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As a primary care physician and osteopathic doctor, I see back pain almost every day in my clinic. It’s one of the most common reasons adults come to see me. Back pain can affect everything: your work, your sleep, even your mood. The good news? Many back problems can actually be prevented. Whether you spend hours sitting at a desk, do a lot of lifting, or just want to keep your spine strong and healthy, there are simple steps you can take to protect your back. In this blog, I’ll share some of the practical, evidence-based tips I give my patients to keep your back healthy, mobile, and pain-free for the long run. 1. Build a Strong Core Your core muscles, including your abs, back, and hips help support your spine. Weak core muscles can lead to strain and injuries. Simple ways to strengthen your core: Try low-impact exercises like planks, bridges, or gentle Pilates . Add short core workouts 2–3 times per week. 2. Lift Smart Improper lifting is a major cause of back injuries. Follow these steps when lifting: Bend your knees , not your waist. Keep the item close to your body . Avoid twisting while lifting or carrying. Ask for help if something is too heavy. 3. Move Often — Don’t Stay in One Position Sitting or standing in the same position for hours can tighten muscles and strain your back. At a desk:  Stand, stretch, or walk for a few minutes every hour. On your feet:  Shift your weight or take breaks to sit and rest. Consider a standing desk  or an ergonomic chair  to support better posture. 4. Stretch Daily Tight muscles can pull on your spine and increase the risk of injury. Try these daily stretches: Knee-to-chest stretches Cat-cow yoga pose Hamstring stretches It only takes 5–10 minutes  to loosen up your back and reduce stiffness. 5. Maintain a Healthy Weight Excess weight, especially around the midsection, puts extra pressure on your spine. Pairing a balanced diet with regular movement can help keep your back healthy. 6. Listen to Your Body If you notice pain, stiffness, or numbness, don’t ignore it. Early intervention can prevent a small problem from becoming a major injury. Rest and gentle movement often help minor aches. If pain lingers more than a few days or is severe, see a doctor for evaluation. When to Seek Help If your pain continues is severe, lingers more than a few days, is worsening, sharp, travels down your legs, or is paired with numbness or weakness, visit your doctor. These could be signs of a more serious condition that needs attention. Preventing back injuries is about being proactive. By staying active, building core strength, practicing good posture, and lifting safely, you can keep your back healthy for years to come. If you have ongoing back pain or want a personalized plan, book an appointment . Together, we can create a strategy to keep you moving and feeling your best. Dr. Sapna Rajput Primary Care Physician I Osteopath I Sports Injury Management Mountain View, CA

By Dr. Sapna Rajput, D.O. – Board-Certified Family Medicine Physician in Mountain View, CA Are you constantly asking yourself, “Why am I so tired all the time?” You're not alone. At my primary care clinic in Mountain View, I regularly see patients who are struggling with ongoing fatigue. Many are surprised to learn that the root cause is something that can be diagnosed and treated. Fatigue deserves a thoughtful approach—one that includes careful evaluation, appropriate testing, and a care plan that fits your unique needs. If you're looking for answers and treatment, we're happy to help. What Is Fatigue—and Why Should You Get It Checked? Fatigue is more than just feeling sleepy. It’s a persistent lack of energy that affects your ability to concentrate, work, and enjoy life. It can come on slowly or feel like it hits all at once. Either way, fatigue is not something you should ignore . 6 Common Causes of Fatigue I See in My Clinic Poor Sleep or Sleep Disorders Are you getting 7–9 hours of sleep but still waking up exhausted? You might be dealing with an underlying sleep disorder. Conditions like sleep apnea —which causes brief pauses in breathing during sleep—can leave you feeling unrested even after a full night in bed. Insomnia  and restless leg syndrome  are also common causes. Fortunately, these can be easily diagnosed and treated. Sleep-related issues are one of the leading causes of daytime fatigue, especially for adults juggling high-stress jobs, irregular schedules, or caregiving responsibilities. Nutrient Deficiencies One of the most overlooked causes of fatigue is a nutritional deficiency. Low levels of iron , vitamin B12 , or vitamin D  can significantly impact your energy and focus. These deficiencies are surprisingly common, even in people with relatively