August 10, 2023 : Memorable Case of Weight Gain
© 安岡喜晴 (JoyShine)

It looked like it was going to be very hot again today.
In the morning I took a taxi to work.
The driver said, "It's going to be hot again today, isn't it?"
I replied, "Yes, it's already hot!"

I went through Aburanokoji Street to Aneyakoji Street, and from there to Karasuma Street.
Karasuma Street and Shijo Street are both the main streets of Kyoto.
The intersection of these two streets is called Shijo-Karasuma, and this is the place where traffic is most likely to become congested.
That is why seasoned taxi drivers avoid this route and use Shinmachi Street or Aburanokoji Street to reach Karasuma Street.

The most memorable patient today was a woman who said she had gained 20 or more kilograms in one year.
A pharmacist had recommended an over-the-counter product to her, but I personally don't recommend it, because it gives many people diarrhea.
Weight gain should be controlled by diet and exercise, but there are so many people who gain weight from medications prescribed by their doctors, and I strongly suspected that was the case here.

Weight gain caused by medication is really hard to lose, no matter what people do, until they stop the medication.
In this case, it seemed best to ask her doctor to prescribe another drug that would have the same effect, so I advised her.

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