By Trevor Shewfelt, Pharmacist at the Dauphin Clinic Pharmacy
Have you heard Trevor on the radio? Listen to 730 CKDM Tuesday Mornings at 8:35 am! We now have most of the articles published in the Parkland Shopper on our Website www.dcp.ca
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
There are many joys of getting older. Hopefully the mortgage gets paid off, the kids leave home, I get to spoil grandchildren, I have trouble peeing, you know the good stuff. Apparently many of us guys have something in common. By the time we turn 80 years old, most of us will have benign prostatic hypertrophy.
The prostate is walnut size gland that forms part of the male reproductive system. The gland is made of two lobes, or regions, enclosed by an outer layer of tissue. The prostate surrounds the urethra, the canal through which urine passes out of the body. Benign prostatic hypertrophy (BPH) is a condition where a male's prostate becomes enlarged to the point that it causes discomfort. Common symptoms of BPH include needing to urinate often, feeling like you really need to go now, weak urine stream, feeling like you haven’t completely emptied your bladder, and more frequent nighttime urination. The prostate goes through two main periods of growth during a male's life. The first is puberty, where the prostate doubles in size. The gland begins to grow again at age 25. This second stage of growth is what may cause BPH much later life.
Symptoms of BPH rarely show up before age 40. However as men age, the chance of BPH symptoms go up. About 50 percent of men in their 60s have BPH symptoms and over 80 percent for men in their 80s have symptoms. Symptoms happen when swelling of the prostate starts to push against the urethra, much like clamping a garden hose. This causes the bladder wall to thicken and become irritable. The bladder starts to contract even when it contains only a small amount of urine. Eventually the bladder weakens and becomes incapable of empty itself completely, leaving behind urine. Although BPH and prostate cancer share similar symptoms, having BPH does not increase your chances of developing prostate cancer.
So what should you do if you have trouble urinating? Visit the doctor. They can determine if your symptoms are related to BPH and discuss treatment options.
Treatment of BPH is only recommended when it poses a health risk for the patient or when it becomes very bothersome. Mild BPH may not require treatment and it is very reasonable for the doctor to watch and wait to see if the symptoms get better or worse.
There are two main types of medications used to treat BPH. They are alpha blockers and 5-alpha-reductase inhibitors. Alpha blockers include alfuzosin, doxazosin and tamsulosin. Alpha blockers relax the smooth muscle in the prostate and the bladder neck. They work quite quickly, and gentlemen say they can pee more easily in about two weeks. 5-alpha-reductase inhibitors like dutasteride and finasteride stop the conversion of testosterone to dihydrotestosterone (DHT). DHT causes the prostate to grow. So 5-alpha-reductase inhibitors reduce the size of the prostate, which is good. Unfortunately these medications work slowly. It takes 6 months to a year on a 5-alpha-reductase inhibitor before a guy’s symptoms will improve.
Doctors often put guys on both an alpha blocker and a 5-alpha-reductase inhibitor together. That way the alpha blocker can get the guy to urinate more easily within two weeks while the 5-alpha-reductase inhibitor is slowly starting to shrink the gland. Also recent studies like the Combination of Avodart and Tamsulosin (CombAT) study have showed that the combination of these two types of drugs works better than either drug separately.
As always if you have any questions or concerns about these or other products, ask your pharmacist.
Friday, August 28, 2009
Friday, August 21, 2009
Hemorrhoids
By Trevor Shewfelt, Pharmacist at the Dauphin Clinic Pharmacy
Have you heard Trevor on the radio? Listen to 730 CKDM Tuesday Mornings at 8:35 am! We now have most of the articles published in the Parkland Shopper on our Website www.dcp.ca
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
Today we are going to talk about the part of your body you sit on. There used to be a Preparation H commercial that showed a hard wooden stool and said, “Does this scare you?” I thought this was a great way to use humor to start the conversation about an embarrassing topic. Discomfort around the anorectal area cause problems for about half the population at some point in their life. Unfortunately, as this is an embarrassing topic, many people simply suffer in silence. Others will use over the counter products instead of seeing their doctor. Since hemorrhoids are so common, let’s try to get more comfortable with them so the wooden stool won’t scare you.