healthy diets. In some cases—especially in women—iron infusions can be particularly beneficial for those with iron deficiency when oral supplements aren't enough. Fortunately, these deficiencies are easy to diagnose through blood work and typically improve with the right treatment and dietary support. Thyroid and Hormonal Imbalances Your thyroid plays a key role in regulating metabolism and energy. When it’s underactive—a condition known as hypothyroidism —you may feel persistently sluggish, cold, or mentally foggy. Hormonal changes such as perimenopause , menopause , or low testosterone  can also trigger fatigue, mood shifts and sleep disturbances. While some hormonal imbalances like low testosterone or thyroid issues can be identified through lab testing, perimenopausal and menopausal changes are typically diagnosed based on symptoms and overall clinical evaluation. Mental Health and Emotional Burnout Chronic fatigue isn’t always physical—it can be deeply emotional. Ongoing stress , anxiety , and depression  are major contributors to low energy and poor sleep. You might be going through the motions each day, but underneath, your mental health could be running on empty. At our Mountain View primary care clinic, we take emotional health seriously and offer resources to support your overall well-being. Chronic Conditions Several long-term medical conditions can lead to fatigue. These include diabetes , heart disease , autoimmune disorders  like lupus or rheumatoid arthritis, and chronic infections  such as Epstein-Barr virus. If your fatigue is persistent and unexplainable, a thorough medical evaluation is key to identifying or ruling out any underlying illness. Lifestyle habits Your daily routine could also be draining your energy. Skipping meals, drinking too much caffeine, not getting enough physical activity, or being chronically dehydrated can all contribute to that constant feeling of exhaustion. Even small adjustments—like regular meals, hydration, and gentle movement—can make a noticeable difference in your energy levels. Ready to find the root cause of your fatigue? If you’ve been feeling tired all the time and don’t know why, don’t ignore it—your body is trying to tell you something. Whether it’s related to sleep, nutrition, hormones, or chronic stress, a thorough evaluation with a primary care doctor can help you feel better. We are happy to help both new and established patients with personalized care and thorough evaluation to support your well-being. Too tired to come into the office? No problem— video visits are available for patients anywhere in California. Your health is a priority. 👉 Schedule an appointment today  or call us to get started. Let’s work together to uncover the cause of your fatigue—and help you reclaim your energy. Warmly, Dr. Sapna Rajput, D.O. 650-254-6665 Board-Certified Family Medicine Physician Primary Care Doctor in Mountain View, CA

Why Protein Is Essential for Vegetarians Protein isn’t just for athletes; it is vital for everyone. It serves several crucial functions in the body, including: Building and repairing tissues Supporting hormones and enzymes Strengthening the immune system Maintaining muscle mass as well as healthy skin, hair, and nails Getting enough protein on a vegetarian diet is absolutely possible with the right mix of foods. 10 Best Vegetarian Protein Sources 1. Legumes & Beans Legumes and beans are excellent sources of protein. Here are some options: Lentils – 18g protein per cooked cup Chickpeas – 15g per cooked cup Black beans, kidney beans, navy beans – 13–15g per cup Soybeans – 28g per cooked cup 2. Dairy (if lacto-vegetarian) Dairy products provide a good protein boost: Greek yogurt – 15–20g per 6 oz Cottage cheese – 14g per ½ cup Cheese (cheddar, mozzarella, etc.) – 6–8g per oz Milk – 8g per cup 3. Eggs (if ovo-vegetarian) Eggs are an excellent source of protein: Whole egg – 6–7g each Egg whites – 3.6g per white 4. Whole Grains Incorporating whole grains is another way to add protein to your diet: Quinoa – 8g per cooked cup Farro – 6g per cooked cup Oats – 5g per ½ cup dry Brown rice – 5g per cooked cup Whole wheat bread – 4–5g per slice 5. Nuts & Seeds Nuts and seeds can also contribute significantly to protein intake: Almonds – 6g per oz Peanuts – 7g per oz Sunflower seeds – 6g per oz Chia seeds – 5g per 2 tbsp Hemp seeds – 10g per 3 tbsp Pumpkin seeds – 7g per oz Nut butters – 7–8g per 2 tbsp 6. Soy Products Soy-based products are another great source: Tofu – 10g per ½ cup Tempeh – 15–18g per ½ cup Edamame – 17g per cup Soy milk – 7–9g per cup 7. Meat Substitutes & Fortified Products Commercial meat substitutes can help, too: Seitan (wheat gluten) – 21g per 1/3 cup Veggie burgers / plant-based meat (check labels) – 10–20g per serving Protein-enriched