Zelos DPC

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Zelos DPC Membership style Family Medicine practice
Dr Omomengbe ONI -owner, Board certified Family and Obesity Medicine physician

10/15/2026

Breast cancer may not run on your mum’s side, but what about your dad’s side. Sometimes we tend to forget about that. When we’re assessing risk for hereditary breast cancer, we need to look at both sides of the family. And it doesn’t just pertain to breast cancer. Here are some things that may cause you to be considered for a referral for genetic counseling and possible genetic testing.

Breast cancer diagnosed at a young age, especially before 50, ovarian cancer in the family, male breast cancer, multiple relatives with breast cancer especially on the same side of the family, breast cancer affecting both breasts or multiple separate breast cancers in one person. If there is a non-BRCA1 or BRCA2 or other hereditary cancer related gene mutation in the family, certain combinations of breast, pancreatic and prostate cancers in relatives and certain ancestry, including Ashkenazi Jewish ancestry.
If you have been diagnosed with breast cancer, genetic testing may be recommended even if there’s no strong family history. Having one of these doesn’t necessarily mean you carry a mutation and not everyone needs BRCA testing. But there are other genes aside from BRCA1 and BRCA2 that are associated with inherited breast cancer risk. We don’t want women ordering random genetic test panels without understanding what we’re looking for or what the results even mean. We send you for genetic counseling, which helps determine who should be tested, which test is appropriate and how the results might change your screening or prevention schedule. So at your next appointment, don’t just tell your doctor there’s no breast cancer on your mom’s side. Let’s make sure we talk about both sides of the family.
Save this and ask your family about their cancer history. Find out who had cancer, what type and how old they were when they were diagnosed. Those details do matter.

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10/15/2026

Just spent 20 minutes on TikTok and apparently I need to drink celery juice for my thyroid, put onions in my socks for toxins, take 47 different supplements and detox my liver (which is already detoxing itself?)
I love the internet. But “I saw it on TikTok” is not the same as medical advice. Influencers with zero medical training are diagnosing strangers through comment sections. Wellness gurus are selling you expensive supplements you don’t need and there is so much fear mongering. Always know the difference between a health educator and a marketer.
If something sounds too good to be true, it probably is.
Talk to an actual doctor. Not someone who “did their own research” (aka watched YouTube). Someone who went to medical school and actually knows your health history and is patient to listen to your concerns. Your health is too important to trust to someone whose credentials are “7 million followers.”
Stay curious. Stay skeptical. And please, for the love of all that is holy, stop putting onions in your socks. 😂

What’s the wildest medical advice you’ve seen online?

10/14/2026

You found a breast lump and now you’re trying to figure out what it is by how it feels. You might have heard people say if It moves, it must be fine or if it’s hard, then it must be cancer.
But that is not foolproof. Some breast lumps have features that can give us clues.
A cyst may feel smooth, round and sometimes tender, especially around your period. A fibroadenoma (breast mouse) often feels firm, smooth and movable under the skin. A breast cancer may feel hard, irregular or fixed.
But the kicker is that there is enough overlap that you can’t reliably diagnose a breast lump by touch alone.
Some cancers can be movable, some benign lumps can feel firm or irregular, and some breast cancers don’t cause a lump at all.
Any new breast lump deserves an evaluation by your doctor. Depending on your age and what we find on exam, the next step may include ultrasound, diagnostic mammography or sometimes a biopsy.
Most breast lumps are not cancer, so don’t panic. But don’t also convince yourself it’s just a cyst because of how it feels either.
Know your normal, notice what’s new, then let’s figure out what it actually is.

If you find a new or persistent breast lump, bring it up rather than trying to diagnose it yourself.

Mammogram WomensHealth PreventiveCare

10/13/2026

I saw this on Threads somewhere today and my blood really ran cold. Are you seeing this advice online to ditch your mammogram for an ultrasound? Or to@not get them at all? If so that’s dangerous. Mammograms are the only imaging tool proven to detect microcalcifications which are tiny calcium deposits in the breast that can be the earliest sign of ductal carcinoma in situ or invasive breast cancer. ultrasound doesn’t see them. At all! Ultrasound cannot replace mammograms. They look for different things. Replacing one with the other leaves dangerous blind spots. Supplemental ultrasound is evidence based for women with dense breast because it catches an additional 4 to 6 cancers per 1000 women that mammography misses. But it works because it’s layered on top of mammography not instead of it. The American College of Obstetricians and Gynecologists and American College of Radiologists all recommend mammograms as the foundation of breast screening. If you have dense breasts, ask your doctor about supplemental ultrasound in addition to your mammogram: skipping your mammogram based on social media advice is not a wellness choice. It’s a gamble. Save this and share this to any woman in your life who is on the fence about getting her mammogram.