What are hemorrhoids? They are swollen, twisted veins in the walls of the rectum or anus. If they are outside the anus they are called external hemorrhoids. If they are inside the anus, they are called internal hemorrhoids. External hemorrhoids may cause a lump. If a blood clot forms in the swollen, twisted vein, the lump may become more swollen and painful. Internal hemorrhoids may not form a lump or become painful, but they often bleed during bowel movements. Signs included blood streaked stool or toilet paper.
What causes hemorrhoids? Hemorrhoids happen when there is an increase in pressure in the veins of the anorectal area. The increase in pressure can be from pregnancy, heavy lifting, or straining when you go to the bathroom. Straining is often caused by constipation, so we want to keep stools soft. This leads us to believe that high fibre diet may help prevent hemorrhoids, while a low fibre diet (which leads to small hard stools) may help cause hemorrhoids. Hemorrhoids don’t seem to be passed on genetically. There seems to be no discrimination between men and women. (However, pregnancy makes hemorrhoids more likely.) You are more likely to get hemorrhoids the older you get. We used to say that straining to pass stool caused hemorrhoids, but more recent research suggests that sitting on the toilet for a long time may be a more likely culprit.
How can you treat hemorrhoids? If they aren’t causing you any discomfort, they don’t need to be treated. If you wish to prevent or treat hemorrhoids yourself, first consider fluids and fibre Eight glasses of water per day is recommended to establish good bowel habits. Water helps expand the fibre in the stool to make it bigger and softer. So, the next thing to do is increase the amount of fibre one eats. Unprocessed wheat bran is an excellent choice. Vegetables and fruit vary in their ability to absorb moisture. Carrots have the greatest absorption capacity of the vegetables, about half that of bran. Other high absorption vegetables are brussel sprouts, eggplant, spring cabbage and corn. High-absorption fruit include apples, pears, and oranges. Adding 20 to 30 g of fibre to your diet will help with symptoms of mild hemorrhoids. If you can’t seem to eat enough bran and veggies, consider a fibre supplement like Metamucil with psyllium in it. The final non-drug measure to relieve hemorrhoids is a sitz bath. A sitz bath is a tub of warm water (46oC) in which the person sits for 15 minutes at a time. Plastic sitz baths may be fitted over the toilet seat rim for greater convenience.
Without a prescription one can get a variety of hemorrhoid products. They have various ingredients in them like protectants and local anesthetics. There are a dozen or more different products, so instead of list them all, I'll just say ask your pharmacist. The key is though, don't self treat for more that 7-10 days. If the symptoms haven't cleared in 7-10 days, see your doctor.
What are some of the other red flags? If you experience any rectal bleeding, any rectal tissues protruding from the anal opening after a bowel movement, or if the patient is under 12 years old, see your doctor.
As always if you have any questions or concerns about these or other products, ask your pharmacist.
Have you heard Trevor on the radio? Listen to 730 CKDM Tuesday Mornings at 8:35 am! We now have most of the articles published in the Parkland Shopper on our Website www.dcp.ca
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
Today we are going to talk about the part of your body you sit on. There used to be a Preparation H commercial that showed a hard wooden stool and said, “Does this scare you?” I thought this was a great way to use humor to start the conversation about an embarrassing topic. Discomfort around the anorectal area cause problems for about half the population at some point in their life. Unfortunately, as this is an embarrassing topic, many people simply suffer in silence. Others will use over the counter products instead of seeing their doctor. Since hemorrhoids are so common, let’s try to get more comfortable with them so the wooden stool won’t scare you.
What are hemorrhoids? They are swollen, twisted veins in the walls of the rectum or anus. If they are outside the anus they are called external hemorrhoids. If they are inside the anus, they are called internal hemorrhoids. External hemorrhoids may cause a lump. If a blood clot forms in the swollen, twisted vein, the lump may become more swollen and painful. Internal hemorrhoids may not form a lump or become painful, but they often bleed during bowel movements. Signs included blood streaked stool or toilet paper.
