METALYSE 10,000 UNITS (50 MG) POWDER AND SOLVENT FOR INJECTABLE SOLUTION

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

• assessment of sudden or unclear symptoms
• ongoing care for chronic conditions
• follow-up after hospital discharge
• interpretation of test results
• medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

• Chronic condition management and medical counselling
• Weight loss programmes based on metabolic profiling
• Diagnosis and treatment of micronutrient deficiencies
• Recovery from stress, burnout, and hormonal imbalances
• Emotional support and psychosomatic symptom care

Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

• High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
• Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
• Leg swelling, chronic fatigue, reduced exercise tolerance.
• EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
• Post-COVID-19 cardiac monitoring and care.

Endocrinology – Diabetes, thyroid, metabolism:

• Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
• Individual treatment plans including oral medications and insulin therapy.
• GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
• Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
• Metabolic syndrome – obesity, lipid disorders, insulin resistance.

Gastroenterology – Digestive health:

• Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
• Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
• Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).

General internal medicine and preventive care:

• Respiratory infections – cough, colds, bronchitis.
• Lab test analysis, therapy adjustments, medication management.
• Adult vaccinations – planning, contraindications assessment.
• Cancer prevention – screening strategies and risk assessment.
• Holistic approach – symptom relief, complication prevention, and quality of life improvement.

Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.

Dr. Nataliia Lifantieva is a cardiologist and cardiac electrophysiologist with extensive experience in the diagnosis and treatment of arrhythmias. She offers online consultations for patients with chronic cardiovascular conditions, including medication management and post-operative follow-up.

Main areas of expertise:

• Diagnosis and treatment of arrhythmias: extrasystole, atrial fibrillation and flutter, supraventricular and ventricular tachycardia
• Conduction disorders: AV blocks, sinoatrial block, bradyarrhythmias
• ECG and Holter monitor interpretation, including data from smartwatches
• Evaluation for interventional treatment: stenting, bypass surgery, valve replacement
• Anticoagulant management (e.g., warfarin, DOACs) based on kidney function and clinical context
• Perioperative advice on anticoagulant/antiplatelet therapy before dental procedures

Dr. Eteri Tabeshadze is a cardiologist with the highest qualification category and over 32 years of clinical experience. She also practises functional diagnostics, offering a comprehensive approach to cardiovascular care. Dr. Tabeshadze provides online consultations for adults with a wide range of heart-related conditions, from preventive screenings to acute and chronic disease management.

Areas of expertise include:

• Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
• Management of arrhythmias and conduction disorders, including paroxysmal events
• Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
• Post-thromboembolism care and evaluation of cardiomyopathies
• Treatment of vegetative dysfunction and autonomic disorders
• Interpretation of cardiovascular tests: ECG, Holter monitoring, ambulatory blood pressure monitoring (ABPM), echocardiography (including transesophageal echo), stress echocardiography, exercise testing (VEM, treadmill test)

Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

• Diagnostic consultations for suspected endocrine disorders
• Management of thyroid conditions, including in pregnant women
• Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
• Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
• Diagnosis and treatment of endocrine-related skin, hair, and nail issues
• Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders

Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

• dyslipidaemia and lipid metabolism disorders
• prevention and management of atherosclerosis
• blood pressure monitoring and antihypertensive therapy
• arrhythmias: diagnosis, follow-up, and treatment adjustment
• cardiovascular care and recovery support after Covid-19

Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

• Chronic pain lasting more than 3 months.
• Migraines and recurring headaches.
• Neck, back, lower back, and joint pain.
• Post-traumatic pain following injury or surgery.
• Nerve-related pain, fibromyalgia, and neuralgia.

In addition to pain management, Dr. Popov helps patients with:

• Respiratory infections (colds, bronchitis, pneumonia).
• High blood pressure and metabolic conditions such as diabetes.
• Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

• Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
• Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
• Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
• General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
• Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
• Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
• Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
• Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
• Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

• 12+ years of clinical experience in university hospitals in Germany and Spain.
• International education: Ukraine – Germany – Spain.
• Member of the German Society of Surgeons (BDC).
• Certified in radiological diagnostics and robotic surgery.
• Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

• Test interpretation and guidance on diagnostic plans.
• Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
• Food and drug allergies, skin rashes, angioedema.
• Atopic dermatitis, urticaria, contact allergies.
• Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
• Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
• High blood pressure and adjustment of baseline antihypertensive therapy.
• Hyperlipidaemia and elevated cholesterol.
• Cough, nasal congestion, fever, sore throat.
• Anaemia, including iron deficiency and related conditions.
• Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.