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Boost Your Immune System this Summer

Boost Your Immune System This Summer

The sun’s shining and businesses are starting to reopen. While we’re relieved our numbers of COVID19 patients hasn’t overwhelmed our hospitals and medical system, we continue to be concerned about the threat of the virus. The majority of the most serious cases have happened in older adults with pre-existing conditions. This means keeping ourselves healthy has never been more important.

The best way to protect ourselves from any germs is to wash your hands using soap and water for twenty minutes and stay away from people who are sick. We can also protect others by wearing a mask when we go in public in case we’re the ones who are sick and don’t know it.

In addition to those important steps, we can boost our immune system with some pretty basic steps.

Eat Well

Our immune system comes from our gut. So, it is especially important during these times of reopening our world that we incorporate foods that boost our immune system. These foods and vitamins include:

  1. Protein – this helps with healing and recovery so make sure each meal or snack has a good source such as lean meats, eggs, seafood, poultry, nuts, seeds, soy products, etc
  2. Vitamin A – prevents infection. Foods that contain Vit A are sweet potatoes, broccoli, and carrots.
  3. Vitamin C – fruits like oranges, red bell pepper, etc contain vitamin c which helps build up the immune system.
  4. Vitamin E – foods such as cereal, almonds, and peanut butter contain this vitamin and is good to help with building immunity
  5. Zinc – helps with would healing. Foods such as milk, lean meats, and whole grains contain zinc.
  6. Other vitamins to help with immunity are B6, B12, Copper, Folate, Selinium, and Iron. These come in a variety of different foods. This is why it is so important to strive for a balanced plate of whole grain, vegetables, and lean proteins with each meal and snack. 

Sleep Soundly

A National Institutes of Health study shows adults who sleep fewer than 6 hours every night are more prone to illness. Adults should get at least 7 hours of sleep every night. Teens need 8-10 hours of sleep and children up to 14 hours of sleep. So these long days with no school where your teen sleeps in until almost noon may be helping him stay healthy.

Some environmental factors which we can control that affect sleep include:

  1. Alcohol (which may help you fall asleep initially but is more likely to disrupt your sleep later and keep you from getting in the hours you need)
  2. Heavy meals
  3. Nicotine
  4. Caffeine
  5. Blue lights from electronics

We can’t control all the factors that lead to a poor night’s sleep. Stress, tension, anxiety, and depression can all interrupt our sleep. And we can agree there’s plenty of all those emotions to go around right now. If you’re struggling with these issues talk to a counselor. Finding strategies to cope with stress and depression will not only help you sleep more soundly but it can boost your immune system as well.

Some illnesses such as acid reflux or allergies and sinus problems may also inhibit sound sleep. You’ll want to talk to your medical provider about treatment not only for your sleep but for your long term health.

Water it down

Water is important to our overall health which is important for our immune system. See how that works? We all need to drink enough to make our urine pale yellow. Let your body be your guide. When you’re thirsty drink until you aren’t thirsty anymore. 

Exercise, especially outside in warm weather, will use up our water stores more quickly. Keeping a bottle of water on hand during and after exercise is an important part of staying hydrated.

The internet has plenty of suggestions on how much water you need to drink every day. As long as you are staying hydrated–the pale yellow urine will let you know if you are–you’re doing great. 

Move it, Move it

Our body systems weren’t built to be sedentary. We’re made to work and exercise regularly. Especially for those of us who are used to working hard but have been laid off this sudden shift can be hard on our bodies. Plan some time to exercise. Walk around the neighborhood. Hike where you can observe social distancing rules. Ride your bike. Plant a garden. We can do a lot without fancy gym equipment.

Many exercise gurus and gyms are offering virtual workouts. Find one and join in. 

In addition to making our bodies healthier, exercise can help alleviate stress.

We can’t offer a fool-proof way to protect yourselves against the Coronavirus. If we could we’d all be back at work with no concerns by now. We can help you create a healthier body so you can fight back against all types of illnesses including the current COVID-19 crisis.

No Need to Blush: Rosacea Causes, Symptoms, and Treatment

No Need to Blush: Rosacea Causes, Symptoms, and Treatment

Nobody likes to talk about rashes, but when the breakout affects your face it’s hard to hide. Rosacea, a skin condition that involves red, pus-filled bumps on the face, can strike at any age, but it’s more common to affect light-skinned women over the age of 30. Because the condition is usually limited to the face, it can affect a person’s self-confidence, lead to embarrassment, isolation, and depression.

