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How Statin Drugs Protect the Heart

por Diego Engel


This causes blood to suddenly clot and block an artery in the heart or brain. Your long-term risk of a heart attack or stroke is the most important thing that your healthcare professional alcohol withdrawal will keep in mind when thinking about statin treatment. If your risk is very low, you probably won’t need a statin, unless your LDL is above 190 mg/dL (4.92 mmol/L).

Fluvastatin, and rosuvastatin is primarily metabolized by CYP2C9. Patients between 40 to 75 years of age with diabetes are at intermediate or high risk of future ASCVD, and moderate-intensity statin is recommended. One study found that 75-year-olds who stopped taking statins had a 33 percent higher risk of being hospitalized for a cardiovascular event, versus those of the same age who continued to take statins.

  1. If you think you’re experiencing side effects from taking statins, don’t just stop taking the pills.
  2. In very rare cases, statins can cause severe muscle damage that can be life-threatening.
  3. The rest of your body’s cholesterol comes from what you eat.
  4. Should you wish to learn more about other ways to manage risk factors you may find our Guide to Cholesterol Control and Heart Health worthwhile.
  5. It can be taken alone but is usually taken with other cholesterol-lowering medications.

These include ezetimibe (Zetia), bempedoic acid (Nexletol), and bile acid sequestrants, which have been seen to lower the risk of heart attack and stroke. Statins are prescription drugs you take as pills to lower cholesterol. However, when you have too much, it can build up inside the walls of your arteries. Cholesterol-laden plaque contributes to heart disease in different ways. While statins are highly effective and safe for most people, they have been linked to muscle pain, digestive problems and mental fuzziness in some people. There’s some early evidence that protecting the gut and its microbiome could minimize the damage done by PFAS, Chatzi said.

Who should avoid statins?

You should avoid statins if you’re pregnant, nursing or have certain types of liver disease. If you’re already at risk for diabetes, statins can add to your risk of getting it. If you think you’re experiencing side effects from taking statins, don’t just stop taking the pills.

Talk to your care team if you experience memory loss or confusion while taking statins. Blockages that prevent sufficient blood flow in the coronary arteries can lead to a form of chest pain called angina. Symptoms usually occur with exertion and go away with rest. Your dose will depend on why you need the medicine, your cholesterol levels, and other medicines you’re taking.

Serious atorvastatin side effects

You may be wondering about side effects of statins, types of statins, how statins work, and what your doctor may prescribe instead of statins to help lower your cholesterol. If your doctor wants you to take a statin for high cholesterol, you’re not alone. In fact, statins are the most prescribed drugs in the U.S.

Because most research on statins has involved middle-aged, white participants, there is less information available about side effects in people of color and older adult groups. Not everyone who takes statins will experience side effects. But some people may be at higher risk of side effects than others, according to research. Most people can take statins without too many side effects, but side effects can occur. It‘s hard to say if one type of statin will cause more side effects for you than another. If you have lasting side effects, your doctor may be able to adjust your dosage or recommend a different statin.

In rare cases, statins may change how the body processes glucose (blood sugar). For this reason, statins can cause a small increase in your risk of developing type 2 diabetes. If you’re concerned about this risk, talk with your doctor. Be sure to read the warnings that come with your medications. If you have questions, talk with your doctor or pharmacist. Organ transplant recipients may be prescribed statins because statins reduce the risk of cardiovascular problems after transplant.

Will miscarriage care remain available?

Other side effects that aren’t as common are headaches, constipation, diarrhea, and sleep problems. Once you start taking a statin (or any cholesterol lowering drug), you probably will stay on it for life. If you stop, your protection from the statin will wear off. If you do have plaque buildup inside your arteries, statins can help prevent them from breaking open and leading to blood clots. In 1971, Akira Endo, a Japanese biochemist working for the pharmaceutical company Sankyo, began to investigate this problem.

Take atorvastatin tablet orally once daily with or without food. Many people ask when to take atorvastatin morning or night? It can be taken any time of the day, but try and take it at the same time each day. Atorvastatin is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.

Statins are prescription drugs people take to lower their level of LDL or “bad” cholesterol that builds up in arteries. Statins work by interfering when your liver makes cholesterol. Your healthcare provider will look at your specific situation and decide if a statin is right for you. “About 80% to 90% of the time, heart disease is preventable through modifiable risk factors,” Steinbaum says.

Different brands of statins are available, as well as generic forms that cost less. Statin drugs are tablets or capsules that you swallow whole once a day with or without food. Statins also decrease your triglycerides and help your liver get rid of more cholesterol.

