In the News & Publications

Beyond painkillers: image-guided radiofrequency ablation for chronic back and neck pain

Beyond painkillers: image-guided radiofrequency ablation for chronic back and neck pain

Dr. Noppachai Siranart's commentary in The Nation on needle-only, image-guided pain medicine — from diagnostic blocks to radiofrequency ablation and facet joint injection — targeting the nerves behind persistent spine pain without open surgery.

The Nation · Opinion↗
Chronic back and neck pain that will not go away? Image-guided needle treatment, aimed at the source

Chronic back and neck pain that will not go away? Image-guided needle treatment, aimed at the source

NationTV reports on modern pain medicine using image-guided needles — from a diagnostic block that confirms which structure is actually generating the pain, through to radiofrequency ablation — with Dr. Noppachai Siranart of YOUNIFY Clinic explaining who it suits and how it differs from taking painkillers.

NationTV↗
When heel pain won't quit: TAME offers a non-surgical option for chronic plantar fasciitis and tendon pain

When heel pain won't quit: TAME offers a non-surgical option for chronic plantar fasciitis and tendon pain

Dr. Noppachai Siranart's commentary in The Nation on Transcatheter Arterial Micro-Embolization (TAME) — an image-guided procedure targeting the abnormal blood vessels behind persistent heel and tendon pain, for patients whose conservative treatment has not been enough.

The Nation · Opinion↗
Chronic heel pain that will not go away? Meet TAME — embolising the abnormal blood vessels, without surgery

Chronic heel pain that will not go away? Meet TAME — embolising the abnormal blood vessels, without surgery

NationTV reports on TAME — a catheter-based procedure that blocks the abnormal blood vessels driving chronic heel and tendon pain at their source — with Dr. Noppachai Siranart of YOUNIFY Clinic explaining who it suits and how it differs from conventional care.

NationTV↗
Endoscopic sleeve gastroplasty gains global focus after DDW 2026

Endoscopic sleeve gastroplasty gains global focus after DDW 2026

Dr. Noppachai Siranart's commentary in The Nation on how endoscopic sleeve gastroplasty — which reduces weight without major surgery — fills the gap between medication and bariatric surgery.

The Nation · Opinion↗
GAE offers non-surgical relief for osteoarthritis knee pain

GAE offers non-surgical relief for osteoarthritis knee pain

Dr. Noppachai Siranart's commentary in The Nation on Genicular Artery Embolization (GAE) — a minimally invasive procedure that blocks abnormal blood vessels to relieve chronic knee osteoarthritis without major surgery.

The Nation · Opinion↗
Younify Clinic Bangkok: Helping Expats Stay Active, Healthy and Independent for Longer

Younify Clinic Bangkok: Helping Expats Stay Active, Healthy and Independent for Longer

Expats in Bangkok features YOUNIFY Clinic — a Bangkok provider of minimally invasive treatments for weight management, knee pain, and chronic conditions, with personalized care for international patients.

Expats in Bangkok↗
A new option: SGB — an injection that resets the autonomic nerve ganglion to relieve insomnia and chronic stress

A new option: SGB — an injection that resets the autonomic nerve ganglion to relieve insomnia and chronic stress

A new medical trend: Stellate Ganglion Block (SGB). This injection resets the autonomic nerve ganglion in the neck.

NationTV↗
Doctors reveal a new trend: incision-free “endoscopic stomach tightening” — an answer for medication non-responders and yo-yo dieters

Doctors reveal a new trend: incision-free “endoscopic stomach tightening” — an answer for medication non-responders and yo-yo dieters

A new trend from the DDW 2026 world stage: Endoscopic Sleeve Gastroplasty (ESG), a modern option for obesity care that reduces weight — no major surgery required.

NationTV↗
A new option for knee osteoarthritis: “GAE” breaks the pain cycle without surgery

A new option for knee osteoarthritis: “GAE” breaks the pain cycle without surgery

An in-depth look at GAE (embolisation of abnormal blood vessels), a new specialist-led option for knee osteoarthritis: non-surgical, with fast recovery.

NationTV↗
The end of major surgery? A new global obesity-care trend from the DDW 2026 stage

The end of major surgery? A new global obesity-care trend from the DDW 2026 stage

Dr. Noppachai Siranart introduces Endoscopic Sleeve Gastroplasty (ESG) — an incision-free weight-loss option with less pain and a fast recovery. Featured on the Nation Online page.

Facebook · Nation Online↗

The “weight-loss injection pen” (GLP-1) debate — to inject or not?

A widely shared analysis of the weight-loss injection pen debate — worth reading before deciding whether GLP-1 medication is right for you. Featured on the Drama-addict page.

Facebook · Drama-addict↗

Our Health Articles

Knee Pain & Osteoarthritis

Two doctors conferring at a desk with a knee model and a radiograph

GAE Cost in Bangkok: What the Price Covers, and Whether It Is Worth It

What genicular artery embolization (GAE) costs in Bangkok covers, what makes the price differ between patients, and how it compares with the total cost of knee replacement.

Knee Osteoarthritis7 min read
Doctor pointing to the joint surface on a knee model

GAE vs Knee Replacement: What Each One Actually Does, and How to Choose

GAE vs knee replacement — they solve different problems. Compare incision, anaesthesia, recovery, how long results last, and where each fits on the knee osteoarthritis care ladder.

Knee Osteoarthritis7 min read
Gloved hands holding a syringe beside a knee joint model

Hyaluronic Acid Knee Injections: Do They Work and How Long?

Do hyaluronic acid (viscosupplement) knee injections really work, and how long does the effect last? What the evidence and guidelines say, what to expect, and how GAE offers a non-surgical option for chronic knee pain.

Knee Osteoarthritis8 min read
Therapist working on a leg above the knee on a treatment table

Knee Osteoarthritis Treatment Without Surgery: Medication, Physical Therapy, Joint Injections, and GAE Compared

If you have knee osteoarthritis and would prefer to avoid surgery, the options form a series of steps: weight management and physical therapy, pain-relief medication, joint injections (a steroid or hyaluronic acid), cooled radiofrequency ablation of the nerves around the knee (Cooled RFA), and genicular artery embolization (GAE), a catheter-based procedure with no surgical incision. Each option suits a different kind of knee, and our physicians always assess you first. Results vary by individual.