10/13/2026

Your mammogram says BI-RADS 3 and now they want you back in 6 months.
The first thing that comes to your mind is “If it’s probably benign, why are we checking it again so soon?”.
Its because BI-RADS 3 means the finding is “probably benign,” with a very low chance of cancer which is no more than 2%.
But “probably benign” doesn’t mean “forget about it.”
Instead of jumping straight to a biopsy, we monitor the area with follow-up imaging to make sure it stays stable. That’s why you’ll commonly be asked to return in about 6 months, with additional follow-up depending on what the imaging shows.
If it stays stable, great. If it changes, then we investigate further.
So that 6-month mammogram isn’t necessarily a sign that something terrible was found. It’s just surveillance.
One thing I DON’T want you to do is to skip the follow-up because someone told you, “It’s probably nothing.” Probably benign is reassuring.
But the follow-up is part of what allows us to KEEP it reassuring.

If your mammogram recommends 6-month follow-up imaging, put it on your calendar and complete it. No panic. Just follow through.

10/12/2026

You saw BIRADS on your mammogram report and immediately went to Google. Let me make it simple.
BIRADS is a standardized system radiologists use to describe breast imaging findings and recommend what should happen next. An important clarification. BIRADS 4 does not mean stage 4 breast cancer. BIRADS 3 doesn’t mean stage 3 either. They are completely different systems. The number helps tell us whether you can return to routine screening, need follow up imaging or whether a biopsy should be considered.

So don’t just look at the number and panic. Read the recommendation at the bottom of the report and make sure you complete the follow up.
Save this one. Mammogram reports make a lot more sense once you know the language. Questions? Let’s hear them in the comments.

10/11/2026

Your mammogram report mentions breast calcifications and now you’re worried about cancer.
First, don’t panic. Calcifications are tiny calcium deposits in breast tissue. They’re actually pretty common especially as we get older, and NO they don’t mean you’ve been eating too much calcium. Most breast classifications are benign. But it’s important to understand that not all calcifications look the same on a mammogram. Some are larger, which we call macrocalcifications and are usually harmless. Others are tiny microcalcifications. Most of these are benign too, but certain patterns can raise concern for early breast cancer, including stage zero breast cancer.
So when I’m looking at your mammogram report, I’m not just looking for the word calcification. The radiologist will usually specify what do they look like? How are they grouped or distributed? Are they new or changing? What is the BIRADS assessment?
Depending on these findings, you may need nothing more than routine screening, additional mammogram views, a short interval follow up or sometimes biopsy.

And please hear me on this.
Being called back for additional imaging does not automatically mean you have cancer. Sometimes we simply need a closer look. The goal is not to panic over every abnormal finding, but to understand what the finding means and what needs to happen next. If your report mentions calcifications, don’t stop at googling the word. Look at the BIRADS assessment and the radiologist’s recommendation. And make sure you complete any recommended follow up. Save this for the next time the mammogram report leaves you with more questions than answers. Looking for a doctor who will hold your hand and demystify some of these concepts for you? Click the link in my bio, especially if you’re in the DFW.
’sHealth

10/09/2026

Ni**le discharge and you’re not breastfeeding?
First: don’t panic.
Most ni**le discharge is caused by something other than breast cancer.
But when we evaluate, there’s more we need to know than just the color.
• Is it coming from ONE breast or both?
• Does it happen SPONTANEOUSLY or only when you squeeze the ni**le?
• Is it coming from ONE duct or several?
• Is it bloody or clear?
• Is there also a lump, ni**le change or skin change?
This information is important. That makes a difference because discharge from both breasts and multiple ducts, especially when it occurs only when the ni**les are squeezed, is more likely to have a physiologic or hormonal cause.
Think pregnancy or breastfeeding, medications, elevated prolactin, thyroid disease or repeated ni**le stimulation.
Spontaneous discharge from ONE breast and ONE duct, particularly if bloody or clear, gets more attention.
Possible causes include benign conditions such as an intraductal papilloma or duct ectasia, but cancer also needs to be considered.
The testing depends on how you present.
It may include a breast exam, pregnancy testing when appropriate, medication review, blood tests, and diagnostic breast imaging.

Color alone does NOT make the diagnosis.
So please don’t repeatedly squeeze your ni**le to check if it’s still happening.
If you develop new spontaneous ni**le discharge, particularly from one breast, or discharge associated with a lump, bloody discharge, ni**le retraction or skin changes, get it evaluated.
Most ni**le discharge isn’t cancer.
But we also need to figure out what it is.

Save this, and send it to the woman who would immediately panic if she noticed discharge in her bra. **leDischarge

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307 S McDonald Street, Suite 100E
McKinney, TX
75069

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