How does Rosacea start?

Rosacea often begins with easy flushing or blushing of the face before bumps appear. The condition includes three subtypes, each with a unique set of symptoms. Although no one knows the exact cause of rosacea, patients who have a family history of it are at a higher risk. Some doctors believe environmental factors like the following could contribute to a flare:

  • eating spicy foods
  • eating items that contain the compound cinnamaldehyde, such as cinnamon, chocolate, tomatoes, and citrus
  • drinking hot coffee or tea
  • having the intestinal bacteria Helicobacter pylori
  • a skin mite called demodex and the bacterium it carries, Bacillus oleronius
  • the presence of cathelicidin (a protein that protects the skin from infection)

Types of Rosacea


Includes facial redness and blushing on the forehead, nose, cheeks and chin

Visibly broken blood vessels

Skin may be sensitive and swollen or it may itch and burn

Dry, rough or scaly skin

Sub-type 2

Acne-like breakouts that tend to come and go

Oily skin

Sensitive skin that may burn and sting

Visibly broken blood vessels

Raised patches of skin

Sub-type 3

A person usually exhibits symptoms of one of the other sub-types before this sub-type appears. It’s rare and happens more often in men than in women.

Skin takes on a bumpy texture

Skin thickens most commonly on the nose but may also thicken on forehead and cheeks

Oily skin

Pores look large

Visibly broken blood vessels

Sub-type 4

Rosacea can affect the eyes. When it does a person will have one or more of these symptoms:

Eyes feel gritty, burn or sting, may be very dry or itch

Eyes are sensitive to light

Visibly broken blood vessel in eye

Cysts form on the eyelid

Vision impairment

Why should I seek treatment?

Untreated rosacea can lead to permanent redness and other skin changes. Your doctor or dermatologist can help you reduce and clear the signs of a flare-up and reduce the chances you’ll experience another flare. You’ll probably talk about triggers that cause your rosacea to become worse and how to protect your skin from sun damage which can make rosacea worse.

If you’ve noticed any of the above symptoms, it’s time to schedule an appointment with your primary care provider or a dermatologist. And if you want to learn more about rosacea, the American Academy of Dermatology has a great section dedicated just to this issue.

Delayed Vaccine Schedule Contributes to Resurgence of Preventable Illnesses

Delayed Vaccine Schedule Contributes to Resurgence of Preventable Illnesses

In 2018, the U.S. began to see a resurgence fo once eradicated illnesses like chicken-pox and measles. These vaccine-preventable diseases cropped up more commonly in areas with fewer immunized children. Parents who choose not to immunize their children may be in the minority, however, another one-third of parents are choosing to delay vaccination. Instead, they are following their own timeline.

A study published in Pediatrics magazine found parents based their decision to delay vaccination on their own research versus their doctor’s recommendations. As a result, the United States is seeing a return of diseases that had once been eradicated in this country. 

Delaying vaccination opens children to preventable diseases when they are most susceptible to the negative impact of those diseases. 

We encourage open communication with our doctor and nurse practitioners about your concerns around the recommended vaccine schedule. Your provider can guide you to additional reputable resources and help you make the best choices to protect your child and your family. We support childhood vaccinations and the recommended schedule, but medicine should always be a two-way conversation. Your concerns are important to us. 

Our clinic offers the full schedule of childhood vaccines for children covered by Medicaid including kindergarten vaccines. Please call us for an appointment for your child’s well-child visit, concerns about your child’s health, and to schedule vaccines.

Managing Diabetes Amid Coronavirus Pandemic

Managing Diabetes Amid Coronavirus Pandemic

As if our patients with Type 2 Diabetes didn’t have enough to worry about, they’re now listed in the category at the highest risk of complications from the current Coronavirus pandemic. Following the CDC guidelines to wash your hands frequently, maintain a six-foot distance from people when you must go out, and staying home as much as possible is even more important for these patients. We’re working with our diabetes patients to ensure they maintain a great quality of care while protecting their health during these difficult days.


The American Diabetes Association put together some great resources on preparing to stay home long-term during the Coronavirus pandemic. They also offer guidance on how to take action if you do become sick. You can access that information here.


