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Health insights

Health Blog in Miami, FL

The health blog from Lisette Portes, MD, a board-certified primary care doctor in Miami, FL, publishes patient-focused articles on chronic pain management, type 2 diabetes, high blood pressure, annual physicals, women's health, senior and Medicare care, weight loss, and preventive screening for adults across Miami-Dade County.

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Practical Health Information From a Miami Primary Care Doctor

Most health content online is written to rank, not to help. These articles are written by a board-certified family medicine physician for the patients she actually sees — adults and seniors in Miami-Dade County managing real conditions, real insurance, and real schedules.

Articles are organized by category below and updated as guidelines change.

Blog Categories

Primary Care and Prevention

Chronic Pain

Diabetes and Metabolic Health

Heart Health and Blood Pressure

Women's Health

Senior Health and Medicare

Weight Loss and Nutrition

Seasonal and Infectious Illness

Health insights

Recommended Launch Articles

How to Choose the Best Primary Care Doctor in Miami, FL

To choose the best primary care doctor in Miami, FL, verify board certification in family or internal medicine, review the physician's approach to specialist coordination, check that your insurance or Medicare plan is accepted, ask about appointment access, and confirm you will see the same physician at every visit.

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What Does a Primary Care Doctor Treat in Miami, FL?

A primary care doctor treats acute illness such as infections and injuries, chronic conditions including diabetes, high blood pressure and high cholesterol, chronic pain, thyroid and hormonal disorders, and mental health concerns, while providing preventive screening, vaccinations, prescription management, and specialist referral coordination.

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Chronic Back Pain in Miami, FL: When to See a Doctor

See a doctor for chronic back pain in Miami, FL when pain lasts longer than three months, disrupts sleep or work, does not improve with over-the-counter medication, or is accompanied by numbness, tingling or leg weakness. Seek emergency care for loss of bladder control, progressive weakness, fever, or unexplained weight loss.

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Non-Opioid Chronic Pain Treatments in Miami, FL

Effective non-opioid chronic pain treatments include structured physical therapy and exercise, NSAIDs and topical agents, neuropathic medications such as gabapentinoids and duloxetine, sleep restoration, weight reduction, cognitive behavioral therapy for pain, and correction of contributing conditions like diabetes and vitamin D deficiency.

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What to Expect at Your Annual Physical in Miami, FL

At an annual physical in Miami, FL you can expect vital signs, a full medical and family history review, a head-to-toe physical examination, blood work including a lipid panel and hemoglobin A1C, cardiovascular risk assessment, cancer screening review, immunization updates, and a written prevention plan.

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Understanding Your Blood Test Results

Common blood tests include hemoglobin A1C for average blood sugar, a lipid panel for cholesterol and cardiovascular risk, a complete blood count for anemia and infection, a comprehensive metabolic panel for kidney and liver function, TSH for thyroid function, and vitamin D for deficiency.

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How to Lower Your A1C in Miami, FL

To lower your A1C, reduce refined carbohydrates and increase fiber and protein, walk after meals, lose five to ten percent of body weight if overweight, take medications consistently, monitor glucose as directed, prioritize sleep, and see your primary care doctor every three months until you reach target.

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High Blood Pressure Treatment in Miami, FL

Blood pressure often stays uncontrolled because of inaccurate measurement technique, missed medication doses, high sodium intake, untreated sleep apnea, alcohol use, weight gain, or a medication regimen that was never fully titrated. Most cases reach target with correct measurement and systematic medication adjustment.

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Medicare Annual Wellness Visit in Miami, FL

The Medicare Annual Wellness Visit is a yearly preventive appointment covered at no cost that includes a health risk assessment, complete medication review, cognitive and functional screening, fall-risk evaluation, a personalized prevention plan, and optional advance care planning. It is not the same as a hands-on physical examination.

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Fall Prevention for Seniors in Miami, FL

Preventing falls in older adults requires strength and balance exercise, review of medications that cause dizziness or low blood pressure, annual vision checks, treatment of foot problems, correction of vitamin D deficiency, and home modifications including grab bars, better lighting, and removal of loose rugs.

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Menopause Treatment in Miami, FL

Menopause symptoms including hot flashes, night sweats, sleep disruption, mood changes, and vaginal dryness can be treated with hormone therapy for appropriate candidates, non-hormonal medications, vaginal estrogen, sleep and lifestyle strategies, and bone protection through vitamin D, calcium, and weight-bearing exercise.

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GLP-1 Weight Loss Medications in Miami, FL

GLP-1 receptor agonists are FDA-approved prescription medications that reduce appetite and slow gastric emptying, producing significant weight loss in appropriate candidates. They require physician supervision, cause nausea in many patients, vary widely in insurance coverage, and work best alongside nutrition, activity, and long-term follow-up.

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Flu, COVID-19, or a Cold? A Miami Doctor Explains

Influenza typically begins suddenly with high fever, body aches, and exhaustion. COVID-19 often includes sore throat, congestion, cough, and sometimes loss of taste or smell. A common cold builds gradually with congestion and sore throat and rarely causes high fever. Rapid testing distinguishes them accurately.

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Adult Vaccine Schedule in Miami, FL

Adults in Miami should stay current on annual influenza and COVID-19 vaccination, tetanus every ten years, shingles vaccination from age 50, pneumococcal vaccination from age 50 to 65 depending on risk, and RSV vaccination for older adults. Additional vaccines depend on chronic conditions and travel.

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Telehealth vs Office Visit in Miami, FL

Choose telehealth for follow-ups, chronic disease management, medication refills, lab result reviews, and minor acute illness. Choose an in-person office visit for physical examinations, new or undiagnosed pain, in-office testing such as bloodwork or EKG, procedures, vaccinations, Pap smears, and any concerning symptom.

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