Shin Beh, MD, FAAN, FAHS
@thedizzydoc
Founder, Beh Center for Vestibular & Migraine Disorders. Neurologist specializing in balance & migraine, with a focus on vestibular migraine, PPPD & MDDS
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I am often asked about if supplements are useful for vestibular migraine and if so, which ones. Yes, supplements can be effective for preventing vestibular migraine. Much of what we know and use come from studies of people with migraine.
When you find out @UHC @OptumRx told your patient timolol isn’t covered and they will need to pay $1800 for 3 months but you know it’s on @GoodRx for less than $20 a month…
That explains the grey hairs…
Training to be a doctor accelerates cellular aging. Telomeres shrank 6x faster in one study (worse with more hours). After 100-hour weeks and a peak of nine 26-hour shifts in a month, I’m banking on exercise and healthy habits to save me.
With any new medication, long-term safety is of high concern, especially in chronic disorders like migraine. It’s very encouraging to see more evidence that CGRP meds are safe for long-term use thelancet.com/journals/laneu…
An honor to speak to the Acoustic Neuroma Association about postoperative headache management today
Let me tell you how pharmacy benefit managers (PBMs) “save” money for employers and customers. My patient has @OptumRx (owned by @UHC). They told her a 90 day prescription of good ol generic timolol eye drops will cost her $2000. She gets it from @costplusdrugs for $24.56
TODAY IS THE DAY! The #MigraineWorldSummit starts Day 1 of its 10th year of bringing you direct access to leading neurologists, researchers, patient advocates, and experts in the field of #Migraine and headache medicine. For your FREE registration: bit.ly/mwssm
In case you didn’t know, this account is the PBM lobby. PBMs force patients to switch from generics to more expensive brand names because they get kickbacks (rebates) from the manufacturers. You can just assume that what PCMA supports is bad for healthcare.
Bills would encourage more generic and biosimilar competition in the Rx market to help lower costs for patients. pcmanet.org/press-releases…
@elonmusk “What is a PBM?” Imagine if there were 3 banks that offer vehicle financing. These 3 banks have 79% of market. These 3 banks are also each individually owned by Ford, GM, Toyota You sell @Tesla vehicles. These 3 banks 100% decide what you get paid for vehicle,…
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