pasta or cereals – varies; check the label Tips for Maximizing Protein on a Vegetarian Diet Here are some practical tips to ensure you get enough protein: Combine Plant Proteins : Pair plant proteins like rice and beans for complete amino acids. Choose High-Protein Snacks : Opt for nuts, yogurt, or boiled eggs as snacks. Build Meals Around Protein : Center your meals around a protein source to ensure adequate intake. Watch for Sneaky Additives : Flavored yogurts and protein bars often have extra sugars or carbohydrates. Read labels carefully. Additional Thoughts on Vegetarianism Another important factor is understanding your overall dietary needs. Proper nutrition involves balancing macronutrients while also ensuring you get enough vitamins and minerals. Explore foods rich in iron, calcium, and B12, especially if you're new to vegetarianism. As you can see, achieving adequate protein intake on a vegetarian diet is not only feasible but easy when you include a variety of these foods. Remember that every small step counts towards a healthier lifestyle! Dr. Sapna Rajput – Family Medicine Doctor in Mountain View I provide personalized medical care for adults ages 18 to 65, focusing on compassionate, empathetic care that respects your values, lifestyle, and goals. Now accepting new patients in Mountain View, CA

Key Terms Explained 1. Deductible Your deductible  is the amount you must pay out of pocket  each year before your insurance starts to share the costs. Example: If your deductible is $2,000, you’ll need to pay $2,000 in covered medical expenses before your insurance begins to contribute to the cost of your visits. Preventive care , like annual physicals and vaccines, is usually covered by your insurance even before you meet your deductible. This means you can stay on top of your health without worrying about hitting that deductible right away. 2. Copay (Copayment) A copay is a fixed amount you pay when you receive specific services. Common examples of copays include: $25 for a primary care visit $50 for a specialist appointment $10–$20 for prescriptions Remember that copays typically do not  count toward your deductible but do count toward your out-of-pocket maximum . These fees are usually collected at the time of your visit, making it easy to know what you'll need to pay upfront. 3. Coinsurance Once you meet your deductible, you and your insurance company share costs through coinsurance . Example: After meeting your $2,000 deductible: Your plan may pay 80% You pay the remaining 20% So, for a $100 medical visit, you'd pay $20, and your insurance would cover the remaining $80. This arrangement helps lower your financial burden once you’ve met your deductible. What Is the Out-of-Pocket Maximum? The out-of-pocket maximum is the maximum amount you will pay in a year for covered services. This includes: Deductibles Copays Coinsurance Once you reach this limit, your insurance covers 100%  of covered costs for the rest of the year. It provides peace of mind knowing that no matter how much care you need, there’s a cap on your expenses. Real-Life Example Let’s say you go to the doctor for an office visit that costs $100 . Your insurance plan has a $1,000 deductible , 20% coinsurance , and a $20 copay . If you haven’t yet met your $1,000 deductible: You’ll pay the full $100  out of pocket. Once you’ve paid $1,000 total in medical costs for the year: If your plan uses a copay , you might only pay $20  per visit after that. If your plan uses coinsurance , you’ll pay 20% of $100 , which is $20 , and insurance will cover the rest ( $80 ). So before the deductible is met, you pay the entire cost. Afterward, your payment decreases significantly based on your plan's specifics. Frequently Asked Questions Understanding Coverage Limits If you have questions regarding your health coverage, contacting your insurance company is the best approach. They will provide you with comprehensive, accurate information regarding your coverage and out-of-pocket costs. Additional Coverage Options Be proactive in understanding if you have additional coverage options that your plan may offer. Some insurance plans provide supplemental coverage that could be beneficial to your overall health. Importance of Preventive Care Taking advantage of preventive care services can help you avoid more costly treatments down the line. Familiarize yourself with what is covered as preventive care; it can potentially save you a significant amount of money. Health Care Resources Referring to the Healthcare.gov website can help clarify additional terms related to your health insurance. It is a valuable resource for understanding your health coverage and finding the best options available to you. Final Thoughts Understanding your health insurance plan involves knowing the terms and conditions that affect your healthcare decisions. From deductibles to copays and the out-of-pocket maximum, these terms significantly impact your financial responsibilities. Take the time to educate yourself, and don’t hesitate to ask your provider for clarification. If you have any questions or concerns about your insurance coverage, remember: your insurance company is your best source for accurate information. Dr. Sapna Rajput, Primary Care, Mountain View, CA Primary Care I Sports Injury Management I Immigration Examinations

