The intersection of endocrinology and gynecology: New insights into hormone therapies
Enjoy it in small quantities as a dessert or an evening snack
Imaging Preferred modality : CT abdomen with oral or IV contrast Alternative modalities MRI abdomen Magnetic resonance enterography Findings Multiple round or ovoid, thin-walled outpouchings Usually located on the mesenteric border No plicae circulares May contain air-fluid level Laparotomy Gold standard Not the preferred modality as it is invasive Diagnosis of bleeding from small bowel diverticula Small bowel endoscopy (e.g., capsule or double-balloon enteroscopy): high yield Angiography (e.g., CT angiography): for brisk bleeding Nuclear medicine scan: for slower bleeding See also "Approach to suspected small bowel bleeding." Avoid oral contrast in patients with an acute GI bleed as it may interfere with therapeutic endoscopy or angiography
A smaller percentage maintains well on 4mg or 6mg
For long-lasting results, we encourage healthy eating habits, consistent physical activity, stress management, and maintenance visits every few months after your initial treatment phase
High-fibre foods slow gastric emptying and add bulk to meals without significantly increasing calorie content: Vegetables (particularly leafy greens, broccoli, courgette, and cucumber) Pulses and legumes (lentils, chickpeas, kidney beans) Wholegrains (oats, brown rice, wholemeal bread) Fruit (especially berries, apples, and pears) The NHS recommends at least five portions of fruit and vegetables per day, and the Scientific Advisory Committee on Nutrition (SACN) advises a dietary fibre intake of 30 g per day for adults
