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Amitriptyline Should Be Avoided By Older People
DEAR DR. ROACH: I have been taking 25 mg of amitriptyline for sleep for several years; I am 79 and have noticed occasional difficulty remembering some facts. I read that this drug can affect cognition. I don't believe that amitriptyline is really effective in helping me sleep, so I have discontinued its use, believing that the risk outweighs ...Read more
Walk this way -- or that way
I'm a great fan of walking 10,000 steps a day -- or the equivalent. But what exactly is equivalent? And how does that get figured out?
Well, the conversion of steps into other activities is based on the estimated effort, called a Metabolic Equivalent for Task or MET, that it takes for each activity. And while it's been determined based on solid...Read more

Valley fever cases are expected to spike in California. Here's how to avoid it
LOS ANGELES — For the second year in a row, California is on track to have a record-breaking number of valley fever cases, which public health officials say are driven by longer, drier summers.
There have been more than 4,000 cases of valley fever reported statewide from January to April, an increase of more than 3,000 cases compared with the...Read more

Massachusetts brain tumor cluster: Nurses not satisfied with Newton-Wellesley study
BOSTON — A nurses’ union isn’t satisfied with a Mass General Brigham investigation that found the brain tumor cluster at Newton-Wellesley Hospital is not connected to working conditions.
The hospital has identified six nurses who have worked on the facility’s fifth-floor maternity unit and reported benign (non-cancerous) brain tumors �...Read more

Penn Medicine health system ceases gender-affirming surgery for patients under age 19
PHILADELPHIA — Penn Medicine will no longer provide gender-affirming surgery to patients under age 19, effective this week, citing new federal orders targeting such procedures among transgender minors.
President Donald Trump issued in January an executive order that bars federal funding for gender-affirming care, including hormone therapy, ...Read more
Immigrants fear losing crucial health care if Minnesota legislators revoke access
MINNEAPOLIS — Micaela has spent three decades tirelessly cleaning houses, working as a clerk and now owns a shop in the Twin Cities that she tends to seven days a week, only closing Christmas and New Year’s Day.
But those efforts have left telltale signs on her body. She struggles to walk because of debilitating knee pain brought on by ...Read more

LGBTQ+ researchers sue Trump administration over grant terminations
BALTIMORE — An association of LGBTQ+ and allied health professionals sued the Trump administration last week on behalf of researchers whose funding related to LGBTQ+ health issues was terminated.
GLMA: Health Professionals Advancing LGBTQ+ Equality filed the suit against the National Institutes of Health and U.S. Department of Health and ...Read more
Farxiga Reduces Man's A1C Level Enough To Avoid Diabetes
DEAR DR. ROACH: My question is: What is the difference between prediabetes and diabetes, and which do I have? I am male, 85 years old, 170 pounds, and 6 feet and 1 inch tall. I was treated for heart disease with Coreg, Crestor, isosorbide, lisinopril and amlodipine.
About one year ago, the cardiologist added 5 mg of Farxiga for its heart and ...Read more
Screening for dry eye
In the blink of an eye, relentless screen use causes dry eye. And these days, around half of 18- to 25-year-olds suffer from the condition and 90% have at least one symptom. Those symptoms include gritty or burning eyes, blurred vision, sensitivity to light, redness, stringy mucus, itching, pain, or discomfort wearing contacts. In addition, ...Read more
Partner Is Shy To Bring Up Spouse's Erectile Dysfunction Issues
DEAR DR. ROACH: How do I approach a problem my husband has without embarrassing him? I'm not sure why lately, but during sex, he just goes soft. I'm not sure if it's me who he's not attracted to anymore or what's going on. We have been married for over 20 years. He is 39 and in good health otherwise. I don't want to make a big deal of this, ...Read more
It's never too soon to protect yourself from dementia
You may think of Alzheimer's and dementia as something that suddenly appears when you're in your 70s or 80s. Well, think again (while you still can). A study from The Lancet Regional Health-Americas reveals that important risk factors like cardiovascular issues and blood biomarkers (tau protein and amyloid tangles) can start showing up in your ...Read more
Become a real protein pro
Are you a protein pro-ponent, pro-curer, pro-vider? These days, 60% of Americans say they're obsessed with making sure they get "enough" protein, when, in fact, many get a healthy dose or even exceed recommended levels. What they don't get enough of, however, is protein from optimally healthy sources -- like fatty fish, skinless poultry, legumes...Read more
Woman's T-Score Continues To Worsen Amid Treatment And Meds
DEAR DR. ROACH: I am an 80-year-old Asian woman. Each day, I walk 4 miles and do 30 minutes of stretching, as well as 1 hour of cardio, strength or balance exercises by following videos provided by my health insurance. Also, my brother and sister who are in their 60s and 70s have weak bones and muscles. It seems to run in my family.
In 2000, ...Read more

On Nutrition: Sugar from zero to 50
I just survived a grueling 24 hours existing on nothing but clear liquids — tea, broth, jello, apple juice and the like. It didn’t kill me but let’s just say the nourishment in these foods didn’t last long. My suffering body was thankful, however, for the small amount of energy derived from the little bit of sugar in some of these foods....Read more
American Health -- The Short of It
New findings published in the New England Journal of Medicine report that Americans live shorter lives than Europeans, regardless of their wealth.
To be sure, people with more wealth tend to live longer than those with less wealth, especially in the U.S., but when comparing all demographics, the wealthiest Americans have shorter lifespans on ...Read more

On Nutrition: The science of salt
I have a weird habit of checking out food labels; it goes with the job. This one really grabbed my attention. It was on an electrolyte beverage and stated its case for the 1,000 milligrams of sodium in each 16-ounce can.
“Welcome to the Salty Rebellion,” the label reads. “The latest science reveals we’ve misunderstood salt. Electrolytes...Read more
This Is Your Brain in High School
Numerous studies have shown that education offers protective effects against late-life cognitive impairment. College-educated people are at lower risk.
But the quality of one's high school experience seems to play a role too.
"When we talk about education, the quality of your high school experience, not just whether you received a diploma or...Read more

On Nutrition: More on oxalates
A recent column on oxalates — natural components in plant foods that, when consumed in excess, can interfere with calcium absorption and contribute to kidney stones — brought these questions from readers:
“Thanks for your recent article on oxalates and calcium. I have osteoporosis and I'm trying to get enough calcium, magnesium and ...Read more
The Air Up There
Airplane air quality is generally regarded as good, comparable to or better than other indoor environments thanks to high air exchange rates and the use of high-efficiency particulate air filters. But any air traveler will tell you that flying seems to provoke a particular kind of air turbulence. Namely, increased flatulence.
It's a matter of...Read more

On Nutrition: What is the Mediterranean diet, really?
My husband and I traveled to Italy in 2019. Everything was wonderful, even the “house” wine in restaurants. We were surprised, however, that much of food we were served did not exactly match what we expected in this Mediterranean country.
In particular was the abundance of meat products, especially cold cuts, in the meals provided by our ...Read more
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