Statins that stay in your system for a short time work best if you take them in the evening (before your body starts making cholesterol overnight). Statin drugs that stay in your system longer work just as well if you take them at other times of the day. Grapefruit juice has a chemical that can interfere with the enzymes that break down the statins in your digestive system. While you won’t need to cut grapefruit entirely from your diet, ask your health care expert about how much grapefruit you can have. Although liver problems are rare, your health care team may order a liver enzyme test before or shortly after you begin to take a statin.

Liver damage

I also developed memory problems attributed to the statin. “The last year I was experiencing severe neuropathy in my legs and feet. I was tested by my neurologist and he diagnosed me as having neuropathy. Doing some research I discovered that some statins do cause pain such as what I experienced. Statins are tolerated well by most people, but they can have side effects. Some side effects go away as the body adjusts to the medicine.

For years there were clear cut-offs — numbers your doctor looked for. If your levels were above them, then your doctor was supposed to prescribe a statin plus lifestyle changes (healthy eating, limiting unhealthy fats, and being more active). Ezetimibe reduces the amount of cholesterol your body absorbs from food (or alcohol use: weighing risks and benefits reabsorbs from what the liver releases). Large, randomized studies did not find any difference in side effects of ezetimibe compared with placebo. Your doctor picks which statin may work best for you by considering a few things. They include how much you need to lower your LDL by, and other medicines you are taking.

Alcohol Recovery Timeline: How Long Does it Take?

por Diego Engel


This co-occurrence can exacerbate symptom severity and complicate treatment efforts, as both the AUD and the mental health disorder may influence each other negatively. End-stage alcoholism represents the most severe phase of alcohol use disorder, marked by profound physical and mental health challenges. This stage is characterized by chronic alcohol consumption that has led to serious, often irreversible damage to one’s health and significant disruptions in personal and social functioning.

If you used alcohol as a form of stress-relief in the past, it’s important to replace drinking with healthier forms of coping and self-care. Building coping skills can help you tackle cravings and challenges without drinking. Plus, self-care routines can help incorporate time for self-compassion, mindfulness, and rest into your journey. You may have heard before that “the first 30 days can be the hardest,” and experts tend to agree.

Stage 1: Recognition and Acceptance

Such networks provide emotional backing and practical guidance, helping individuals navigate the obstacles of living sober. In fact, studies have highlighted the therapeutic value of attending support groups, where sharing experiences with those who face similar challenges bolsters one’s resolve to stay sober. It is important to recognize that middle recovery is a time of transformation and growth. In conclusion, embracing harm reduction and diverse modalities recognizes the uniqueness of each individual’s journey in addiction recovery. By providing options for recovery, individuals can choose the approaches that resonate with their needs and preferences.

stages of alcoholic recovery

To help make the decision easier, it is helpful to understand what will happen to each individual as they move through the recovery process. This article hopes to be able to answer how alcohol recovery can impact someone’s body, emotions, and relationships while in rehabilitation. Detox https://ecosoberhouse.com/article/signs-and-symptoms-of-opioid-addiction/ and inpatient treatment are best for moderate to severe alcohol addictions or people who have relapsed. Inpatient treatment involves living on-site at the detox or rehab facility, an approach that keeps patients in a healing environment and allows for better monitoring and treatment.

What Are the 6 Stages of Alcohol Recovery?

The collaborative nature of MI respects the diverse progression of individuals through the stages, acknowledging their readiness and ambivalence. Instead of going at it alone, take your first steps toward a new life and contact the experts at Ardu Recovery Center today. We offer specialized detox and rehab programs to suit whatever your unique needs may be and to make recovery as comfortable and successful as possible. We are located in stunning Provo, Utah, and have a full range of recovery programs and addiction resources.

Best Alcohol Addiction Recovery Apps – Healthline

Best Alcohol Addiction Recovery Apps.

Posted: Fri, 23 Sep 2022 07:00:00 GMT [source]

Contact us to learn more about programs that can work well for your situation and give you the resources needed for a healthier, alcohol-free future. After approximately 90 days of continuous abstinence, you will move from the early abstinence stage of recovery to the third stage, maintaining abstinence. If you started in a residential treatment program, you will now move to the stages of alcoholic recovery continuing or follow-up counseling phase of your rehab program on an outpatient basis. Acceptance also means acknowledging the potential consequences of continued alcohol abuse, such as worsening health, damaged relationships, and legal or financial troubles. It involves embracing the fact that seeking help and embarking on the journey to sobriety is the best course of action.

Will ascites go away if I stop drinking?

By actively engaging in aftercare programs and maintaining a strong support network, individuals can significantly reduce the risk of relapse and sustain their recovery journey. In this stage, individuals begin to recognize and acknowledge that their alcohol use has become a problem. They may experience negative consequences as a result of their drinking, such as strained relationships, declining physical health, or difficulties at work or school. It is during this phase that individuals may start to question their drinking habits and the impact it has on their lives. During treatment, some people will embrace the new, healthy habits they’re learning.

