Q. What Are the Complications of Obesity? Why is obesity so dangerous? What are the possible complications of being obese? A. Excessive body weight has been shown to predispose to various diseases, particularly cardiovascular diseases, diabetes mellitus type 2, sleep disturbances (sleep apnea) and osteoarthritis. Obesity is one of the major risk factors for developing a heart attack, as well as hypertension and stroke. It is also a risk factor for breast, colon, prostate cancer and other malignancies. It is known that losing weight helps to reduce the risk of suffering from these diseases.
Dexamethasone is well absorbed when given by mouth; peak plasma levels are reached between 1 and 2 hours after ingestion and show wide interindividual variations. In healthy subjects a plasma half life of 3-6 hours has been observed however in studies of patients this can be reduced to under 2 hours. Dexamethasone is bound (to about 77%) to plasma proteins , mainly albumins. Percentage protein binding of dexamethasone, unlike that of cortisol, remains practically unchanged with increasing steroid concentrations. Corticosteroids are rapidly distributed to all body tissues. Dexamethasone is metabolised mainly in the liver but also in the kidney. Dexamethasone and its metabolites are excreted in the urine.
Finally, there are differences of communication styles between you and physicians. You are likely to want to give the physician a complete description of the patient and the problem in a phone discussion that may go on for many minutes. The physician is likely to be in the middle of office hours, with a clinic full of patients waiting to be seen. A brief, succinct and very focused description and problem statement with a focused consultation request is likely to be better received by a physician than the more complete communication often expected between psychotherapists.