Knee Osteoarthritis10 min read
Knee joint ringed by concentric blue arcs

What Is GAE (Genicular Artery Embolization)? How It Works

A plain-language guide to genicular artery embolization (GAE): what it is, how blocking tiny abnormal knee vessels may ease chronic pain.

Knee Osteoarthritis3 min read
Clinician examining the knee of a seated patient

Am I a Candidate for GAE? Who It Suits and Who It Does not

Who is a good candidate for GAE, and who is not? An honest look at knee osteoarthritis, imaging, and health factors that guide the decision.

Knee Osteoarthritis4 min read
Nurse pointing at a knee model beside an explanatory chart

GAE Procedure: What to Expect Before, During, and After

A step-by-step guide to the GAE procedure: how to prepare, what happens on the day, and what to expect afterwards at YOUNIFY Clinic.

Knee Osteoarthritis4 min read
Physiotherapist moving a patient's knee through its range of motion

GAE Recovery Timeline: Week by Week

A week-by-week look at GAE recovery: what to expect from day one through the first months, and when pain relief tends to appear.

Knee Osteoarthritis4 min read
Gloved hands injecting a knee through the skin

GAE vs Steroid and Hyaluronic Acid Injections: What is the Difference

How does GAE differ from steroid and hyaluronic acid knee injections? Compare how they work, how long they last, and who each suits.

Knee Osteoarthritis4 min read
Cross-section of a knee showing cartilage and bone

Does GAE Work? What the Evidence Shows and Its Limits

Does GAE work? An honest, plain-language look at what studies suggest about genicular artery embolization - and where the evidence is still limited.

Knee Osteoarthritis4 min read
Clinician's hands assessing a knee at the joint line

GAE Risks, Side Effects, and Safety: An Honest Look

An honest look at GAE risks, side effects, and safety: what is common, what is rare, and the warning signs to watch for after the procedure.

Knee Osteoarthritis4 min read
Knee anatomy illustration showing muscle, nerve, and inflamed joint surfaces

What Causes Knee Pain? Common Causes and How to Spot Osteoarthritis

The common causes of knee pain — from osteoarthritis, ligament and meniscus injury, tendinitis, and overuse to excess weight, inflammatory arthritis, and referred pain — plus how to tell if it is osteoarthritis, and care options from the basics to GAE for chronic pain.

Knee Pain9 min read
Person sitting on steps holding a knee

Early Symptoms of Knee Osteoarthritis: 5 Signs Not to Ignore

The early symptoms of knee osteoarthritis — brief morning stiffness under 30 minutes, pain on stairs or after activity, mild swelling, grinding sounds, and reduced range of motion — plus why acting early helps, and the GAE option for chronic pain.

Knee Osteoarthritis8 min read
Five joint diagrams in a row, cartilage thinning from left to right

Stages of Knee Osteoarthritis: Grades 1–4 and Care at Each Stage

Understanding the stages of knee osteoarthritis by the Kellgren–Lawrence system, grades 1 to 4 — what each grade means, how to manage it, and why GAE suits the mid stages of chronic pain that has not responded to the basics but is not ready for a replacement.

Knee Osteoarthritis9 min read
Front of a knee with the kneecap area marked in red

Knee Crepitus and Clicking: Is It Dangerous? When to Worry

Is a cracking or clicking knee normal or dangerous? Understand why painless knee sounds are usually harmless, but sounds with pain, swelling, or locking deserve caution — plus what it means in osteoarthritis, and the GAE option for chronic pain.

Knee Pain7 min read
Clinician's hands examining a knee while the patient supports it

When to See a Doctor for Knee Pain: Red Flags and Timing

Knowing when knee pain needs a doctor — from red flags like severe swelling, deformity, fever, inability to bear weight, or a locked knee, to chronic pain lasting beyond 1–2 months that self-care hasn't helped — plus what an assessment gives you and the GAE option.

Knee Pain7 min read
A hand holding a bottle of glucosamine supplements beside a knee model in a clinic

Does Glucosamine Work for Knees? What the Evidence Says

Do glucosamine and chondroitin supplements really help knee osteoarthritis? What the evidence shows, whether they are safe to try, why they are not a substitute for weight loss and exercise, and how GAE offers a non-surgical option for chronic knee pain.

Knee Osteoarthritis8 min read
Gloved hands injecting a knee through the skin

Do PRP and Stem Cell Injections Help Knee Osteoarthritis?

The truth about PRP, stem cell, and growth factor injections for knee osteoarthritis — why the evidence is unclear and inconsistent, why they are not standard care, and why they are often costly and out-of-pocket. Plus better-evidenced options and non-surgical GAE.

Knee Osteoarthritis9 min read
Clinician drawing up a syringe beside a knee joint model

Are Steroid Knee Injections Safe? How Often Is Too Often?

Are cortisone/steroid knee injections safe, how much do they help, and how often can you have them? What to know about short-term relief, frequency limits, and concerns about cartilage with repeated use — plus GAE as a non-surgical option for chronic knee pain.

Knee Osteoarthritis8 min read
A topical gel and pain tablets beside a knee joint model on an exam table

Which Painkillers Are Safe for Knee Osteoarthritis?

Which painkillers are safest for knee osteoarthritis? Why topical NSAIDs are first-line, how to use oral NSAIDs safely for your kidneys, stomach, and heart, how much paracetamol helps, and why to avoid long-term opioids — plus GAE as a non-surgical option.

Knee Osteoarthritis8 min read
Side lunge held with the knee tracking over the foot

The Best and Worst Exercises for Knee Osteoarthritis

The best exercises for knee osteoarthritis — quadriceps and hip strengthening, cycling, swimming, walking, and tai chi — plus the moves to avoid or modify, and guidance for people with chronic pain who may consider GAE, a non-surgical knee artery embolization.

Knee Osteoarthritis8 min read
Person on a flight of steps holding a knee marked in red

Can I Walk, Run, and Climb Stairs with Knee Osteoarthritis?

Can you still walk, run, and climb stairs with knee osteoarthritis? Walking is beneficial, running is case-by-case, and stairs have smart strategies — plus GAE, a non-surgical knee artery embolization for people with chronic pain.

Knee Osteoarthritis8 min read
A patient applying a cold pack to the knee correctly, with a cloth wrapped around the gel pack

Heat or Ice for Knee Pain: Which Should You Use?

