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स्वास्थ्य सचिव से प्रांतीय चिकित्सा सेवा संघ प्रतिनिधिमंडल की सकारात्मक वार्ता, अध्ययन अवकाश पर मिला आश्वासन

देहरादून, । प्रांतीय चिकित्सा सेवा संघ के एक प्रतिनिधिमंडल ने संघ के प्रांतीय अध्यक्ष डॉ. मनोज वर्मा के नेतृत्व में स्वास्थ्य सचिव डॉ. आर. राजेश कुमार से मुलाक़ात कर चिकित्सा समुदाय से जुड़ी विभिन्न लंबित मांगों पर विस्तृत चर्चा की। इस अवसर पर प्रतिनिधिमंडल ने राज्य के विशेषज्ञ चिकित्सकों से संबंधित प्रमुख समस्याओं को विस्तारपूर्वक प्रस्तुत किया।
वार्ता के दौरान संघ ने विशेष रूप से उन विशेषज्ञ चिकित्सकों के हित में बात रखी जो वर्ष 2016 और 2017 में पोस्ट ग्रेजुएशन हेतु गए थे। इन्हें अनुमन्य किए गए असाधारण अवैतनिक अवकाश को अवैतनिक अध्ययन अवकाश में परिवर्तित किए जाने की माँग प्रमुखता से उठाई गई। यह परिवर्तन न केवल सेवा पुस्तिका में स्पष्टता लाएगा, बल्कि चिकित्सकों की वरिष्ठता और भविष्य की प्रोन्नति पर भी सकारात्मक प्रभाव डालेगा।
स्वास्थ्य सचिव डॉ. आर. राजेश कुमार ने प्रतिनिधिमंडल की बात को गंभीरतापूर्वक सुना और कहा कि राज्य सरकार चिकित्सकों की समस्याओं को लेकर पूरी तरह संवेदनशील है। पीजी में गए चिकित्सकों के अध्ययन अवकाश से जुड़ा यह विषय तकनीकी व प्रशासनिक दृष्टि से महत्वपूर्ण है और हम इसे यथोचित प्राथमिकता के साथ हल करने हेतु प्रतिबद्ध हैं। संबंधित विभागों से समन्वय कर शीघ्र कार्रवाई सुनिश्चित की जाएगी। उन्होंने यह भी कहा कि प्रशासन की मंशा है कि चिकित्सकगण बिना अनावश्यक बाधाओं के अपने दायित्वों का निर्वहन करें और उनकी सेवा संबंधित सभी विषयों का निराकरण पारदर्शिता एवं नियमों के अनुरूप किया जाए। स्वास्थ्य सचिव के इस आश्वासन से चिकित्सा समुदाय में संतोष और भरोसे का वातावरण बना है। इस महत्वपूर्ण बैठक में डॉ. परमार्थ जोशी, डॉ. निशांत अंजुम एवं डॉ. अभिषेक नौटियाल भी उपस्थित रहे। प्रतिनिधिमंडल द्वारा उठाए गए मुद्दों को लेकर चिकित्सा समुदाय में नवीन आशा, विश्वास एवं सकारात्मक ऊर्जा का संचार हुआ है।

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  1. As always, consulting with a healthcare or health
    skilled can present personalized steering based on your particular wants.
    So go ahead, make an knowledgeable determination and tailor
    your fasting and creatine routine to match your distinctive aspirations.
    The intersection of intermittent fasting and creatine supplementation presents a unique blend of dietary strategies.
    While IF focuses on when to eat, creatine supplementation offers the muscular tissues with enough power shops.
    The compatibility of these methods lies of their distinct yet complementary benefits.
    Creatine can provide the necessary energy and muscle support through the eating home windows,
    allowing for efficient workouts, whereas fasting periods
    concentrate on metabolic well being and
    fats loss.
    This is because carbs and proteins may help take up creatine well.
    Instead you want to drink lots of water to ensure optimum absorption. Many need to get pleasure from the benefits of fasting, creatine and a exercise
    on the similar time. Whereas some protein can inhibit autophagy, creatine as a solo complement doesn’t
    seem to have vital anti-autophagy results during fasting.

    Creatine has no calories or macronutrients, so it usually won’t break your quick.
    Creatine supplementation hasn’t been properly studied in fasting eventualities.
    Nonetheless, it’ll offer the identical advantages
    throughout fasting that it does during consuming home windows.
    What’s extra, should you exercise whereas fasting, you will doubtless expertise much less fatigue
    during excessive intensity exercise since creatine replenish
    adenosine triphosphate (ATP), an important supply of energy.

    It will also help muscle maintenance and help decrease muscle loss.
    Nonetheless, if you’re following a strict water-only quick for functions like autophagy
    or intestine rest, it’s generally recommended to avoid all dietary supplements, together with creatine.

