Could my slowness to conceive be anything to do with cystinuria and/or mineral deficiencies?
Dr David Goldfarb answers: I can’t think of any reason why. I also don’t think that 12 months is really “slowness” yet. But that’s outside of my professional expertise. Though within my personal expertise! Back to top • There are many different makes and types of Lithotripsy machine ESWL, and I was wondering if there is a difference in the effectiveness of the machines. Dr Mike Grasso answers: The Dornier is the most powerful lithotriptor but uses old technology x-ray imaging which makes it difficult to see cystine stones. We use the Storz SLX which uses ultrasound for localization and this is a plus for cystine. It is also very powerful – but as you all know cystine is tough to break in general. Back to top • What can I do about stones causing symptoms. There are several suggestions in the handbook. Dr David Goldfarb answers: What to do about stones causing symptoms has definitely changed since the Handbook was written. For instance, it would be reasonable to recommend using NSAIDS (n