Should you use heat or ice for knee pain? Ice suits acute pain, swelling, and after activity, while heat suits stiffness and warming up before activity — plus how to apply both safely, and GAE for chronic pain.

Knee Pain7 min read
A doctor explaining the relationship between body weight and knee joint load to a patient

Does Losing Weight Really Reduce Knee Pain?

The truth about weight and knee pain: every step loads the knee with about 3 to 4 times your body weight, so losing 1 kg cuts roughly 4 kg of knee load per step, and even a 5 to 10 percent loss meaningfully eases pain — plus the clinic's weight program and GAE.

Knee Osteoarthritis8 min read
A plate of anti-inflammatory Mediterranean food with fish, vegetables, and olive oil

Foods and Supplements for Knee Joints: What Actually Helps

The truth about foods and supplements for knee joints: an anti-inflammatory Mediterranean diet, omega-3, vitamin D, and a healthy weight genuinely help, while popular supplements have limited evidence — plus GAE for chronic knee pain.

Knee Osteoarthritis8 min read
Doctor pointing at an X-ray of severe knee osteoarthritis while explaining treatment options to a patient

When Do I Need Knee Surgery? Signs and Options Before a Replacement

Understand when knee osteoarthritis truly calls for a knee replacement, the signs and stages that count as real indications, why surgery is not the first choice, and how GAE (genicular artery embolization) may delay or avoid surgery in suitable patients.

Knee Osteoarthritis9 min read
Doctor using a knee model to explain how long an artificial knee lasts to a patient

How Long Does a Knee Replacement Last? Recovery and Options Before Surgery

How long an artificial knee lasts, how many weeks to months recovery takes, why revision surgery is harder than the first operation, and why delaying surgery with non-surgical options like GAE makes sense — especially for younger patients.

Knee Osteoarthritis8 min read
Older man on a sofa resting a hand on his knee

Can Knee Osteoarthritis Be Cured? The Truth and How to Manage It

An honest answer to whether knee osteoarthritis can be cured or cartilage regrown, the truth about PRP and stem cells, how to control pain and restore function, and how GAE offers a non-surgical option focused on easing pain.

Knee Osteoarthritis8 min read
Older person's hands on a knee with the joint drawn beneath

What Happens If Knee Osteoarthritis Is Left Untreated?

What happens if knee osteoarthritis is left untreated — from worsening pain and stiffness to muscle weakening, difficulty walking, and eventual deformity — why acting early helps, and how GAE offers a non-surgical option.

Knee Osteoarthritis8 min read
Clinician fitting a hinged brace to a patient's knee

Knee Pain Treatment: Non-Surgical Options

A detailed guide to knee pain: common causes, warning signs, physical therapy, injections, and GAE as a non-surgical option for selected patients.

Knee Pain12 min read
Man stopped on a road outdoors holding a knee marked in red

Knee Pain Walking: Causes and Warning Signs

Knee pain that appears when you walk, take stairs or stay active longer usually points to one of four things: osteoarthritis, a meniscus problem, muscle imbalance around the joint, or simple overuse. This article explains how to tell them apart, which signs need a doctor, and what to try first.

Knee Pain6 min read
Standing person holding the inner side of one knee

Inner Knee Pain: Causes and Treatment

Inner knee pain may involve medial compartment osteoarthritis, medial meniscus injury, MCL irritation, or tendons and bursae around the knee.

Knee Pain6 min read
Leg with the knee joint drawn over it and the joint area marked in red

Knee Osteoarthritis: Symptoms, Stages, and Options Before Surgery

Knee osteoarthritis is the gradual breakdown of cartilage and the structures around it, producing pain, stiffness, swelling and a shrinking range of motion. Treatment depends on the stage and on what you want back: this guide covers staging, non-surgical care, injections, GAE and when surgery is genuinely indicated.

Knee Osteoarthritis7 min read

Pain Medicine

Chronic Pain Diseases

My knee replacement still hurts: what could be causing it, and what can be done?

Most people do well after a knee replacement, but some are left with pain that lingers for a year or more. Implant problems, infection, and pain from elsewhere must be ruled out first. After that, YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, may discuss nerve treatment or genicular artery embolization for selected patients at its Silom clinic.

Pain Medicine8 min read
Chronic Pain Diseases

Facet joint pain: diagnostic medial branch block and Cooled RFA

Facet joint pain comes from the small joints at the back of the spine. A diagnostic medial branch block tests whether these joints are the source by numbing the nerves that carry their pain. At YOUNIFY Clinic, a Healthy Aging & Wellness Center in Silom, Bangkok, people with a clear, temporary response may then be offered Cooled RFA.

Pain Medicine11 min read
Two clinicians reviewing figures on a screen at a laboratory bench

Cooled RFA and Epidural Steroid Injection (ESI) Cost in Bangkok: What the Price Covers

Neck and back pain procedures are priced by what each one involves. At YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, on Silom Road, a diagnostic medial branch block starts from THB 22,000, an epidural steroid injection from THB 129,000, and Cooled RFA from THB 280,000, typically confirmed in a written quotation.

Pain Medicine10 min read
Fluoroscopy C-arm and imaging screens in the procedure suite

Can Cooled RFA ease chronic neck pain from the facet joints?

Cooled radiofrequency ablation (Cooled RFA) is designed to interrupt the small medial branch nerves that carry pain from the facet joints of the neck. At YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Silom, Bangkok, Thailand, it follows a diagnostic block that confirms the source. Relief is temporary because nerves regrow, and its length varies.

Pain Medicine10 min read
Shockwave handpiece applied to a patient's heel

Shockwave vs TAME for Plantar Fasciitis: How Do They Differ, and Who Does Each Suit?

Shockwave (ESWT) vs TAME for plantar fasciitis: how each works, sessions, recovery and how the evidence differs — compared by YOUNIFY's medical team in Bangkok.

Chronic Pain9 min read
Clinician applying a handheld energy device to a joint, the treated point glowing red

What Is Interventional Pain Management? Image-Guided Options Explained

A calm, plain-language guide to interventional pain management: image-guided, needle-only options that aim to relieve pain and improve daily function.

Pain Medicine4 min read
Woman sitting up in bed holding the side of her neck

Chronic Neck and Back Pain: When to Consider Interventional Options

Chronic neck or back pain that will not settle? Learn when to consider interventional, image-guided options and what to expect from a pain assessment.

