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I was in a park field with the kids this afternoon and getting stung by mosquitos like they had never seen me before. This got me to wondering what the first symptoms of West Nile Virus would be.

After a bit of a search around I was able to find a great faq of info from the CDC on what and how to tell if you have West Nile Virus.

Q. What are the symptoms of West Nile virus (WNV) infection?
A. Infection with WNV can be asymptomtic (no symptoms), or can lead to West Nile fever or severe West Nile disease.

It is estimated that about 20% of people who become infected with WNV will develop West Nile fever. Symptoms include fever, headache, tiredness, and body aches, occasionally with a skin rash (on the trunk of the body) and swollen lymph glands. While the illness can be as short as a few days, even healthy people have reported being sick for several weeks.

The symptoms of severe disease (also called neuroinvasive disease, such as West Nile encephalitis or meningitis or West Nile poliomyelitis) include headache, high fever, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, and paralysis. It is estimated that approximately 1 in 150 persons infected with the West Nile virus will develop a more severe form of disease. Serious illness can occur in people of any age, however people over age 50 and some immunocompromised persons (for example, transplant patients) are at the highest risk for getting severely ill when infected with WNV.

Most people (about 4 out of 5) who are infected with West Nile virus will not develop any type of illness (an asymptomatic infection), however you cannot know ahead of time if you’ll get sick or not when infected.

Q. What is the incubation period in humans (i.e., time from infection to onset of disease symptoms) for West Nile disease?
A. Usually 2 to 15 days.

Q. How long do symptoms last?
A. Symptoms of West Nile fever will generally last a few days, although even some healthy people report having the illness last for several weeks. The symptoms of severe disease (encephalitis or meningitis) may last several weeks, although neurological effects may be permanent.

Q. What is meant by West Nile encephalitis, West Nile meningitis, West Nile poliomyelitis, “neuroinvasive disease” and West Nile fever?
A. The most severe type of disease due to a person being infected with West Nile virus is sometimes called “neuroinvasive disease,” because it affects a person’s nervous system. Specific types of neuroinvasive disease include: West Nile encephalitis, West Nile meningitis, West Nile meningoencephalitis and West Nile poliomyelitis. Encephalitis refers to an inflammation of the brain, meningitis is an inflammation of the membrane around the brain and the spinal cord, meningoencephalitis refers to inflammation of the brain and the membrane surrounding it, and poliomyelitis refers to an inflammation of the spinal cord.

West Nile Fever is another type of illness that can occur in people who become infected with the virus. It is characterized by fever, headache, tiredness, aches and sometimes rash. Although the illness can be as short as a few days, even healthy people have been sick for several weeks.

Q. If I have West Nile Fever, can it turn into West Nile encephalitis?
A. When someone is infected with West Nile virus (WNV) they will typically have one of three outcomes: No symptoms (most likely), West Nile fever (WNF in about 20% of people) or severe West Nile disease, such as meningitis or encephalitis (less than 1% of those who get infected). If you develop a high fever with severe headache, consult your health care provider.

West Nile fever is characterized by symptoms such as fever, body aches, headache and sometimes swollen lymph glands and rash. West Nile fever generally lasts only a few days, though in some cases symptoms have been reported to last longer, even up to several weeks. West Nile fever does not appear to cause any permanent health effects. There is no specific treatment for WNV infection. People with West Nile fever recover on their own, though symptoms can be relieved through various treatments (such as medication for headache and body aches, etc.).

Some people may develop a brief, WNF-like illness (early symptoms) before they develop more severe disease, though the percentage of patients in whom this occurs is not known.

Occasionally, an infected person may develop more severe disease such as “West Nile encephalitis,” “West Nile meningitis” or “West Nile meningoencephalitis.” Encephalitis refers to an inflammation of the brain, meningitis is an inflammation of the membrane around the brain and the spinal cord, and meningoencephalitis refers to inflammation of the brain and the membrane surrounding it. Although there is no treatment for WNV infection itself, the person with severe disease often needs to be hospitalized. Care may involve nursing IV fluids, respiratory support, and prevention of secondary infections.

