Management

The most important measure is prevention of severe cardiovascular or ophthalmologic disease. Biannual or annual evaluation by a cardiologist is recommended. Smoking should be avoided at all costs and regular low-impact exercise, e.g., running, biking, and swimming, is encouraged. The use of acetylsalicylic acid is controversial as it lowers the risk of myocardial infarction yet may facilitate serious complications in case of gastric or intestinal hemorrhage. Calcium intake should be appropriate for development and age but excess should be avoided as it may worsen the clinical symptoms. Claudication may be treated with pentoxyfylline (Trental) 400 mg tid or cilostazol (Pletal) 50 or 100 mg bid. Biannual ophthalmologic examinations, avoidance of head trauma, and regular use of an Amsler grid are crucial. When angioid streaks become symptomatic, laser surgery may improve symptoms in about 50% of patients treated. Photodynamic therapy and macular translocation are fairly novel techniques that should be reserved for the most seriously affected. Skin changes are disfiguring and may occasionally respond to plastic reconstruction. While wound healing is not impaired, scars may spread as a result of the loss of elastic properties of the skin. The use of oral phosphate binders is currently under investigation.

Getting Started With Dumbbells

Getting Started With Dumbbells

The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.

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