What causes hemorrhoids? Hemorrhoids happen when there is an increase in pressure in the veins of the anorectal area. The increase in pressure can be from pregnancy, heavy lifting, or straining when you go to the bathroom. Straining is often caused by constipation, so we want to keep stools soft. This leads us to believe that high fibre diet may help prevent hemorrhoids, while a low fibre diet (which leads to small hard stools) may help cause hemorrhoids. Hemorrhoids don’t seem to be passed on genetically. There seems to be no discrimination between men and women. (However, pregnancy makes hemorrhoids more likely.) You are more likely to get hemorrhoids the older you get. We used to say that straining to pass stool caused hemorrhoids, but more recent research suggests that sitting on the toilet for a long time may be a more likely culprit.
How can you treat hemorrhoids? If they aren’t causing you any discomfort, they don’t need to be treated. If you wish to prevent or treat hemorrhoids yourself, first consider fluids and fibre Eight glasses of water per day is recommended to establish good bowel habits. Water helps expand the fibre in the stool to make it bigger and softer. So, the next thing to do is increase the amount of fibre one eats. Unprocessed wheat bran is an excellent choice. Vegetables and fruit vary in their ability to absorb moisture. Carrots have the greatest absorption capacity of the vegetables, about half that of bran. Other high absorption vegetables are brussel sprouts, eggplant, spring cabbage and corn. High-absorption fruit include apples, pears, and oranges. Adding 20 to 30 g of fibre to your diet will help with symptoms of mild hemorrhoids. If you can’t seem to eat enough bran and veggies, consider a fibre supplement like Metamucil with psyllium in it. The final non-drug measure to relieve hemorrhoids is a sitz bath. A sitz bath is a tub of warm water (46oC) in which the person sits for 15 minutes at a time. Plastic sitz baths may be fitted over the toilet seat rim for greater convenience.
Without a prescription one can get a variety of hemorrhoid products. They have various ingredients in them like protectants and local anesthetics. There are a dozen or more different products, so instead of list them all, I'll just say ask your pharmacist. The key is though, don't self treat for more that 7-10 days. If the symptoms haven't cleared in 7-10 days, see your doctor.
What are some of the other red flags? If you experience any rectal bleeding, any rectal tissues protruding from the anal opening after a bowel movement, or if the patient is under 12 years old, see your doctor.
As always if you have any questions or concerns about these or other products, ask your pharmacist.
Friday, August 14, 2009
Stye's
By Trevor Shewfelt, Pharmacist at the Dauphin Clinic Pharmacy
Have you heard Trevor on the radio? Listen to 730 CKDM Tuesday Mornings at 8:35 am! We now have most of the articles published in the Parkland Shopper on our Website www.dcp.ca
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
“I’ve got a stye. My wife is says it’s ugly. My co-workers don’t like looking at it. What should I do?”
Unfortunately, this is not the beginning of a conversation with a patient at the pharmacy. I have had a few stye’s in the past and I assume I’ll get them in the future. What do I do when I get a stye? First, I ignore my wife and her complaints about how ugly my eye looks until her complaining gets sufficiently loud. Then we put a hot wash cloth on it for a few nights, and sometimes a cold tea bag. If that doesn’t work, I see my doctor.
A stye, or hordeolum, is an infection of the eyelid glands. Stye’s are a very common eyelid infection. When people have stye’s, they usually only have swelling on one eyelid. The swelling will usually be sore and red (the more swollen, the more painful). The eye may water, become sensitive to bright light and feel like something is in it. Usually, only a small area of the eyelid is swollen, but sometimes the entire eyelid swells. Often a tiny, yellowish spot develops at the center of the swollen area, usually at the edge of the eyelid. The stye tends to pop after 2 to 4 days, releasing a small amount of pus and going away on its own.
The bacteria that most often causes the problems with stye’s is Staphylococcus aureus. There is a slight increase in number of stye cases when the patient is between 30 and 50 (I am in the zone!). People with diabetes, chronic eyelid infections, seborrhea, and people with high cholesterol are all more likely to get stye’s. I found the cholesterol one the most interesting. I don’t have high cholesterol, but if you do that increases how often the eyelid glands are blocked. Unfortunately, lowering the blood cholesterol doesn’t decrease the rate of stye formation.