Pain Medicine4 min read

Epidural Steroid Injections for Neck and Back Pain: What to Expect

Considering an epidural steroid injection for neck or back pain? Here is what it is, how it is done, and what to expect before, during and after.

Pain Medicine4 min read
Woman in a clinic room holding her shoulder

Trigger Point Injections for Muscle Pain: How They Work

Trigger point injections target painful muscle knots to relieve tension and improve movement. Learn how they work and what to expect.

Pain Medicine3 min read
Woman lying awake in bed at night

Stellate Ganglion Block (SGB): For Pain, Sleep, and Stress

What is a stellate ganglion block (SGB)? A calm guide to this image-guided nerve block, how it works, and its role in pain, sleep and stress.

Pain Medicine4 min read
Elbow held in the other hand with the sore point marked in red

TAME (Trans-Arterial Micro-Embolization) for Chronic Joint and Tendon Pain

TAME (trans-arterial micro-embolization) is a minimally invasive, image-guided option for some chronic joint and tendon pain. Learn how it works.

Pain Medicine4 min read
Angiogram showing the branching small arteries of a limb

Are Interventional Pain Procedures Safe? Risks, Recovery, and Results

A balanced look at the safety, recovery and results of interventional pain procedures - what the risks are and how our medical team manages them.

Pain Medicine4 min read

Frozen Shoulder (Adhesive Capsulitis): Stages, Symptoms, and Recovery

What frozen shoulder is, its three stages, common symptoms, and how recovery usually unfolds over months. Physician-led guidance from YOUNIFY.

Chronic Pain4 min read
Woman with one arm raised and the hand behind her head

Frozen Shoulder vs Rotator Cuff Tear: How to Tell Them Apart

Frozen shoulder or rotator cuff tear? Learn the key differences in stiffness, weakness, and pain patterns, and when to get assessed.

Chronic Pain4 min read
Supervised exercise on a reformer in a studio

Frozen Shoulder Treatment: Physiotherapy, Injections, and Escalation

Frozen shoulder treatment explained step by step - physiotherapy, injections, and image-guided options, and when care escalates.

Chronic Pain4 min read
Cross-body arm stretch held at shoulder height

Best Exercises for Frozen Shoulder (and What to Avoid)

Gentle frozen shoulder exercises to help restore movement, plus the movements to avoid. Physician-led guidance from YOUNIFY.

Chronic Pain4 min read
Woman reaching both arms overhead beside a window

Chronic Shoulder Pain: Common Causes and Red Flags

Common causes of chronic shoulder pain and the red-flag symptoms that need prompt medical attention. Physician-led guidance from YOUNIFY.

Chronic Pain4 min read
Angiogram showing the branching small arteries of a limb

Stubborn Shoulder Pain: Image-Guided Options (Including TAME)

Image-guided, needle-only options for stubborn shoulder pain, including TAME explained honestly as an emerging option. Physician-led at YOUNIFY.

Chronic Pain4 min read
Foot with the bones drawn over it and the heel marked in red

Plantar Fasciitis: Why Your Heel Hurts and How to Fix It

Plantar fasciitis is a common cause of heel pain. Learn why it happens, what helps, and when to see our medical team at YOUNIFY Clinic, Bangkok.

Chronic Pain4 min read
Gloved clinician treating the back of a heel with a handheld device

Shockwave, PRP, and Steroid for Plantar Fasciitis: What the Evidence Says

An honest look at shockwave, PRP, and steroid for plantar fasciitis - how each works, what the evidence says, and who they suit, in Bangkok.

Chronic Pain4 min read
Clinician examining and flexing a patient's foot to assess heel pain

Plantar Fasciitis Treatment in Bangkok: What Actually Works, Step by Step?

A doctor-led guide to plantar fasciitis treatment in Bangkok: what heel pain is, why it happens, and the stepwise ladder from self-care and physiotherapy to shockwave and injections.

Chronic Pain8 min read
Bare feet taking weight on a wooden floor on getting out of bed

Heel Pain on the First Step in the Morning: Causes, Red Flags and When to See a Doctor

Heel pain on the first step in the morning: telling plantar fasciitis from Achilles tendinopathy, heel spur and nerve pain, plus red flags. YOUNIFY Bangkok.

Chronic Pain8 min read
Hands stretching the arch and toes of a bare foot

Does Plantar Fasciitis Go Away on Its Own? Home Stretches and Self-Care That Actually Help

Does plantar fasciitis go away on its own? A doctor-led guide to home stretches, footwear, load management and a realistic recovery timeline — plus when to seek care in Bangkok.

Chronic Pain9 min read
Therapist working on the sole of a patient's foot on a treatment table

Chronic Plantar Fasciitis: Where to Get Treated, and How to Choose Well

Chronic plantar fasciitis treatment: where to go and how to choose. A doctor-led comparison of procedure options plus a neutral checklist of questions to ask any clinic in Bangkok.

Chronic Pain9 min read
A woman's neck and collarbone against a plain background

Chronic Neck Pain Treatment: Non-Surgical Options That Come Before Surgery

Chronic neck pain usually comes from one of three sources: muscles and posture, the facet joints of the neck, or a compressed nerve root. Each is cared for differently, so assessment comes before choosing a treatment. The clinic offers six image-guided procedures for the neck and back, starting from THB 22,000 for a diagnostic medial branch block. Results vary by individual.

Pain Medicine8 min read
Person outdoors seen from behind with one hand at the lower back

Chronic Back Pain and Pain Radiating to the Leg: How to Treat It, Step by Step

What causes chronic back pain and pain radiating to the leg, the red flags that need urgent review, and a stepwise path from non-surgical care to surgery — by the YOUNIFY Clinic medical team, Silom, Bangkok.

Pain Medicine8 min read
A woman standing outdoors with one hand pressed to her lower back and the other arm raised

Epidural Steroid Injection (ESI) for Back Pain That Radiates Down the Leg

An epidural steroid injection places anti-inflammatory medicine around a compressed nerve root under image guidance, using a needle only. Most patients go home the same day. At YOUNIFY Clinic, it starts from THB 129,000 for both the neck and the lower back and is performed at a partner private hospital accredited by JCI / AACI. The aim is to ease symptoms enough for you to return to physical therapy. Results vary by individual.