As a family medicine doctor, I often get asked: “How can I get enough protein on a vegetarian diet?” This is especially common among my Indian patients, many of whom follow vegetarian or plant-based lifestyles. The good news? There are plenty  of vegetarian foods rich in protein that can support your energy, metabolism, and overall health—without relying on meat. Why Protein Is Essential for Vegetarians Protein isn’t just for athletes—it's vital for everyone. It helps: Build and repair tissues Support hormones and enzymes Strengthen the immune system Maintain muscle mass and healthy skin, hair, and nails Getting enough protein on a vegetarian diet is absolutely possible with the right mix of foods. 10 Best Vegetarian Protein Sources for Indian Diets 1. Lentils (Dal) Protein:  ~18g per cooked cup Staple dals like moong, toor, and masoor are rich in protein and iron. Easy to cook and budget-friendly. 2. Chickpeas and Other Legumes Protein:  ~15g per cooked cup Include dishes like chole, rajma, or sprouted chana salad. Beans and legumes are protein powerhouses. 3. Tofu and Tempeh Protein:  Tofu ~10g; Tempeh ~15g per ½ cup Great plant-based alternatives to paneer. Add them to curries or stir-fries for extra protein. 4. Paneer (Indian Cottage Cheese) Protein:  ~14g per ½ cup Paneer is a high-protein favorite. Grill, sauté, or add it to sabzis—just keep an eye on portion sizes if watching fat and cholesterol intake. 5. Greek Yogurt (Plain, Unsweetened) Protein:  ~10g per ¾ cup A convenient, high-protein snack or breakfast. Opt for unsweetened versions to avoid added sugars. 6. Quinoa Protein:  ~8g per cooked cup A complete protein and a great substitute for rice. Try it in pulao or with dal for a nutritious twist. 7. Nuts and Seeds Protein:  ~5–8g per ounce Snack on almonds, pumpkin seeds, chia, or flaxseeds. Roasted seeds are a great alternative for those with nut allergies. 8. Soy Milk and Other Plant Milks Protein:  ~7g per cup (soy milk) A solid option for those avoiding dairy. Look for unsweetened and fortified versions. 9. Whole Grains Protein:  Varies Brown rice, whole wheat roti, millet, and oats are all helpful additions to round out a vegetarian meal. 10. Eggs   (for ovo-vegetarians) Protein:  ~6g per egg Tips to Boost Protein on a Vegetarian Diet Sprout It Out Sprouting moong, methi, or chana improves digestibility and boosts nutrient absorption. Snack Smart Keep roasted chana, protein-rich yogurts, or nuts handy to avoid low-energy slumps. Watch for Sneaky Additives Flavored yogurts and protein bars often have extra sugars/carboyhydrates. Read labels carefully. Dr. Sapna Rajput – Family Medicine Doctor in Mountain View I provide personalized medical care for adults ages 18 to 65, with a focus on compassionate, empathetic care that respects your values, lifestyle, and goals. Now accepting new patients  in Mountain View, CA

Embracing the rain: no barriers to my run, just raindrops on my lenses. I wasn’t always into exercise. In high school, I dreaded running laps—I was always  the last one to finish (like, reliably last). I gave the swim and tennis teams a shot, but let’s just say... they didn’t exactly beg me to join. Later, I dabbled in badminton—not my strong suit, but I enjoyed it. What first sparked my love for movement was Indian classical dance—thanks to my mom. The blend of rhythm, emotion, and discipline drew me in and helped me stay consistent with exercise later in life. Exercise has now become one of my favorite parts of the day—it's my daily dose of therapy, strength, and sanity. I fell in love with it back in medical school and, somehow, through all the chaos, I’ve managed to keep it going ever since. I’m definitely not the fastest runner—usually somewhere near the back—but that’s not why I run. For me it’s about the music pumping through my earbuds, letting go of my emotions, and the joy of feeling my body move and grow stronger with every step. I recently ran in the rain and I mean pouring —three jackets, soaked shoes, foggy glasses—but came back feeling strong, refreshed, and totally energized. My father, at 84 years old, is truly an inspiration. He demonstrates remarkable vitality by performing Surya Namaskars right at home. It's incredible to witness his dedication and energy as he embraces this practice, showing that age is just a number when it comes to maintaining one's health and well-being. I was lucky to grow up in an active, inspiring household. Just recently, my dad celebrated his 84th birthday by completing 84  Surya Namaskars (Sun Salutations)! That kind of strength, stamina, and endurance doesn’t just happen—he’s been consistent with exercise for decades. My mom, at 82, still does yoga daily and pulls off poses I can’t even dream of! Watching them has been a powerful reminder that the benefits of movement truly speak for themselves. One  piece of advice my patients hear from me all the time? Exercise!  