One of the ADA’s recommendations is to have extra refills on your insulin and to always have enough insulin on hand for the week ahead. These instructions can cause financial hardship. Some people also worry it will cause a shortage of insulin supplies. Three of the largest insulin providers in the US made statements earlier this month that their supply is stable. If for some reason your pharmacy doesn’t have enough of your insulin on hand, ask them to check with other area pharmacies if you can’t wait.


Eli Lilly announced earlier this month that they would cap costs for most monthly insulin refills for commercially insured or uninsured patients at $35. We aren’t sure at this time if other insulin companies will follow suit. Buying insulin and other diabetic supplies and medication isn’t cheap. Patients of Mantachie Rural Health Care can request a 340B pharmacy card from our office at the time of their next appointment. If you’re an established patient, you can call our office to learn more. This card reduces prescription costs for thousands of medications. How much your cost is reduced depends on your insurance coverage and the medication.

We want to keep all our patients healthy and thriving during these uncertain times. We’re passing along as much information as possible to keep you updated. If you have questions about your diabetes treatment or management of other chronic illnesses, call our office for an appointment.

Are Homemade Face Masks Effective Against Coronavirus?

Are Homemade Face Masks Effective Against Coronavirus

When the Coronavirus emerged in the United States earlier this year and even as cases soared in March, the CDC did not recommend average Americans wear a face mask. They made this recommendation due to a short supply of N95 and surgical face masks which were needed by medical personnel on the frontlines of the pandemic. In early April, however, the CDC did an about-face and suggested all Americans wear a face mask when in public.

Medical grade face masks continue to be in short supply, and we encourage our patients and community members to reserve those masks for medical personnel. While homemade face masks aren’t ideal, they are a better option than heading to the grocery store without a face mask at all. We want our patients to be safe and healthy, which starts with having good information. Here’s how you can protect yourself best from the spread of COVID-19.

  • Stay home except for essential travel to pick up groceries or prescriptions, attend a doctor’s appointment, or go to work at an essential business. 
  • Keep six-feet from other people when you must go out. Social distancing reduces the risks you’ll be hit by virus-infected spray if someone near you coughs or sneezes or talks to you.
  • Wash your hands. Wash your hands. Wash your hands. Wash with soap and water frequently, especially if you must go out. Use hand sanitizer if soap and water are not convenient. 
  • Don’t touch your face. The virus spreads when it enters your body through your mouth or nose. If you have the virus on your hands, you’ll ingest it when you touch your face.
  • Wear a mask if you must go out in public.

How Masks Protect You

They don’t. Masks you wear aren’t for your protection they are for the protection of those around you. Research shows that some people may spread the virus up to 48 hours (2 days) before they show symptoms. Another 25% of people who have the virus show no symptoms at all. Wearing a mask keeps you from spreading a virus you don’t know you have to other people by catching the droplets of virus-laden spit as it escapes your mouth when you talk or cough.

Masks protect you when everyone else wears one.

They may also protect all us by becoming an ever-present reminder of our current pandemic. Seeing others wearing a mask reminds us to keep six feet away from others and to be aware of our personal hygiene.

Best Material for Your Homemade Face Masks

Nothing protects as well as medical-grade masks, but the average American doesn’t need a medical-grade mask, so we’re looking for suitable alternatives. After all, some protection is better than no protection at all. Research testing the best materials for homemade face masks studied breathability and filtration of multiple materials. The test found cotton material like bedsheets or T-shirts made the best masks.

Not all material is made equal. Researchers suggest holding material up to a bright light. If you can see through the material it’s not thick enough. You may also want to double up the material and/or add a coffee filter to the inside. 

The CDC offers several mask patterns for both seamstresses and those of us who can barely thread a needle. Other mask patterns may be found across the internet. 

Dangers of Homemade Face Masks

Masks only catch a certain amount of virus particles. They aren’t a fail-safe option. If we cling to our mask as our only protection and relax other measures we risk a rise in infection rates. We must continue to stay home as much as possible, especially if we are sick. And we have to keep washing our hands, stop touching our faces, and keep maintaining our distance from other people. 

Homemade masks can become a breeding ground for bacteria and viruses, including the Coronavirus. If your mask catches the virus spray, then you touch the outside of the mask, the virus is now on your hands. To make cloth masks more effective, they need to be washed after every use and changed out if they become wet during use. Remove the mask from your face by the ear bands or strings. Throw disposable masks away after one use and put reusable masks in the wash.