Pain Medicine7 min read
Man in a clinic waiting room holding his own forearm

Neck Pain Radiating to Arm and Arm Numbness: Signs of Cervical Radiculopathy

Neck pain radiating to the arm with numbness or weakness may signal cervical radiculopathy from a compressed nerve root. Learn causes, warning signs, diagnosis and treatment options.

Pain Medicine8 min read
Office worker stretching neck and shoulders at an ergonomic desk to relieve office syndrome

Office Syndrome: How to Relieve Neck, Shoulder and Upper-Back Pain

Office syndrome neck and shoulder pain (tech neck): what causes it, 5 practical stretches, ergonomic desk setup, warning signs it may be more, and when to see a doctor.

Pain Medicine8 min read
Doctor assessing a patient with a cervical herniated disc in the examination room

Cervical Herniated Disc: Symptoms, Causes, and Treatment Options

What a cervical herniated disc is, why it causes neck pain radiating down the arm with numbness, how MRI confirms it, and non-surgical to surgical options — explained by the YOUNIFY Clinic medical team, Silom, Bangkok.

Pain Medicine7 min read
Doctor assessing a patient with sciatica and radiating leg pain in a consultation room

Sciatica (Sciatic Nerve Pain): What It Is and How It Is Treated

What sciatica (sciatic nerve pain) is, its symptoms, causes from herniated disc and piriformis muscle, and treatment options from conservative care to image-guided injections by our medical team.

Pain Medicine8 min read
A worker lifting a box with a correct knee-bend posture to protect the lower back

Lower Back Pain from Lifting or Sitting: Prevention and Early Care

Why lifting heavy or sitting too long triggers lower back pain, how to lift safely, 5 core exercises, ergonomic desk setup, and the red flags to see a doctor — from the YOUNIFY medical team, Bangkok.

Pain Medicine7 min read
Doctor showing a patient an MRI of a lumbar herniated disc pressing on a nerve root

Lumbar Herniated Disc: Symptoms and Treatment Options

What a lumbar herniated (slipped) disc is, its symptoms, causes and risk factors, MRI diagnosis, and non-surgical versus surgical treatment options, including image-guided injections, by our medical team.

Pain Medicine8 min read

Weight Loss & Stomach

Weight Loss Without Surgery: Why Endoscopic Sleeve Gastroplasty (ESG) Is Gaining Ground Over Stomach Surgery

A new global study co-authored by Dr. Noppachai Siranart compared 7 weight-loss procedures, including Endoscopic Sleeve Gastroplasty (ESG), in over 61,000 patients. Endoscopic sleeve gastroplasty (ESG) improved obesity-related conditions well and carried a markedly lower risk of new acid reflux than stomach surgery, all without a major operation.

Weight Management9 min read
Woman in a kitchen holding a dumbbell in one hand and an apple in the other

Medical Weight Loss Clinic in Bangkok: Every Option, Who Each One Suits, and How to Begin

A physician-led weight loss clinic in Silom, Bangkok. Every option compared, who each one suits, starting prices, the five-step pathway, and what international patients should plan for.

Weight Management9 min read
Clinician measuring a skinfold with a caliper beside a laptop

Endoscopic Sleeve Gastroplasty (ESG) Cost in Thailand: A Complete Budget Guide for International Patients

Endoscopic Sleeve Gastroplasty (ESG) in Thailand starts from THB 490,000 at YOUNIFY Clinic in Bangkok. What the fee includes, what to budget for the whole trip, why aggregator prices differ, and 7 questions to ask before you pay.

Weight Management11 min read
Hand resting against the side of the abdomen

What Is ESG (Endoscopic Sleeve Gastroplasty)? A Plain-Language Guide

A plain-language guide to ESG (endoscopic sleeve gastroplasty): what it is, how it reduces stomach size without surgery, and who it helps.

Weight Management3 min read
Clinician measuring a patient's waist with a tape

Am I a Candidate for Endoscopic Sleeve Gastroplasty (ESG)? BMI, Health, and Realistic Goals

Who is a good candidate for Endoscopic Sleeve Gastroplasty (ESG)? A clear look at BMI ranges, health factors, and realistic goals for endoscopic sleeve gastroplasty.

Weight Management4 min read
Endoscopy under way with the camera view on the monitor

Endoscopic Sleeve Gastroplasty (ESG): What to Expect Before, During, and After

A step-by-step guide to the ESG procedure: how to prepare, what happens during endoscopic sleeve gastroplasty, and what recovery day looks like.

Weight Management4 min read
Prepared salad bowl with chicken and avocado

Endoscopic Sleeve Gastroplasty (ESG) Recovery and the First 4 Weeks: Diet Stages

A week-by-week guide to Endoscopic Sleeve Gastroplasty (ESG) recovery and diet stages, from liquids to solid foods over the first 4 weeks, with practical eating tips.

Weight Management4 min read
Person exercising with a cable machine in a gym

Life After Endoscopic Sleeve Gastroplasty (ESG): Habits That Protect Your Results

Life after Endoscopic Sleeve Gastroplasty (ESG): the everyday habits of eating, movement, mindset, and follow-up that help protect your results over the long term.

Weight Management4 min read
Tape measure drawn around the waist

How Endoscopic Sleeve Gastroplasty (ESG) and the Gastric Balloon Actually Work

A plain-language look at how endoscopic sleeve gastroplasty reshapes the stomach, how a gastric balloon fills space inside it, and why that differs.

Weight Management4 min read
Hands holding an injection pen against the abdomen

Endoscopic Sleeve Gastroplasty (ESG) and GLP-1 Together: Can Combining Them Help

Can combining Endoscopic Sleeve Gastroplasty (ESG) with GLP-1 receptor agonists help? How the procedure and medication work together within a physician-led plan.

Weight Management4 min read
Doctor and patient in conversation at a consulting desk

Endoscopic Sleeve Gastroplasty (ESG) Risks, Side Effects, and Safety: What to Know

An honest guide to Endoscopic Sleeve Gastroplasty (ESG) risks, side effects, and safety: common sensations, rarer concerns, and how a physician-led setting helps reduce risk.