It’s one of the most powerful tools we have—it boosts mood, energy, immunity, and helps prevent chronic disease. It supports longevity, improves quality of life, and it’s free! At 82 years old, my mom is an inspiring woman who gracefully practices yoga at home. She embodies both strength and serenity, demonstrating that age is just a number when it comes to maintaining physical and mental well-being . Too many people live sedentary lives, which can lead to weight gain, low energy, and a higher risk of disease. We make time to see doctors, take meds, and get labs when we're sick—but what if we made that same time for movement and prevention? If people would prioritize their health the way they do when they’re unwell, we could prevent many diseases, reduce the need for medications, and live longer lives. While some conditions are inherited and beyond our control, we can  take control of how we care for our bodies every day. For me, finding time to exercise means waking up 30 minutes earlier. The big advantage of morning workouts? They eliminate excuses. Once the day starts, responsibilities can get in the way, but exercising first thing leaves you feeling strong, refreshed, and accomplished. Starting a routine can feel overwhelming, but the key is to just begin. Whether it’s swapping a few minutes of screen time for a 10-minute walk or doing jumping jacks, consistency is what makes a difference. As you stick with it, you’ll get stronger and healthier. Exercise doesn’t always mean hitting the gym—try a YouTube workout during your child's nap time, dance around your living room, play sports, or go for a hike. When you find something you enjoy, it becomes sustainable. Explore different activities, and you might be surprised by how much you love moving. With so many trendy supplements and fad diets out there, the simplest—and one of the most effective—solutions for good health is free: just move, and keep moving. So, close your laptop, look up, and start moving. Your mind and body will thank you! Sincerely, Sapna Rajput, D.O. Family Medicine Physician, Mountain View Primary Care Physician, Mountain View Sports Injury Management, Mountain View

Navigating the world of healthcare can be overwhelming, but finding the right primary care medicine physician can make all the difference. If you're in the Mountain View, CA area, you may want to consider Dr. Sapna Rajput for your primary care needs. With an impressive background and a Doctor of Osteopathic Medicine, Dr. Rajput brings a unique perspective to the field of primary care. Specializing in family medicine with a particular interest in sports medicine, she has over 18 years of experience. Her commitment to comprehensive care and patient-centered approach sets her apart as a standout healthcare provider in the area. Whether you're in need of routine check-ups, acute or chronic health issues, or treatment for a sports-related injury, or , Dr. Rajput's expertise in primary care makes her a trusted partner in your healthcare journey. Don't hesitate to reach out and schedule an appointment to experience expert care firsthand. Sapna S. Rajput, D.O., Inc, Primary Care Clinic, Mountain View, CA

Nature is powerful and vital to our well being. Recently, we visited Death Valley. The name “Death Valley” sounds so ominous, yet it is one of the most beautiful places I have seen. Prior to visiting Death Valley, I had zero expectations. When I saw the vastness of Death Valley, I felt like a child in the biggest playground. The untouched expanse of Death Valley was so welcoming, inviting me to walk for miles in the pristine, uncommercialized beauty. Dr. Rajput enjoying Mosaic Canyon Untouched—no billboards, no litter, no electric wires, no towers. Purely untouched and unapologetic—rocks scattered, abrupt water holes in the middle of salt flats, desert bushes growing wildly, miles and miles of salt strewn in the middle of beautiful rocky mountains, smooth and rough textures side by side, sand scattered frantically forming beautiful dunes. The imperfection of it all made it so perfect. In Death Valley, I experienced