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Tags: A. Infection, aches, asymptomatic infection, coma, convulsions, disorientation, encephalitis, fever, headache, inflammation, meningitis, meningoencephalitis, muscle weakness, neuroinvasive disease, paralysis, Poliomyelitis, rash, secondary infections, skin rash, stupor, tiredness, tremors, West Nile disease, West Nile fever, WNV infection

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Sertraline is used medically mainly to treat the symptoms of depression and anxiety. It has also been prescribed for the treatment of obsessive-compulsive disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, panic disorder, and bipolar disorder. It was first approved by the FDA in 1991. The patent for this brand-name drug expired in December 2005. It is anticipated that the generic drug will be available in the United States in June of 2006, manufactured by Andrx, Aurobindo, Genpharm, Ivax, Mylan, and Roxane. In Scandinavia a generic drug called Sertralin, manufactured by HEXAL is available. The price differences between Zoloft and Sertralin are as high as 1.50 dollars per pill.

Sertraline can have a number of adverse effects, including insomnia, asthenia, gastrointestinal complaints, tremors, confusion, dizziness, anorgasmia, and decreased libido; it can induce mania or hypomania in around 0.5% of patients. It has also been known to cause minor weight loss. It is contraindicated in individuals taking MAOIs or undergoing electroconvulsive therapy.

Until 2003 Zoloft was only approved for use in adults ages 18 and over; that year it was approved by the FDA for use in treating children ages 6 to 17 with extreme obsessive compulsive disorder. In June, 2004, Britain banned the use of Zoloft by minors and in February, 2005, Pfizer was forced to change the labeling of Zoloft to include information regarding increased incidences of suicidal behavior and depression in adolescent users of the drug. According to mentalhealth.com, Zoloft is not currently recommended or advised for use in individuals under the age of 18. After these changes, multiple incidences and at least one medical study showed an increased risk of suicide in seniors who were taking Zoloft. In response to these findings, the FDA released a public health warning. This warning indicates that anyone currently using Zoloft for any reason has a greater chance of exhibiting suicidal thoughts or behaviors regardless of age. This warning is questionable, however, due to the types of illnesses Zoloft is used to treat, it is impossible to determine if these tendencies are a side effect of the drug or the illness the drug is meant to treat.
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Tags: bipolar disorder, Britain, depression, director, dizziness, dysphoric disorder, electroconvulsive therapy, fda, FDA's Office of Generic Drugs, food and drug administration, Gary J. Buehler, generic drug applications, insomnia, Ivax, major depressive disorder, mania, Mylan, name prescription products, obsessive compulsive disorder, Office of Generic Drugs, panic disorder, pfizer, post-traumatic stress disorder, retail sales, Scandinavia, Sertaline Sertraline, Sertraline, sertraline hydrochloride, Sertraline tablets, treatment of major depressive disorder, treatment of MDD and some anxiety related disorders, treatment of obsessive-compulsive disorder, tremors, United States, USD, Zoloft, Zoloft tablets

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I found this list of some common supplements used in weight loss from the Blue Cross of of Massachusetts. This list even includes some warnings where needed:

Chromium Supplement

This mineral, found in tiny amounts in almost all foods, helps the body burn fat, build muscle, and control blood sugar. A little chromium is essential to good health, but does that mean extra chromium must be extra healthy?

Supplement marketers and manufacturers claim that chromium pills are a shortcut to the perfect body, but the benefits are far from certain. For one thing, chromium is a nutrient and not a drug, which means it can only help people who don’t get enough chromium in their diet. And while a few studies have found that chromium supplements apparently lead to small gains in muscle and modest weight loss (as in roughly 2 pounds of fat lost per month), several recent studies have found no such effects.

Richard A. Anderson, lead scientist at the United States Department Of Agriculture’s Beltsville Human Nutrition Research Center, has studied chromium supplements in many contexts over the last 20 years, and he’s never seen the supplements change a person’s body weight. Dr. Anderson summed up his opinion of the supplements in the September, 1998, issue of the journal Nutrition Reviews: “Chromium is only a small part of the puzzle in weight loss and body composition, and its effects, if present, will be small compared with those of exercise and a well-balanced diet.”
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Tags: American Medical Association, bloating, chemical, Columbia, Columbia University, diabetes, diarrhea, Editor, energy, ephedra product, FDA's Office of Over, food and drug administration, HCA, headaches, Health and Human Services Secretary, heart attack, heart attacks, high blood pressure, hypertension, India, insomnia, kidney disease, neurologic disorders, numerous injuries, obesity, over-the-counter products, Pittsburgh Medical Center, Robert Sherman, seizures, stroke, strokes, the International Journal, the Journal of the American Medical Association, Tommy G. Thompson, tremors, United States, University of Pittsburgh

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