Weight Management4 min read
Tape measure at the waist beside a bowl of salad

The First 8 Weeks After Stopping GLP-1 Medication: What Usually Happens, and What to Discuss With Your Prescribing Physician

What usually happens in the first eight weeks after stopping GLP-1 medication, what to watch, what helps, and when to contact a doctor. YOUNIFY Clinic, Bangkok.

Weight Medication10 min read
Clinician measuring a patient's waist over jeans with a tape

Endoscopic Sleeve Gastroplasty (ESG) vs Gastric Balloon: How They Differ and How to Choose

Endoscopic Sleeve Gastroplasty (ESG) vs gastric balloon compared: mechanism, expected weight loss, how long results last, risks, recovery, and cost in Bangkok, plus who each option suits.

Weight Management8 min read
Doctor seated at a desk with fresh fruit and vegetables in front

Am I a Candidate for Endoscopic Sleeve Gastroplasty (ESG)? Eligibility Criteria, Contraindications, and Who Should Wait

Am I a candidate for Endoscopic Sleeve Gastroplasty (ESG)? BMI criteria from the 2024 ASGE–ESGE guideline, contraindications, a self-assessment checklist, and what can be screened before you fly to Bangkok.

Weight Management8 min read
Staged meals for the recovery period after endoscopic sleeve gastroplasty

Endoscopic Sleeve Gastroplasty (ESG) Recovery and Diet Timeline: What You Can Eat, and When

What you can eat after endoscopic sleeve gastroplasty and when. A week-by-week ESG recovery diet timeline, the four diet stages, returning to work, flying home, exercise, and red flags. By YOUNIFY's medical team, Bangkok.

Weight Management11 min read
Comparing GLP-1 injectable medication with endoscopic sleeve gastroplasty to decide which to start with

Endoscopic Sleeve Gastroplasty (ESG) or GLP-1 Medication: Which Should You Start With?

Endoscopic Sleeve Gastroplasty (ESG) vs GLP-1 medication: mechanism, trial numbers, what happens when you stop, cost structure, and four real-world scenarios, including planning an off-ramp. YOUNIFY Bangkok.

Weight Management11 min read
Long-term follow-up after endoscopic sleeve gastroplasty to hold on to the weight that was lost

Endoscopic Sleeve Gastroplasty (ESG) Long-Term Results: The 1-Year and 5-Year Data, and Whether the Weight Comes Back

Endoscopic Sleeve Gastroplasty (ESG) long-term results: 5-year follow-up reports mean 15.9% total body weight loss, with 61% still holding ≥10%. Who regains weight, why, and what can be done. By YOUNIFY's medical team, Bangkok.

Weight Management8 min read
Hand writing on a printed meal plan beside a prepared dish

Endoscopic Sleeve Gastroplasty (ESG) Cost in Bangkok: What the Price Includes, Why Quotes Differ, and Whether It Is Worth It

Endoscopic Sleeve Gastroplasty (ESG) at YOUNIFY Clinic in Bangkok starts from THB 490,000; this guide explains what the price includes, why quotes differ, and how ESG compares with surgery and the gastric balloon. By YOUNIFY's medical team.

Weight Management8 min read
Endoscopy room with a stomach shown on the monitor

Is ESG Safe? Side Effects of Endoscopic Sleeve Gastroplasty and How Risk Is Reduced

Is endoscopic sleeve gastroplasty safe? Common side effects that settle, uncommon complications to know, who should not have ESG, and how risk is reduced. By YOUNIFY's medical team.

Weight Management8 min read
Tape measure held around the waist over sportswear

How to Lose Weight Fast Without the Rebound: The Safe, Effective Way

How fast can you safely lose weight? We cut through the myths on calorie deficit, explain why crash diets rebound, and cover the medical options — lifestyle intervention paired with GLP-1 medication and endoscopic sleeve gastroplasty (ESG) — for people who have tried everything.

Weight Management8 min read
Hand pinching a fold of skin at the waist

How to Lose Belly Fat: What Actually Works, Not Spot Reduction

Can you target belly fat directly? We debunk the spot-reduction myth, explain why visceral fat is a real health risk, and cover what actually works — a calorie deficit, protein and fibre, less sugar and alcohol, sleep, and training — plus the medical options at YOUNIFY when effort isn't enough.

Weight Management8 min read
Kitchen scale surrounded by vegetables, nuts, and a dumbbell

What Is a Calorie Deficit and How Many Calories Should I Eat? A TDEE Guide

What is a calorie deficit and how many calories should you eat to lose weight? Learn energy balance, how to estimate your TDEE from BMR × activity, how to set a sensible 500–750 calorie deficit, and how to track and adjust — plus the medical options at YOUNIFY when self-directed deficits stall.

Weight Management8 min read
Person in a kitchen holding a green drink beside fresh vegetables

Can You Lose Weight Without Exercise? The Truth and Your Options

Can you lose weight without exercise? Yes — weight loss comes mostly from diet and a calorie deficit, though exercise helps with maintenance and health. Plus the medical options like GLP-1 and ESG at YOUNIFY for those who can't lose with diet alone.

Weight Management7 min read
Hands holding an injection pen against the abdomen

Do GLP-1 Weight-Loss Injections (Ozempic) Really Work? Safety and Cost

An honest look at GLP-1 injections like Ozempic/Wegovy and Mounjaro: how well they work in the trials, whether they are safe, what they cost, and when to use them under medical supervision alongside lifestyle change and ESG for lasting results.

Weight Medication9 min read
A doctor explaining dose titration and side-effect management for a weight-loss injection to a patient

GLP-1 (Ozempic) Weight-Loss Side Effects: What They Are and How to Manage Them

The side effects of GLP-1 weight-loss injections like Ozempic/Wegovy and Mounjaro, from common gut symptoms to gallbladder issues, dehydration, and muscle loss, plus how to manage them and why medical supervision matters.

Weight Medication8 min read
A doctor and patient reviewing a weight graph and planning how to maintain results after stopping medication

Will You Regain Weight After Stopping GLP-1? And How to Keep It Off

After stopping GLP-1 injections like Ozempic/Wegovy, weight commonly returns because obesity is chronic and appetite rebounds. This article explains why, and covers the options for holding results long term: continued medication, tapering with lifestyle change, or a durable option like ESG.

Weight Medication8 min read
A keto plate of meat, eggs, avocado, and leafy greens on a consultation table

Keto Diet Explained: What Is Keto and What Can You Eat?

