health Care, LLC for evaluation and treatment for high cholesterol.

In Med-Ped Health Care, LLC, there is stress test machine by which we can diagnose the cause of symptoms such as chest pain, rapid heartbeat, shortness of breath or fluttering of the chest and other heart problems can be caused by high cholesterol levels. We have Echocardiogram, holter monitor, ICG and EKG.

Keep in mind that cholesterol evaluation should be performed once every five years for all patients over the age of 20. Detecting high cholesterol early can reduce a patient risk of complications.

Gout Symptoms, Causes, and Treatment

What is Gout?

Gout is a kind of arthritis. It can cause an attack of sudden burning pain, stiffness, and swelling in a joint, usually a big toe. These attacks can happen over and over unless gout is treated. You get gout when extra uric acid, a normal type of waste your body makes, builds up in your body. Pseudogout has similar symptoms and is sometimes confused with gout. However, it is caused by calcium phosphate, not uric acid. Normally, uric acid travels to your kidneys and leaves your body in your urine. This keeps uric acid levels in a healthy range. When you have gout , you either make too much uric acid or, more commonly , your body can’t get rid of it like it should. As your uric acid levels increase, your risk of gout goes up.

You are more likely to get gout if you:- ·

  • Are men
  • Have family member with gout
  • Drink alcohol
  • Are overweight
  • Eat a lot of meat and seafood
  • Have high blood pressure
  • High cholesterol or diabetes

What are the symptoms?

The most common sign of gout is a nighttime attack of swelling, tenderness, redness and sharp pain in your toe. You can also get gout attacks in your foot, ankle, or knees. The attacks can last a few days or many weeks before the pain goes away. Another attack may not happen for months or years. See your doctor even if your pain from gout is gone. The buildup of uric acid that led your gout attacks can still harm your joints.


You should contact your doctor, if you suspect that you have gout in your foot. Diagnosis and treatment are necessary to prevent joint damage. A doctor can diagnose gout by examining your joints and conducting some tests. A joint fluid test is used to determine if urate crystals are in your joint fluid. Your doctor will use a needle to draw fluid from your joint. Blood tests are used to test for the amount of uric acid in your blood.

Relieving Current Symptoms:

You can visit Med-Ped Health Care, LLC, to receive your medication for the treatment of gout. Doctors most commonly prescribe NSAIDs to treat the immediate pain of gout attack. Our doctors can help you to reduce the pain and swelling in your joints caused by the build-up of uric acid crystals. Once you begin treatment, the doctor will check your blood uric acid levels to see if they’ve gone down. You may have to try more than one medicine before getting your uric acid levels where they need to be.

Ask our doctors in Med-Ped Health Care to help you managing your gout, to replace old habits with new and healthy ones. Ask them about the ways of losing weight if you are overweight. Ask our doctors about the way to prevent future gout attacks and how to control the blood pressure and blood glucose if you are a high blood pressure patient or a patient with diabetes.

Steps You Can Take to Control Your Diabetes

Diabetes is a condition where your body is unable to properly break down and regulate its glucose levels. All types of this condition are treatable, but there is no known cure. Types 1 and 2 last a lifetime, while gestational diabetes is present only during pregnancy.   

It Isn’t just about watching your blood sugar levels. Diabetes is a major risk factor for both stroke and heart disease. People with diabetes are at least twice as likely to experience a stroke or develop heart disease.

Despite the fact the condition is lifelong and has no known cure, diabetes can be successfully managed to the point where its effects on your life are minimized. If you are experiencing symptoms of diabetes (frequent urination, excessive thirst, shakiness in the limbs, etc.), be sure to consult with your doctor immediately. Left untreated, diabetes can be fatal.

There are a few things you can do to make sure the condition does not cause damage in your life:

  • Eat a healthy diet. First, it is important to significantly reduce the amount of fat and sodium present in your diet. Replace these foods with fruits, vegetables, nonfat dairy products, and whole grains.
  • Exercise. You will want to get 30 to 60 minutes of fairly vigorous exercise (walking quickly) most days of the week.
  • If you have changes in your eyesight, be sure to let your doctor know right away.
  • Cope with stress effectively. Make sure you have a friend or spouse to vent your anxious feelings to.
  •  Check your feet regularly for sores and swelling.
  • If you smoke, quit.

Points to Remember:

  • If you have diabetes, you are at least twice as likely as other people to have heart disease or a stroke.
  • Controlling the ABCs of diabetes—A1C (blood glucose), blood pressure, and cholesterol—can cut your risk of heart disease and stroke.
  • Choosing foods wisely, being physically active, losing weight, quitting smoking, and taking medications (if needed) can all help lower your risk of heart disease and stroke.
  • If you have any warning signs of a heart attack or a stroke, get medical care immediately—don’t delay. Early treatment of heart attack and stroke in a hospital emergency room can reduce damage to the heart and the brain.
In Med-Ped Health Care, LLC we offers a convenient locations and hours to manage and control your diabetes or pre-diabetes condition. Our doctors are all board-certified and have years of experience in treating patients of all ages with type I and II Diabetes. Also, for urgent care visit (365 days a year), Express Healthcare, LLC is the right clinic for you.

Diabetes Success Stories

Dr. Fadul, diagnosed a patient with Type II diabetes and he started to educate her about it. She learned about lifestyle changes that could affect her health. “I started to journal what I ate right away,” she recalls. “I looked at my portions, and I ate way too many carbs. And I wasn’t eating enough fruits and vegetables.” Logging each of her meals helped her overhaul her diet by identifying mindless munching and flat-out unhealthy food choices. And rewarding herself with a once-a-month splurge meal gave her a reason to stay on track the rest of the time.

Exercise also played a critical role, though the patient will admit it wasn’t pleasant at first. “I got out, I walked around the block, and I thought I was going to die,” she says. Now she tracks her steps with a pedometer and gets more quality time with her husband since they’re walking partners. She’s lost 100 pounds, lowered her blood pressure and cholesterol enough to quit medications, and dropped nearly 3 percentage points on her A1C. Though sustaining her healthy habits takes daily determination, she is glad she can take charge of her health. “Remembering those in my family who had passed because of cancer,” she says, “I knew that had they been given the chance for making things better with diet and exercise, they would have jumped at the chance.”

Another story with this patient who even before he was diagnosed was no stranger to diabetes. His father and three of his mother’s siblings have diabetes; his maternal grandfather died of complications of diabetes; and two uncles lost limbs because of uncontrolled blood glucose. He was diagnosed with type 2 about 15 years ago and he wasn’t ready to overhaul his lifestyle. “I was in denial for a long time, and I thought, ‘I can handle this with shots.’ I thought, ‘I don’t need [diet and exercise],’ ” he says, when he was talking to Dr. Fadul.

Over the years, the patient gained motivation. “I needed to see my children graduate at least from high school. I wanted to celebrate my 25th wedding anniversary,” he says, rattling off the goals that inspired him.  He threw away his oversized plates and started using smaller ones to downsize his portions. He learned to turn meals laden with fat, sodium, and carbohydrates into diabetes-friendly dishes. Then, when his daughter suggested that they join a gym a year and a half ago, he accepted. He has walked the treadmill three days a week since. He started to go walking to his work and  when his children were both married this fall, he was able to dance at their weddings!