    For most individuals utilizing intermittent fasting to enhance physique composition or vitality levels, creatine
    may be taken during the quick with out interfering with the advantages.

    Creatine dietary supplements could help enhance your fasting because
    they’ll empower you with the energy that is required to do the workout
    even without having food. It can even allow you to bear high-intensity exercises without feeling fatigued.
    Merely make sure to take creatine during your eating window,
    not whereas fasting. The future appears brilliant for integrating creatine
    and intermittent fasting to take your health progress
    to the subsequent stage. While research specific to combining creatine and intermittent
    fasting remains to be limited, the potential advantages positively look promising.
    There are plenty of myths and misconceptions swirling around in relation to the relationship between creatine supplementation and intermittent fasting.

    Taking it inside half-hour of finishing your coaching session helps kickstart the muscle restoration course of.
    Creatine aids in replenishing the depleted glycogen stores in your muscle
    tissue, facilitating faster restoration and minimizing muscle injury.
    The sole function of supplementing with creatine
    even if you finish up not fasting is to increase your muscle mass and
    increase your physical performance. Animal research indicates that including protein or amino acids throughout
    a fast can suppress the rise in autophagy.

    On the opposite hand, individuals with lower baseline levels—like vegetarians or those
    new to resistance training—often respond sooner and extra noticeably to creatine supplementation. Muscle mass, hydration, and training
    intensity can all have an result on how quickly you see results.
    The nice debate surrounding creatine and fasting has been ongoing
    for fairly some time. One facet argues that as a end
    result of it’s a complement, it breaks the quick;
    whereas on the opposite aspect it’s argued that as a end result
    of it provides no caloric worth, it does creatine powder break a fast not break the quick.
    To resolve this conundrum, let’s take a deeper take a glance at either side.
    During train, ATP is broken down in the muscle tissue to supply vitality.

    The rate at which ATP resynthesizes determines your capability and
    length to perform at maximum depth.
    Whereas taking Creatine, you may gain weight because of water retention, but it also promotes lean muscle development.
    In Accordance to research research, you’ll have
    the ability to take Creatine and never break your quick.
    Yes, this could actually help keep efficiency
    throughout fasted training sessions.
    While unflavored variations are virtually tasteless when combined into
    one thing similar to your morning espresso, when you absolutely can not abdomen it, then I would advocate looking at creatine capsules as
    an alternative. Whereas this is helpful for offering vitality, it will kick start
    your body’s metabolism and push you out of your fasted state nearly
    immediately. Sugar is the only type of carbohydrate and provides a direct
    insulin spike in your blood. That’s why, according
    to the statistics on creatine, this is doubtless considered one
    of the hottest supplements available on the market.

    Fasting is a time period where the participant goes with out consuming any food, and typically even goes so far
    as avoiding water as nicely.
    Due To This Fact, creatine is unlikely to affect fasting-induced blood
    sugar regulation. Similarly, different analysis suggests that creatine supplementation can improve glucose tolerance but does not have an result on insulin sensitivity in healthy males undergoing aerobic training 9.
    In order for a supplement to break a fast, it has to elicit an insulin response, which subsequently causes blood
    sugar to rise and will halt autophagy and kick you out of a fasted state.

    When fasting for weight reduction, you want to ensure that no matter you eat during
    your fasting window has little to no calories and
    doesn’t create an insulin spike.

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  90. Tesamorelin and ipamorelin are peptides that have gained popularity among athletes, bodybuilders, and individuals seeking anti‑aging benefits due to their ability to stimulate growth hormone secretion. When used together as a stack, they can produce synergistic effects, but like any pharmacological intervention, they come with a range of potential
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    Enhanced Body Composition: Elevated GH levels improve fat metabolism
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    Improved Recovery and Performance: Higher GH supports protein synthesis, joint health, and recovery from intense training sessions,
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    Anti‑Aging Effects: GH has been linked to cellular repair processes.
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    Injection Site Reactions: Pain, swelling, redness, or bruising at injection sites are common due to frequent subcutaneous administration.
    Water Retention and Edema: GH can cause fluid retention leading to puffiness,
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    Carpal Tunnel Syndrome: Elevated GH levels have been associated with nerve compression symptoms
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    Tesamorelin binds to growth hormone‑releasing hormone receptors on pituitary somatotrophs, directly
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    Stacking Strategy
    The combination aims to harness both central (ipamorelin) and peripheral (tesamorelin) pathways,
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    In conclusion, the tesamorelin/ipamorelin stack offers potent benefits in terms of growth hormone stimulation, body composition improvements, and potential anti‑aging
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    References:

    https://www.valley.md/understanding-ipamorelin-side-effects

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