A plain-language guide to the very-low-carb ketogenic diet — ketosis, foods you can eat and should avoid, the pros (appetite, quick water-weight loss) and cons (sustainability, side effects), and why keto still works through a calorie deficit.

Weight Management8 min read
Illustration of a white running figure surrounded by scattered snack foods

How to Lose Weight Without the Yo-Yo: Avoiding Weight Regain

The science of keeping weight off after you lose it — preserving muscle, enough protein, self-monitoring, gradual loss, and habit change — plus the medical options for people who keep regaining despite real effort.

Weight Management8 min read
Doctor discussing metabolic health results related to fatty liver disease

GLP-1 and MASH Fatty Liver

Do GLP-1 receptor agonists help MASH? Dr. Noppachai Siranart's meta-analysis of 6 randomised trials and 1,555 patients found they resolved biopsy-confirmed MASH without worsening fibrosis more often than placebo. This article explains the finding, its limits, and what it means for patients.

Weight Medication8 min read

Health Screening

Doctor and patient going through results on a laptop

What is in a Complete Health Check-Up? A Doctor's Guide

A doctor's plain-language guide to what a complete health check-up includes, how it is personalised, and how to choose the right package.

Health Screening4 min read
Endoscopy under way with the camera view on the monitor

Upper Endoscopy (Gastroscopy): Why, How, and What to Expect

What an upper endoscopy (gastroscopy) is, why it is done, how to prepare, and what to expect on the day - a calm, doctor-led guide.

Health Screening4 min read

Colonoscopy: When to Start, How Often, and How to Prepare

When to start a colonoscopy, how often to repeat it, and how to prepare - a calm, doctor-led guide to the bowel prep and the day itself.

Health Screening4 min read
Doctor and patient talking across a consulting desk

Colon Cancer Screening: Who Should Get Screened

Who should consider colon cancer screening, the risk factors that matter, and how stool tests and colonoscopy compare - a doctor's guide.

Health Screening4 min read
The clinic entrance seen from the street

Health Screening for Expats and Visitors in Bangkok

A practical guide to health screening for expats and visitors in Bangkok - what to expect, how to plan around a trip, and English-language care in Silom.

Health Screening4 min read
Doctor showing a patient a report on a tablet

Understanding Your Blood Test Results: A Plain-Language Guide

A plain-language guide to common blood test results - CBC, blood sugar, cholesterol, liver and kidney - and why context matters more than one number.

Health Screening4 min read
Athlete mid-stride in the air against a plain background

Athlete Health Screening: What It Covers and Why It Matters

What athlete health screening covers, why heart screening matters, and who benefits - a clear, doctor-led guide for active people.

Health Screening4 min read
A couple in conversation with clinic staff in the lounge

Adult Vaccinations and Preventive Care: What You Need and When

Which adult vaccinations and preventive checks you may need and when - flu, tetanus, hepatitis, travel vaccines, and screening, explained clearly.

Health Screening4 min read

Women's Health & Menopause

Women's health items arranged on a table with a stethoscope

Perimenopause vs Menopause: What is the Difference and What to Expect

Perimenopause vs menopause explained simply: the difference, the timeline, and what symptoms to expect. Physician-led guidance from YOUNIFY Clinic.

Women's Health4 min read
Three women seated with a clinician holding a tablet

Menopause Symptoms Checklist: Signs and When to Seek Help

A clear menopause symptoms checklist - the common signs, red flags to watch for, and when to seek medical help. Physician-led guidance from YOUNIFY.

Women's Health3 min read
Older woman awake in bed at night with the lamp on

Non-Hormonal Options for Hot Flashes and Night Sweats

Non-hormonal ways to manage hot flashes and night sweats - lifestyle steps, non-hormonal medical options, and when to seek help. Physician-led guidance.

Women's Health4 min read
Two people talking in a quiet clinic corridor

Vaginal Dryness and Painful Intimacy After Menopause: What Helps

Vaginal dryness and painful intimacy after menopause explained - why it happens and what helps, from moisturisers to medical options. Physician-led care.

Women's Health4 min read
Woman kneeling on an exercise mat

Urinary Leakage and Overactive Bladder in Women: Causes and Care

Urinary leakage and overactive bladder in women - the causes, the types, and what helps, from pelvic-floor care to physician-led medical options.

Women's Health4 min read
Clinician measuring a patient's waist with a tape

Menopause and Weight Gain: Why It Happens and What Works

Menopause and weight gain explained - why body composition shifts in midlife and what actually helps, sustainably. Physician-led guidance from YOUNIFY.

Women's Health4 min read
Weight-bearing lunge held outdoors by the water

Bone Health and Osteoporosis After Menopause

Bone health after menopause explained - why bone loss speeds up, how to protect your bones, and when to get tested. Physician-led guidance from YOUNIFY.

Women's Health4 min read
Woman sitting outdoors with one arm raised and her eyes closed

Menopause, Sleep, and Mood: Insomnia, Anxiety, and Brain Fog

Menopause, sleep, and mood explained - why insomnia, anxiety, and brain fog happen and what helps. Physician-led guidance from YOUNIFY Clinic.

Women's Health4 min read
Two women walking together carrying exercise mats

Perimenopause in Your 40s: Getting Ahead of It

Perimenopause in your 40s - how to recognize the early signs and get ahead of the transition with a proactive, physician-led plan. Guidance from YOUNIFY.

Women's Health4 min read

More Health Articles

Gloved clinician working at the neck of a patient lying on a couch

Thyroid RFA vs Surgery: How the Two Options Really Compare

A plain comparison of thyroid radiofrequency ablation and surgery: anaesthesia, scarring, recovery, hormone tablets, follow-up, and when surgery is still right.

Thyroid8 min read
Aesthetic Surgery: Face, Breast and Body

Jaw implant stock vs custom: which one suits your jaw?

A stock jaw implant is selected from manufactured sizes and adjusted during surgery. A custom, patient-specific implant is designed from your own CT scan and made for you, so it sits flush against your bone. A stock implant often suits a symmetrical jaw, while a patient-specific implant is usually preferred for asymmetry, larger changes, or revision.

Aesthetic Surgery8 min read
Aesthetic Surgery: Face, Breast and Body

Chin implant or genioplasty: which one should I choose?

