Peter Attia· MD
so you know I'm a very I have a very focused Urology practice but when I have people with urinary symptoms I try to do a a really full body assessment because one of the main drivers of uh nighttime urinary frequency one of them at that particularly tracks with age is you know just peripheral edema so are you are you developing edema and so forth so meaning people who have a lot of peripheral edema at the in nighttime you get uh basically reversal of some of the third spacing and it's almost like they have an IV drip that's taking fluid from their interstitial space into their vascular space it's like they're drinking at night yeah so one of my behavioral modifications it's not really behavioral but non-medical modifications is you know knee high Ted stockings for people who are having symptoms who if I see them at 8 or 9 or 10:00 in the morning they had any edema any kind of ringing around their socks or something like that then I definitely strongly encourage them to to to do that because it it you know I tell people if you're getting up twice a night and you have a little bit of Edema you do some behavioral modifications we can reduce your nocturnal urinary frequency by kind of one so you can go from two times at night to one time at night just by changing when you drink and wearing Ted stocking and that's a it's a maybe not true for everybody but it certainly encourages people to do simple things without doing the polypharmacy