What is Vitamin D and what does it do?

If you shun the sun, suffer from milk allergies, or adhere to a strict vegetarian diet, you may be at risk for vitamin D deficiency. Known as the sunshine vitamin, vitamin D is produced by the body in response to sunlight. It is also occurs naturally in a few foods — including some fish, fish liver oils, and egg yolks — and in fortified dairy and grain products.

Vitamin D is essential for strong bones because it helps the body use calcium from the diet. Vitamin D these days is a very important nutrient, as research links it to numerous health benefits. Studies suggest vitamin D may go beyond its well-established role in bone health and reduce the risk of cancer, heart diseases and more.

Studies indicate that the effects of a vitamin D deficiency include an elevated risk of developing cancers of the colon, breast and prostate; high blood pressure and cardiovascular disease; osteoarthritis; and immune-system abnormalities that can result in infections and autoimmune disorders like multiple sclerosis, Type 1 diabetes and arthritis. Vitamin D is actually not a vitamin at all but a potent neuroregulatory steroidal hormone, shown to influence about 10 percent of all the genes in your body. We now know this is one of the primary reasons it can impact such a wide variety of diseases, including:



Heart disease



Rheumatoid arthritis

Diabetes 1, 2

Multiple Sclerosis

Crohn’s disease









Hearing lossex

Muscle pain


Periodontal disease

Athletic performance

Macular degeneration


Pre eclampsia




Cystic fibrosis



Alzheimer’s disease


Having low vitamin D levels can contribute to mild weight gain. Previous research has already showed that obese individuals tend to have low vitamin D levels. Women who had insufficient levels of vitamin D gained about two pounds more compared to those with adequate blood levels of vitamin D.

Ask our doctors to check the Vitamin D level in your blood if you plan to visit us and if it’s low the physician can prescribe it for you.

Vitamin D Med-Ped

Sunlight is the best and only natural source of vitamin D

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!