Health Advice

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Health

Praluent Lessens The Chance Of A Heart Attack In Woman With Fh

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a 69-year-old woman who was diagnosed with familial hypercholesterolemia (FH). I used statins for over a decade but developed vulvar lichen sclerosus (LS), which only went away when I stopped the statins. They weren't very effective; on a statin, my total cholesterol was still 226 mg/dL. Without medicine, it was 310 mg/dL....Read more

Weeding Out Which Ads For Diabetes Are Worth Looking At

Health Advice / Keith Roach /

DEAR DR. ROACH: Every time I get on my phone, there are a ton of ads on how to cure Type 2 diabetes. Are any of them worth looking at? -- F.N.

ANSWER: If the ads are for comprehensive diet and exercise programs with education provided by a diabetes educator and a registered dietician (combined with medication if necessary), then they are ...Read more

Fatigue And Tingling Persist Amid Treatment For Anemia

Health Advice / Keith Roach /

DEAR DR. ROACH: I am 71 years old and was diagnosed with pernicious anemia in October 2024. My B12 and folate levels were low. My antiparietal antibodies were abnormal, but the intrinsic factor antibodies were negative. I received daily B12 injections for six days, and now I'm on them once a month. I'm also taking folate daily.

I still feel ...Read more

Follow-Up Biopsies Help Confirm Healing For Celiac Disease

Health Advice / Keith Roach /

DEAR DR. ROACH: I've been diagnosed with silent celiac disease at the late age of 62, but I probably had it for decades. (It may have led to my serious osteoporosis.) A biopsy revealed totally flattened villi.

I am gluten-free and will be getting celiac-antibody, nutrient, and other regular lab work from now on. But my doctors stated that no ...Read more

A Withdrawn Drug Is The Only Medication That Works For Reader

Health Advice / Keith Roach /

DEAR DR. ROACH: What happened to Darvon? It wasn't addicting and didn't cost much, and I never heard any reason why it was withdrawn except that "it didn't work." It sure worked for me, and when they took it away, I ended up on Oxycontin because everything else that wasn't more dangerous made me vomit!

I have fibromyalgia. After I had my ...Read more

The Underlying Cause Of A Longtime Cough Seems To Be Unclear

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a 70-year-old female in excellent health, and I have a very healthy diet and fitness regimen. But I have had a persistent dry cough for 20 or so years. After seeing many doctors, it was determined to be acid reflux. I was then prescribed various acid-suppressing prescriptions such as Pepcid, Prevacid, Protonix, etc. When ...Read more

Man Who Takes 10 Pills A Day Questions The Efficacy Of His Meds

Health Advice / Keith Roach /

DEAR DR. ROACH: I am an 84-year-old male in fairly good health for my age. I take 8-10 pills a day, including two over-the-counter medications. I take four or five in the morning and four or five in the evening. My question is, how effective are these medications if they are all being taken together and mixed in my stomach? Won't there be some...Read more

With Severe Dementia, Medications Are Of Limited Benefit

Health Advice / Keith Roach /

DEAR DR. ROACH: My 89-year-old husband was diagnosed with Alzheimer's disease. He does not take any medication. He is in excellent health except for the Alzheimer's. His blood pressure is 123/69 mm Hg, and his pulse is 53 bpm.

His geriatric doctor said "no" to prescribing medication to help slow down the disease. The doctor said his pulse ...Read more

Older Couple Won't Tone Down The Intensity Of Their Exercise

Health Advice / Keith Roach /

DEAR DR. ROACH: My parents are both retired medical professionals who are in their early 70s. My father has diabetes that he manages with medication, and he also has a history of recurrent prostate cancer. My mother has had osteopenia for years. They want to remain in good cardiac health and have been exercising regularly in recent years to ...Read more

Prostate Cancer Patient Gets Put Under Active Surveillance

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a 66-year-old white male who is active and relatively healthy. I have recently been diagnosed with prostate cancer. One blood test showed a PSA level of 13 ng/mL, and a second was 17 ng/mL. So, I underwent a biopsy, which showed adenocarcinoma with a Gleason score of 6 (3+3), grade group 1. The tumor was measured to be 0.4...Read more

Bird-Lover Is Troubled Over The Possible Transmission Of Bird Flu

Health Advice / Keith Roach /

DEAR DR. ROACH: I have two bird feeders off of my back deck. They hang from tall poles as a vain attempt to keep the squirrels from eating all of the birdseed! But to refill them, I must take them down and handle them, and I recently wondered if I might be exposing myself to the new bird flu.

Is there any information about this possibility? ...Read more

Valsartan Could Be The Cause Behind A High Potassium Level

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a 70-year-old male who is 6 feet, 3 inches tall and weighs 190 pounds. Other than having high blood pressure, I am healthy, eat a Mediterranean-style diet, and exercise most days. Since 2021, I have been taking one tab of amlodipine/valsartan daily with blood pressure readings of 125-135/70-80 mm Hg and a heart rate of 55-...Read more

Periodic Phlebotomies Required For Hemochromatosis Patient

Health Advice / Keith Roach /

DEAR DR. ROACH: When I was diagnosed with hemochromatosis, my doctor explained that a ferritin level of 380 ng/mL was too high. I am a male and would like to know if I need to continue getting phlebotomies. After several phlebotomies in three to four months, my level was 122 ng/mL.

Currently, I have a score of 97 ng/mL. I prefer to accept ...Read more

AI-Assisted Device Produces After-Visit Summaries Full Of Errors

Health Advice / Keith Roach /

DEAR DR. ROACH: My primary care physician has been using an AI-assisted device during our office visits that transcribes and records our visits. I receive an after-visit summary a few days later that contains minor errors at the least, but they're often blatant errors. For example, one problem was listed as "vasomotor symptoms due to surgical ...Read more

 

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