What should you do if you get my favorite eye bump? Well, if you have any problems with your eyes that involve severe pain, being very sensitivity to all light, any vision disturbance, blunt trauma, chemical exposure, imbedded foreign body, heat exposure (e.g. welder’s arc), or eye protrusion please see a doctor immediately. If the problem is just with your eyelid, and your eyelid is swollen with a lump, it is probably a stye. You can treat it at home for 48 hours. If it doesn’t go away, you should see a doctor.
What can you do at home before you see the doctor? You can apply a hot wash cloth to your eye for 15 minutes four times a day. This will encourage blood flow to the area and hopefully it will spontaneously drain on its own. In between the hot wash cloth, you can try a cold (still wet) tea bag for 5 to 10 minutes. Some people believe that the tannic acid in the tea bag will help the stye dry up faster.
For my last stye, I had to see one of the family doctors at the walk-in clinic. The doctor recommended continuing with the hot compresses, and recommended cleaning my eyelashes with baby shampoo either with a eyelash brush (my make-up kit is surprisingly non-existent) or a cotton swab. Then I was given a prescription for an oral antibiotic, and an antibiotic eye ointment.
The eye ointment was interesting. I’ve told people for years how to use eye ointments, but I’ve never used one myself. What I had always told patients was that an eye ointment was much thicker than a drop. You pull down the bottom lid until it forms a pocket. Then you squeeze out a little ribbon of ointment (about ¼” to ½”) into the eyelid pocket. The problem is when you do that, the ribbon of ointment remains hanging off the end of the applicator and doesn’t break. You are supposed to twist your wrist to break the ribbon of ointment. That was still too hard for me. So I put the eye ointment on a cotton swab and used that.
As always if you have any questions or concerns about these or other products, ask your pharmacist.
Have you heard Trevor on the radio? Listen to 730 CKDM Tuesday Mornings at 8:35 am! We now have most of the articles published in the Parkland Shopper on our Website www.dcp.ca
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
“I’ve got a stye. My wife is says it’s ugly. My co-workers don’t like looking at it. What should I do?”
Unfortunately, this is not the beginning of a conversation with a patient at the pharmacy. I have had a few stye’s in the past and I assume I’ll get them in the future. What do I do when I get a stye? First, I ignore my wife and her complaints about how ugly my eye looks until her complaining gets sufficiently loud. Then we put a hot wash cloth on it for a few nights, and sometimes a cold tea bag. If that doesn’t work, I see my doctor.
A stye, or hordeolum, is an infection of the eyelid glands. Stye’s are a very common eyelid infection. When people have stye’s, they usually only have swelling on one eyelid. The swelling will usually be sore and red (the more swollen, the more painful). The eye may water, become sensitive to bright light and feel like something is in it. Usually, only a small area of the eyelid is swollen, but sometimes the entire eyelid swells. Often a tiny, yellowish spot develops at the center of the swollen area, usually at the edge of the eyelid. The stye tends to pop after 2 to 4 days, releasing a small amount of pus and going away on its own.
The bacteria that most often causes the problems with stye’s is Staphylococcus aureus. There is a slight increase in number of stye cases when the patient is between 30 and 50 (I am in the zone!). People with diabetes, chronic eyelid infections, seborrhea, and people with high cholesterol are all more likely to get stye’s. I found the cholesterol one the most interesting. I don’t have high cholesterol, but if you do that increases how often the eyelid glands are blocked. Unfortunately, lowering the blood cholesterol doesn’t decrease the rate of stye formation.
What should you do if you get my favorite eye bump? Well, if you have any problems with your eyes that involve severe pain, being very sensitivity to all light, any vision disturbance, blunt trauma, chemical exposure, imbedded foreign body, heat exposure (e.g. welder’s arc), or eye protrusion please see a doctor immediately. If the problem is just with your eyelid, and your eyelid is swollen with a lump, it is probably a stye. You can treat it at home for 48 hours. If it doesn’t go away, you should see a doctor.
What can you do at home before you see the doctor? You can apply a hot wash cloth to your eye for 15 minutes four times a day. This will encourage blood flow to the area and hopefully it will spontaneously drain on its own. In between the hot wash cloth, you can try a cold (still wet) tea bag for 5 to 10 minutes. Some people believe that the tannic acid in the tea bag will help the stye dry up faster.