A chin implant adds projection by placing a shaped implant on the front of the chin bone, while a genioplasty cuts and moves the chin bone itself. Implants usually suit a mild-to-moderate deficiency with a quicker recovery, and genioplasty usually suits a larger change or a chin that needs to move in more than one direction. At YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, a chin implant starts from THB 59,000 and genioplasty from THB 160,000.

Aesthetic Surgery7 min read
Aesthetic Surgery: Face, Breast and Body

Chin implant or chin filler: which should I choose?

Chin filler adds temporary projection with injections and little downtime, while a chin implant gives a long-lasting, more defined change through a short operation. Filler suits a small change or a trial of how a stronger chin looks, and an implant usually suits men who want a firmer, squarer chin without repeat treatments. At YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, dermal filler starts from THB 13,000 per cc and a chin implant from THB 59,000.

Aesthetic Surgery6 min read
Aesthetic Surgery: Face, Breast and Body

How long is chin implant recovery, and when can I fly home?

Chin implant recovery is front-loaded: swelling and tightness peak in the first few days, most visible swelling settles over the following weeks, and the final contour is judged after several months. When you can fly home depends on your surgery and how you heal, and your surgeon confirms it at your final review. At YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, your remote follow-up schedule is agreed with you before you fly.

Aesthetic Surgery4 min read
Aesthetic Surgery: Face, Breast and Body

What are the risks of chin and jaw implants?

The main risks of chin and jaw implants are infection, implant shifting or malposition, asymmetry, changes in lip and chin sensation, and the need for revision, while swelling, bruising, and temporary numbness are expected parts of recovery. These risks are reduced through careful planning, implant choice, surgical technique, and follow-up, and an implant can be removed or revised if needed. At YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, your surgeon goes through each risk with you before consent.

Aesthetic Surgery5 min read
Aesthetic Surgery: Face, Breast and Body

Planning a chin or jaw implant abroad: what should I check first?

Planning a chin or jaw implant abroad comes down to a few checks: who operates and where, what the written quotation includes, how long to stay, and how aftercare works once you are home. Send clear photographs first, have a surgeon review them with you by video, and pay no deposit until the plan and price are in writing. At YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, each of these is confirmed with you before you book flights.

Aesthetic Surgery6 min read
A doctor examining a patient's neck to assess a thyroid nodule

What Causes a Lump in the Neck? Thyroid Nodules Explained

Most neck lumps are thyroid nodules, and only about 5% turn out to be cancer. Here are the common causes, the lumps that are not thyroid, and the red flags.

Thyroid8 min read
Ultrasound probe on the front of a patient's neck

Thyroid Nodule Found? What Happens Next, From Ultrasound to FNA

Found a thyroid nodule? Step by step from YOUNIFY's medical team: blood tests, ultrasound risk grading, when a needle biopsy is needed, and the options that follow.

Thyroid8 min read
Doctor palpating a patient's neck during examination

Does a Thyroid Nodule Need Surgery? When to Operate and When to Wait

Does a thyroid nodule need surgery? A balanced guide to when an operation is genuinely indicated, when monitoring is the right call, and what surgery costs you.

Thyroid8 min read

International Publications

Improvement of Obesity-Related Comorbidities After Bariatric Procedures: A Network Meta-Analysis of Endoscopic Versus Surgical Interventions

OAGB, SASI, SADI, and ESG demonstrate superior efficacy in improving obesity-related comorbidities and GERD outcomes, supporting their consideration as leading options in individualized bariatric care.

Noppachai SiranartDig Dis Sci · 2026↗

Visual and Neurological Outcomes Following Glucagon-Like Peptide-1 Receptor Agonist Therapy and Bariatric Surgery in Idiopathic Intracranial Hypertension: A Network Meta-Analysis

Adjunctive GLP-1RA therapy may be associated with weight loss and improved clinical/ophthalmic outcomes in IIH relative to conventional care, with a signal for worse visual fields at certain time points.

Noppachai SiranartMetab Syndr Relat Disord · 2026↗

Endoscopic Management for Non-Variceal Upper Gastrointestinal Bleeding: A Network Meta-Analysis of Randomized Controlled Trials and Cost-Effectiveness Analyses of 2 Health Care Systems

OTSC was superior to HP and ST in efficacy and cost-effectiveness, favoring its use as a first-line endoscopic hemostasis intervention for NVGIB.

Noppachai SiranartAm J Gastroenterol · 2026↗

Effect of glucagon-like peptide-1 receptor agonists on histologic MASH: A meta-analysis of randomized controlled trials

In patients with noncirrhotic MASH, GLP-1RAs appear to be associated with both MASH resolution without fibrosis worsening and ≥1-stage fibrosis regression without MASH worsening.

Noppachai SiranartHepatol Commun · 2026↗

Endoscopic versus surgical management of recurrent weight gain following sleeve gastrectomy

Endoscopic revision of SG appears to be associated with similar weight loss compared with surgical revision or conversion to Roux-en-Y gastric bypass, with a better safety profile.

Noppachai SiranartGastrointest Endosc · 2026↗

Can GLP-1 agonists be used safely in inflammatory bowel disease? A meta-analysis

GLP-1RAs appear to be safe and effective in patients with IBD.

Noppachai SiranartJ Crohns Colitis · 2025↗

Glucagon-like peptide-1 receptor agonists and upper endoscopy: a real-world experience

Continuation of GLP-1RAs did not appear to be associated with an increased incidence of residual gastric contents, early procedural termination, or aspiration events.

Noppachai SiranartObesity (Silver Spring) · 2025↗

Leadless Pacemaker in Bradyarrhythmia After Transcatheter Aortic Valve Replacement: A Meta-Analysis

LPM could serve as a first-line pacing strategy in bradyarrhythmia post-TAVR due to its safer profile with comparable efficacy and feasibility to TPM.

Noppachai SiranartCardiol Rev · 2026↗

Slow-inactivated sodium channels as a therapeutic target in trigeminal neuralgia: evidence from a systematic review and meta-analysis of lacosamide

Lacosamide (LCM) has shown favorable outcomes in some patients with trigeminal neuralgia (TN) and may serve as an alternative therapy, particularly those refractory to or intolerant of first-line agents, and intravenous LCM may be useful for acute exacerbations.

Noppachai SiranartJ Oral Facial Pain Headache · 2026↗

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