Topic: Clinical Resources
Why Do Health Disparities Exist If Race Is a Social Construct?
For years, we’ve heard a well-intentioned statement repeated in medicine and academia: “Race is a social construct.” At a high level, that statement is true. The genetic differences between humans are small—over 99.99% of our DNA is shared. But somewhere…
Gynecomastia vs. Pseudo-gynecomastia in African American Men: The Role of Lifestyle, Hormones, Marijuana, and Alcohol
Gynecomastia vs. Man-Boobs Enlargement of male breast tissue, sometimes called “man-boobs,” is a common but often overlooked condition that can significantly affect physical health, self-image, and psychological well-being. It is more common in older Black men. Pseudo-gynecomastia, also known as…
African Americans Fear Medication Side Effects
African Americans Fear Medication Side Effects I had a patient come with a number of complaints related to joint pain. His chronic pain was causing him anxiety about his quality of life, and all of these concerns made him feel…
Uterine Fibroids and African American Women
Uterine Fibroids and African American Women Uterine fibroids disproportionately affect African American women, leading to a higher prevalence and more severe symptoms compared to other racial groups. This disparity can result in adverse health outcomes, such as increased rates of…
Erection Problems in African American Men and Solutions
BLACK MEN HAVE ERECTION PROBLEMS TOO! Studies reveal that approximately 40% of Black men over the age of 40 experience some form of erection problems also called "erectile dysfunction." This prevalence increases with age and with increasing chronic disease burden,…
Cholesterol Medicine Intolerance in African Americans
When my patients have high cholesterol levels, I frequently suggest starting a statin (a cholesterol medicine) to bring the levels down and, therefore, lower their risk for heart attack, stroke, and circulation problems. Many are scared to start the medications…
Metformin Intolerance in African Americans
"I DON'T WANT METFORMIN" When my patients get diagnosed with diabetes, the first medication I want to prescribe is metformin. Almost immediately, my patients pushed back, saying metformin is "a terrible medication" and, "isn't there something else they can try…
Calcium Causes More Advanced Cancer in Black Men
Calcium and Prostate Cancer A number of studies have found that higher calcium intake was associated with an increased risk of advanced prostate cancer, specifically in Black men. Black men who consumed more milk and dairy products tended to have…
HbA1c Diabetes Test is Inaccurate in African Americans
If you have diabetes, there is no question your doctor has measured your hemeglobin-a-1-c (HbA1c). The HbA1c measures the average blood sugar level over the past three months. It provides valuable information about long-term blood sugar control and helps healthcare…
Low WBC in African Americans is Likely Not a Problem
Is There Something Wrong With Me? I have had several patients ask me why the white blood cell (WBC) count on their CBC (complete blood count) panel was flagged (or red) as abnormal. After digging deeper into the lab result,…