For my last stye, I had to see one of the family doctors at the walk-in clinic. The doctor recommended continuing with the hot compresses, and recommended cleaning my eyelashes with baby shampoo either with a eyelash brush (my make-up kit is surprisingly non-existent) or a cotton swab. Then I was given a prescription for an oral antibiotic, and an antibiotic eye ointment.
The eye ointment was interesting. I’ve told people for years how to use eye ointments, but I’ve never used one myself. What I had always told patients was that an eye ointment was much thicker than a drop. You pull down the bottom lid until it forms a pocket. Then you squeeze out a little ribbon of ointment (about ¼” to ½”) into the eyelid pocket. The problem is when you do that, the ribbon of ointment remains hanging off the end of the applicator and doesn’t break. You are supposed to twist your wrist to break the ribbon of ointment. That was still too hard for me. So I put the eye ointment on a cotton swab and used that.
As always if you have any questions or concerns about these or other products, ask your pharmacist.
Friday, August 07, 2009
Tanning Beds
By Trevor Shewfelt, Pharmacist at the Dauphin Clinic Pharmacy
Have you heard Trevor on the radio? Listen to 730 CKDM Tuesday Mornings at 8:35 am! We now have most of the articles published in the Parkland Shopper on our Website www.dcp.ca
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
A few years ago, I was volunteering with Kinsmen to work at Safe Grad. We were working at the bar. I remember some of the female Grads coming up to the bar who were very tanned. Now remember high school graduation is in June, so there isn't a lot of time to tan outside before the event. I remember one young lady in particular had very dark, dry and wrinkly looking skin. I commented to one of the other volunteers that at 18 she already had the skin of a 40 year old. We assumed she had over done it on a tanning bed. It seems the World Health Organization says that use of tanning beds by young people does worse things than cause wrinkles. It can lead to skin cancer.
The WHO has a group called the International Agency for Research on Cancer or IARC. At the end of July the IARC moved UV tanning beds to its highest risk category –Group 1- “carcinogenic to humans.” Other Group 1 compounds include: arsenic, asbestos, and mustard gas. The IARC reported the re-classification in the Lancet Oncology journal. The argument used to be that the UVA light in tanning beds was safer than the UVA, and UVB light in sunshine. The IARC now calls UVA a Group 1 carcinogen and says that it should be avoided.
The IARC also says a specific group of people in particular should avoid tanning beds. It says if you first use a tanning bed before the age of 30, there is an associated 75% increase in melanoma risk. Melanoma is a type of skin cancer. So it is recommended that young people avoid UV tanning beds.
I found this report about tanning beds especially interesting. You see earlier this year, the Canadian Dermatology Association said Canadians born in the 1990’s are two to three time more likely to get skin cancer in their lifetimes compared to those born in the 1960’s. This report didn’t make any sense to me. It’s not that I didn’t believe it, the Canadian Dermatology Association are the Canadian skin experts, but it didn’t make sense. If I think about my childhood, we rarely wore sunscreen, never wore hats, got sun burnt at the beginning of every summer and spent lots of time outside. If I look at my children, they always have sunscreen and hats on, and if I do everything I am supposed to as a parent, they may never get a sun burn. Since there are more computers, video screens and since unlike my parents I am too scared to just send my kids out on their bikes unsupervised, they don’t spend as much time outside as I did. Why would my children (if the trend holds) be more likely to get skin cancer than me? You would think they should be more protected.
Well, there are probably lots of reasons the rate of skin cancer is increasing. The ozone may be thinner, doctors may be better now at diagnosing skin cancer or there may be other confounding factors that haven’t been thought of yet. I wonder if a big reason for the increase in skin cancer in those born in the 1990’s are tanning beds. I don’t remember anyone going to a tanning bed before my high school graduation. Now it seems to be almost a requirement. In addition to the IARC saying early exposure to a tanning bed increases your melanoma risk, the national institutes of health in the US published a study last year. The NIH found that the melanoma rates among young women in the United States tripled between 1973 and 2004. We don’t know for certain this is due to tanning beds, but there are suspicions.