  • This is why clinicians generally recommend utilizing medication and therapy for at least 12 months.
  • When evaluating the patient, doctors will carry out blood tests and other tests to assess the type and extent of damage, which alcohol addiction has inflicted.
  • So, giving up alcohol can help you to avoid these potentially deadly diseases.
  • This stage can be seen as training for life without drinking because there are quite a few complicated emotions to work through.
  • Ultimately, embracing the nuances of each individual’s journey, TTM and MI provide a comprehensive framework for clinicians and individuals alike to navigate the intricate terrain of addiction recovery.
  • How long it takes to reach this stage is different for every person, but it can only be achieved by maintaining a commitment to recovery each day.

Bookkeeping for Mental Health Professionals

por Diego Engel


how to do bookkeeping for therapists

But if you break it down into simpler terms it a little easier to understand. When you perform a bank reconciliation, you confirm that your bank accounts and your general ledger match up, so you can be confident your records of revenues and expenses are true to reality. Your bookkeeping system consists of the tools—typically accounting software—your bookkeeper uses to create entries in the general ledger and generate financial reports. Your treasurer may take on the role of bookkeeper for your practice.

Becoming an S-Corp requires some paperwork but may be worth it depending on your business’ earnings. The IRS expects you to choose an accounting method and stick to it. You do that by choosing an accounting method on your first annual tax return. Afterwards, that’s the accounting method you use to do all your bookkeeping.

Do I have the time?

These numbers will vary from day-to-day depending on how much money you take in and pay out. What that does is let you see is if you are doing well or not over time. In this blog post I’ll walk you through some basics of accounting and bookkeeping that you need to know in order to run the business side of private practice.

  • One of the most important things to remember about being in private practice as a counselor or therapist, is the fact that you are running a business.
  • With an accurate record of all transactions, you can easily discover any discrepancies between financial statements and what’s been recorded.
  • It’s not enough to have the owner or founder of the organization take responsibility—your nonprofit needs a treasurer or financial officer.
  • If you have no time for anything else between seeing clients and managing the books, then it’s probably time for professional help.
  • Regardless of how you choose to track your finances, this process will bring attention to your entire workflow and systems.
  • You’ll overstate your earnings if you treat a loan as income on your books.
  • Most businesses use an electronic method for their bookkeeping, whether it’s a simple spreadsheet or more advanced, specialized software.

Fund accounting effectively creates a fund, for which you track assets, liabilities, revenue, expenses, and total balance. That may sound like a lot of extra work, but it has an important purpose. Ensuring that your quarterly taxes are paid on time is crucial not only to avoid penalties but also to maintain a clear perspective on your annual revenue projections. To ensure HIPAA compliance, consider integrating accounting software with Electronic Health Record (EHR) systems such as TherapyNotes or SimplePractice. This approach allows for the secure handling of sensitive patient information and seamless financial management by updating your books directly from the income data in your EHR system. Under the Health Insurance Portability and Accountability Act (HIPAA), mental health professionals face strict data security regulations.

Factors to consider while adding transactions to the template

As a small business owner, she is passionate about supporting other entrepreneurs and sharing information that will help them thrive. If you enjoy organization and numbers and have experience with bookkeeping, starting your own business offering this service might be a smart career choice. There are dozens and dozens of bookkeeping options available and the choices may seem overwhelming.

how to do bookkeeping for therapists

If you disclose a patient’s Protected Health Information (PHI) for reimbursement or payment, you could face stiff fines and even jail time for extreme violations. In 2021, The Department of Health and Human Services Office for Civil Rights handed out penalties totaling $15 million. Maybe you can keep the books for your practice, but you just don’t want to. Part of being a business owner is bookkeeping for therapists knowing your strengths and when your time or expertise is better spent elsewhere. If you lack the expertise you need to track all the financial documents or you just don’t want to do it, hire it out if you can afford to. If you’re having trouble staying on top of the books and your financial records no longer reflect the real-time state of your finances, it’s probably time to outsource.

Setting up the Accounts for a Therapists

It may seem like more trouble than it’s worth to track small cash expenses, but these seemingly unimportant expenses can add up over time. Beyond these, expense management empowers you to make educated decisions by being aware of where your practice’s money is going and assessing whether these are the best expenditures in the future. The chart of accounts is a categorized list of how your practice earns and spends money. Rather than scrambling in April, it’s in your best interests to sort your books along the way. Aside from tax preparedness, here are some other reasons that proper accounting is critical to your practice’s success.

how to do bookkeeping for therapists

You can use these to make business decisions, but they should not be presented as audited, certified or official financial statements. When it’s finally time to audit all of your transactions, bookkeepers can produce accurate reports that give an inside look into how your company delegated its capital. The two key reports that bookkeepers provide are the balance sheet and the income statement.

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