Have you made homemade masks? Show us a picture in the comments.

Under Control Asthma Best Defense Against Coronavirus Complications

Under Control Asthma Best Defense Against Coronavirus Complications

Both the CDC and American College of Allergy, Asthma, and Immunology list asthma sufferers at high risk of experiencing the most severe effects of the coronavirus. While no studies have shown asthma patients are at an increased risk of contracting the virus, the illness affects the lungs making it hard to breathe. Without available research, doctors have placed patients with mild or moderate asthma in the “at risk” group and those with severe asthma in the “extremely vulnerable” group.

The best way to prevent severe effects from the virus is to avoid contracting the virus. Stay home if at all possible

If you must go out for groceries or medications stay at least six feet from other people.

  • Wash your hands frequently.
  • Don’t touch your face.
  • Sneeze or cough into a tissue, then throw it away.

For asthma patients, now is not the time to slack up on daily medications. Controlled asthma reduces the chances of asthma attacks and complications. Continue taking medication as prescribed by your doctor and avoid asthma triggers.

Patients also need to ensure their rescue inhaler is not expired. If needed, your provider can work with your pharmacy and insurance company to ensure you have on hand the medication needed for prolonged shelter-in-place orders. Keep 30 days of over-the-counter medication, such as acetaminophen, in stock as well.

In addition to having a supply of your asthma medication, you’ll need to ensure your asthma action plan is updated. This plan includes your peak flow numbers when you are well for comparison should you become ill. Your asthma action plan includes steps to take should your asthma become worse due to exposure to asthma triggers, coronavirus or other viruses.

Staying well and boosting a strong immune system is our best defense against complications from the coronavirus.

Managing the Effects of Social Distancing on Mental Illness

Managing the Effects of Social Distancing on Mental Illness

Social distancing is important to slow the spread of the coronavirus. However, it can have unintended mental health consequences. We as humans are designed to be social, to interact with one another, and even to respond to positive touch. While we don’t have a lot of studies surrounding quarantine and isolation, the few studies conducted following the 2004 SARS outbreak show an increase in anxiety and depression. As social distancing drags on, we can expect to see more people suffering from mental illness.

If we could squash the coronavirus and end social distancing today, we would. We would have ended it a month ago if that was in our power, but it’s not. We can, however, recognize what’s happening around us and take steps to care for our mental health and the health of others around us every day.

Admit the truth about our new world

Almost everyone feels a bit “off” right now. We’ve all been affected whether by losing a job, being sent home to telecommute, not being able to find the supplies we need in stores, or being directly exposed to or sick with the virus. Nothing about this situation is okay, and the first step to managing our mental health is to admit it.

Our emotions can range from fear and anxiety to depression and boredom to anger. Admit your emotions and give yourself permission to say this situation isn’t okay. Then think about what parts of the situation you can control.

Stay connected

While we may not be able to hang out with friends after work or have dinner with our extended family, we can take advantage of technology to stay connected. Plan a virtual happy hour with friends online. Video chat with family members. Text friends and check in with them on a daily basis. 

Pay particular attention to friends or family members who have suffered from anxiety, depression or loneliness in the past and older adults who live alone. These groups tend to have the hardest time managing the anxiety and depression that comes along with social distancing.

Temper your expectations

Gwyneth Paltrow suggests we use this time away from school and work to learn a new language, pick up an instrument or read a book. Those expectations set the bar pretty high. If you’re doing good to keep up your kids’ homeschool assignments while managing your telecommuting work let that be enough. Taking up a new hobby that doesn’t include monitoring the news every fifteen minutes is a great way to pass the time, but don’t expect your piano skills to be ready for Carnegie Hall in four weeks.

Creating unrealistic expectations for yourself during this time only increases your stress levels.

Create a routine

Routines won’t cure everything, but they place something back into your control. Include time for exercise and being outdoors if you can manage it while observing social distancing rules. Luckily in Mississippi, most of us can.

Staying busy keeps our minds off the news and the fears about job security, paying the bills, and access supplies.

Limit news access

Just because news is available 24/7 doesn’t mean we need to consume it during all those hours. Increased news and social media consumption lead to increased anxiety and depression. Set specific times each day that you’ll check the news and select reputable news sources.