So, before the users and owners of tanning beds shoot the messenger, are there any upsides to them? Well, arguably getting UV radiation exposure helps your skin produce Vitamin D. We need Vitamin D and Canadians are often Vitamin D deficient. I guess the problem is if you get that Vitamin D through the use of a tanning bed at 17, will you be rewarded with skin cancer at 47? Would it be safer to get Vitamin D by eating more oily fish or taking a Vitamin D pill? You will have to make that call. Just remember the next time you see someone who seems to have over done it at the tanning salon, they may be getting more than wrinkles.
As always if you have any questions or concerns about these or other products, ask your pharmacist.
Have you heard Trevor on the radio? Listen to 730 CKDM Tuesday Mornings at 8:35 am! We now have most of the articles published in the Parkland Shopper on our Website www.dcp.ca
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
A few years ago, I was volunteering with Kinsmen to work at Safe Grad. We were working at the bar. I remember some of the female Grads coming up to the bar who were very tanned. Now remember high school graduation is in June, so there isn't a lot of time to tan outside before the event. I remember one young lady in particular had very dark, dry and wrinkly looking skin. I commented to one of the other volunteers that at 18 she already had the skin of a 40 year old. We assumed she had over done it on a tanning bed. It seems the World Health Organization says that use of tanning beds by young people does worse things than cause wrinkles. It can lead to skin cancer.
The WHO has a group called the International Agency for Research on Cancer or IARC. At the end of July the IARC moved UV tanning beds to its highest risk category –Group 1- “carcinogenic to humans.” Other Group 1 compounds include: arsenic, asbestos, and mustard gas. The IARC reported the re-classification in the Lancet Oncology journal. The argument used to be that the UVA light in tanning beds was safer than the UVA, and UVB light in sunshine. The IARC now calls UVA a Group 1 carcinogen and says that it should be avoided.
The IARC also says a specific group of people in particular should avoid tanning beds. It says if you first use a tanning bed before the age of 30, there is an associated 75% increase in melanoma risk. Melanoma is a type of skin cancer. So it is recommended that young people avoid UV tanning beds.
I found this report about tanning beds especially interesting. You see earlier this year, the Canadian Dermatology Association said Canadians born in the 1990’s are two to three time more likely to get skin cancer in their lifetimes compared to those born in the 1960’s. This report didn’t make any sense to me. It’s not that I didn’t believe it, the Canadian Dermatology Association are the Canadian skin experts, but it didn’t make sense. If I think about my childhood, we rarely wore sunscreen, never wore hats, got sun burnt at the beginning of every summer and spent lots of time outside. If I look at my children, they always have sunscreen and hats on, and if I do everything I am supposed to as a parent, they may never get a sun burn. Since there are more computers, video screens and since unlike my parents I am too scared to just send my kids out on their bikes unsupervised, they don’t spend as much time outside as I did. Why would my children (if the trend holds) be more likely to get skin cancer than me? You would think they should be more protected.
Well, there are probably lots of reasons the rate of skin cancer is increasing. The ozone may be thinner, doctors may be better now at diagnosing skin cancer or there may be other confounding factors that haven’t been thought of yet. I wonder if a big reason for the increase in skin cancer in those born in the 1990’s are tanning beds. I don’t remember anyone going to a tanning bed before my high school graduation. Now it seems to be almost a requirement. In addition to the IARC saying early exposure to a tanning bed increases your melanoma risk, the national institutes of health in the US published a study last year. The NIH found that the melanoma rates among young women in the United States tripled between 1973 and 2004. We don’t know for certain this is due to tanning beds, but there are suspicions.
So, before the users and owners of tanning beds shoot the messenger, are there any upsides to them? Well, arguably getting UV radiation exposure helps your skin produce Vitamin D. We need Vitamin D and Canadians are often Vitamin D deficient. I guess the problem is if you get that Vitamin D through the use of a tanning bed at 17, will you be rewarded with skin cancer at 47? Would it be safer to get Vitamin D by eating more oily fish or taking a Vitamin D pill? You will have to make that call. Just remember the next time you see someone who seems to have over done it at the tanning salon, they may be getting more than wrinkles.
As always if you have any questions or concerns about these or other products, ask your pharmacist.
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