the quietest of quiet, sitting alone in a canyon with my youngest during sunset. I witnessed the incalculable expanse of our universe in the night sky, which treated us to multiple viewings of shooting stars. I experienced the adventure of being alone in the vastness of nature with my eldest at dawn, watching the sunrise over the dunes. I witnessed the darkest of dark stargazing, remote from any lights. I experienced the comforting feeling of insignificance amongst the magnitude of the Earth. Stargazing in Death Valley, photo by Dr. Sapna Rajput I share this in hopes that these experiences inspire others to explore nature, even if just outside your home. Connecting with nature is important for our health and well being. It is vital to look up, walk out of our bubble, move, witness the present moment, and experience the awe of the world around us. Stay healthy and enjoy. Insights from Death Valley: -Disappointment arises from expectations. Without expectations, you will see the world as it is and harmoniously accept things as they are. -Perfection is the accumulation of so many imperfections. For those who are busy, but want to nourish their well being, here is our itinerary that you are welcome to follow: 3 day itinerary for Death Valley: Day #1 Death Valley * We stayed at Stovepipe Wells - *10:00 AM:* Drive to *Badwater Basin*, the lowest point in North America. Short, flat walk with amazing photo opportunities. - *11:30 AM:* Explore *Devil’s Golf Course*, a surreal salt crystal field. - *12:30 PM: Hike Natural Bridge Death Valley. - *2:00 PM:* Lunch -3:00 PM:* Take the scenic *Artist's Drive* and stop at *Artist's Palette* for vibrant views. Star Wars scenes have been filmed here! -4:00 PM: Hike *Golden Canyon Trail* (2 miles round trip, good for kids). Star Wars Scenes were filmed here! - *5:30 PM:* Relax at the hotel. - *6:30 PM:* *Dinner - *8:00 PM:* Stargazing at the Mesquite Flat Sand Dunes or Harmony Borax Works, a historic and quiet spot with excellent dark skies Day #2 Death Valley - *8:30 AM:* Hike *Mosaic Canyon* (near Stovepipe Wells, easy hike with smooth marble walls, great for kids). - *11:00 AM:* Visit *Zabriskie Point*, one of the park’s most iconic viewpoints. - *12:30 PM: Lunch - *2:00 PM:* Drive to *Dante’s View*, a breathtaking overlook offering panoramic views of the valley. - *4:00 PM: Drive back to Mesquite Dunes to see the sunset and long shadows - *5:30 PM:* Relax at the hotel. - *6:30 PM: Dinner - *8:00 PM:* Final stargazing night at Mesquite Flat Sand Dunes Day #3 Death Valley Sunset on way back from Death Valley, photo by Dr. Sapna Rajput, primary care physician 6:30 a.m.- sunrise at Mesquite Dunes Drive back to destination Dr. Sapna Rajput, Primary Care, Mountain View, CA Sincerely, Dr. Sapna Rajput Primary Care Physician, Mountain View, CA

What is an annual physical exam? An annual exam is a preventative exam performed by your primary care physician. It is essential for your long-term health and provides an opportunity to detect potential health issues early on and obtain necessary preventive screenings, depending on your age, lifestyle, and gender. Many people only see their doctor when they feel sick, but preventive care is the key to long-term health. The majority of chronic medical conditions I have diagnosed have been discovered during an annual physical examination. What will my doctor check during my annual physical exam? During your annual physical, the doctor will assess your overall health, including lifestyle and risk factors. This typically includes a review of medical history, family history, medications, and lifestyle habits. Your vital signs, such as blood pressure, heart rate, temperature, weight, and height, are checked. Depending on your age and risk factors, the doctor may order lab work to monitor your health. Some examples include checking cholesterol, blood sugar, thyroid function, complete blood count, and kidney and liver function. Why is it important that I schedule an annual physical exam yearly? Many serious conditions, such as hypertension, diabetes, and high cholesterol, develop silently without symptoms, making annual physical exams crucial for detecting these conditions before they become severe. These visits are also a chance to discuss health goals with your physician, such as maintaining a healthy weight, quitting smoking, or managing stress more effectively. Most insurance plans fully cover one annual physical per year, though it’s always best to confirm coverage with your provider and insurance plan. If you haven’t had a physical yet this year, Dr. Rajput would be happy to help! Simply schedule online or give us a call at 650-254-6665. We look forward to helping you stay healthy! -Dr. Sapna Rajput Family Medicine Physician, Mountain View