We wish improving and protecting your mental health during these days of uncertainty was as easy as following a few bullet points. We know it’s not. These points can help you find a clear path to managing the anxiety and fear that lives among almost all of us right now. The one thing we ask you not to do is numb your emotions using drugs and alcohol.

If your depression, anxiety, or other mental health concerns are affecting your everyday life, it’s time to get some help. Call our mental health clinic at 662-282-4359 to talk to a counselor about options available for you. Don’t suffer alone. Ask for help.

For additional suggestions on managing fear and anxiety during the days ahead check out this article from PSYCOM.

Teen Drug Use and Abuse Lowest in Two Decades

Teen Drug Use and Abuse Lowest in Two Decades

In a bit of good news, teen drug use and abuse is holding steady at the lowest levels in two decades! We’re excited to Gen Z leading healthier lifestyles that don’t involve alcohol, drugs, or tobacco. Just because more teens than ever are choosing to avoid drugs doesn’t mean the issue has completely gone away. Parents of teens must continue to be aware of the most commonly used drugs by teens and attentive to their teen’s behavior.

Every generation has a drug of choice, usually due to ease of access and sometimes media popularity. Gen Z’s no different. According to a Monitoring the Future survey of teens about drug use, the following substances topped the list of most commonly used and abused drugs.


Although alcohol use among teens has declined steadily since 1980, it remains the most commonly used and abused substance. The majority of adults who enter treatment programs for alcohol abuse began drinking before age 17. Currently, 33% of 12th graders, 19.7% of 10th graders, and 8% of 8th graders reported having used alcohol in the last 30 days.


The next most popular substance among teens is marijuana. As states pass medical and recreational marijuana laws, the substance becomes easier to access. In 2017 (the latest year for which we have data), 22.5% of high school seniors reported using marijuana. In 2016, the number of teens using marijuana surpassed those smoking cigarettes. The younger a person is when they began to experiment with marijuana, the more likely they are to experience negative side effects over their lifetime. Although laws regarding this substance for adults continue to change, it’s important to discourage the use of the substance among teens.


E-cigarettes and other tobacco products fill the number 3 and 4 spots on the list of most commonly used and abused substances by teens. Vaping is more easily concealed than smoking cigarettes and, when available, flavored e-cigarettes were an appealing alternative to other tobacco products. In the survey, 27.8% of high school seniors reported vaping in the last thirty days. In comparison, only 8% of high school students report smoking cigarettes in the last 30 days. 


We started with good news and we’ll end with good news. Opioid use among teens continues to decline. Among high school seniors, 4.7% reported misusing opioids (taking them not according to or without a prescription). This does not include heroin use. Most opioid misuse among teens is from prescription drugs not heroin. The number of teens misusing opioids does grow as teens reach 18. 

Through all this good news, we must continue to talk to our teens about the dangers of drug use. Some teens use drugs to fit in with a social crowd, while others may use it as an escape for their current situation.

Everyone’s excited to share a little good news, especially during a time when bad news is so prevalent. However, if your child is part of the percent using or abusing these or any other substances the good news can be bittersweet.

If your teen is exhibiting changes in behavior, a lack of desire to participate in activities they previously enjoyed, or you find your teen using drugs or alcohol, reach out to our counselors or a teen addiction program. Finding help for your teen and your family is the first step toward healing. 

Read more about the drugs most commonly used and misused by teens here.

Technology Makes Diabetes Care Easier

Technology Makes Diabetes Care Easier

Managing diabetes can feel like a fulltime job when you add together food preparation, activity tracking, and blood sugar monitoring. Over the last twenty years, the technology surge benefitted diabetes management in major ways. We’ve transitioned from manual monitoring of blood glucose levels and calculation of insulin to devices that do the work for us.  We’re glad to see technology remove some of the burden from our patients. If you aren’t familiar with the available technology take a look at these options.

Continuous Glucose Monitoring

For decades, diabetes patients endured multiple finger pricks every day to monitor their blood glucose levels. Continuous glucose monitoring (CGM) devices now monitor a patient’s blood sugar every five minutes. No finger pricks or time out from the patient’s activities required. The CGM sensor is applied to the abdomen just under the skin and must be replaced every 10-14 days depending on the monitor type.

A transmitter attached to the monitor sends updates to a mobile or another device. These devices update the patient when glucose levels begin to rise or fall. This continuous monitoring allows patients to see the realtime effect of specific foods on their blood sugar levels.

Some CGMs require two-finger sticks each day to calibrate the device while others require no calibration.

Insulin Pumps

Insulin pumps automatically deliver insulin throughout the day and at mealtime which allows diabetes patients to reduce the number of needle sticks. The device makes calculating the correct dosage of insulin easier and more accurate. It may also help lower A1c levels. 

Some downsides to insulin pumps include having to monitor your blood sugar more closely, changing out the pump site regularly, and entering information into the pump throughout the day. The device can be helpful for patients who are ready to learn to how to use new technology. Or for patients who aren’t concerned about having a device attached to their bodies. In good news, insulin pumps aren’t permanent. Many patients use them for a while then revert to manual insulin injections. This allows the pump site to rest at times.

Close-Loop Pump and CGM

The ultimate technology for a diabetic patient is a closed-loop CGM and pump combination. This technology works as an artificial pancreas by monitoring glucose levels and delivering insulin to lower blood sugar or glucagon to raise blood sugar based on those numbers. A true closed-loop system hasn’t been completely developed, yet, but several companies are close. Many companies already offer hybrid solutions that monitor blood sugar and deliver insulin. They alert patients to low blood sugar levels but cannot deliver glucagon. 

Smart Pens

Tired of being connected to a pump all the time, but enjoy the benefits of having your glucose levels recorded throughout the day? Smartpens offer an alternative to insulin pumps. The pens connect to smartphones or other devices to store up to a year’s worth of dosing information. They work with refillable cartridges. Each pen has different capabilities based on the company that developed it. Some allow users to set reminders to check blood sugar and administer insulin. They also allow users to send dosing and blood sugar level data to multiple email addresses. 

Whether you’re techno fan or not, we can’t ignore the benefits of technology to managing diabetes and making it easier to keep doing life on your own terms while maintaining your health. Pricing for these devices and availability varies, as does whether or not a device is right for your personal diabetes management plan. As always talk to your provider about all the options available to you. And for an update on emerging technologies and a glimpse into what could be coming in the next year or two, check out this article from Healthline.

Avoid Rebound Congestion from Your Nose Spray This Allergy Season

Before you reach for your nasal spray, consider whether rebound congestion may be causing your allergy congestion to last longer than it should.

Allergy season is blooming with every flower that pops its head from the dirt. Before you reach for your nasal spray, consider whether rebound congestion may be causing your allergy congestion to last longer than it should.

Allergies inflame the blood vessels in your nasal passages. Nasal decongestion sprays such as Afrin reduce the swelling and allow you to breathe again. Ah, sweet relief. 

These sprays reduce the amount of blood flowing to these vessels. In response, it may cause those vessels to work harder to restore the blood flow. This overcompensation causes more swelling in your nose and more congestion, which often leads to using more nasal spray.

Nasal decongestant sprays include over-the-counter sprays such as Oxymetazoline hydrochloride (Afrin, Dristan, Sinex) and phenylephrine hydrochloride (Neo-Synephrine). Doctors suggest using these sprays for a maximum of three days. They also suggest using the minimum number of doses per day to reduce the chances you’ll develop rebound congestion. 

What about other nose sprays?

Steroid nose sprays such as budesonide (Rhinocort Allergy), fluticasone (Flonase Allergy Relief), and triamcinolone (Nasacort Allergy 24HR) do not work the same way as decongestant sprays and may be used for years without rebound congestion. These sprays have their own set of side effects such as headache, nosebleed, sore throat or cough. These sprays work well to reduce the symptoms of allergies, but it can take up to a week to notice the effects. If you suffer from allergies frequently, talk to your provider about starting this type of nose spray when the season changes.

What other remedies can you use?

Outside of medicine, you can do a lot to relieve the symptoms of seasonal allergies. Saline nasal sprays and neti pots are natural, safe ways to help manage your symptoms. The neti pot flushes mucus and allergens from the nose. A note of caution though, be sure to use sterilized water and clean them well to avoid serious infections.

In short, don’t discount the help a nasal decongestant may provide as a short term solution to seasonal allergies. Just make sure you pair it with a longer-term solution. If you’ve been using these nose sprays too often for too long make an appointment with your provider to find relief from your congestion.

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