Six weeks ago I wrote about Zostavax, a vaccine that prevents shingles. At that time I suggested waiting to see if the CDC was going to recommend it. Last week the CDC Advisory Committee on Immunization Practices (ACIP) recommended that all adults over 60 who have had chicken pox receive the vaccine. The press release about the ACIP's recommendation is ...
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Keeping the Weight Off
I've written before that quitting smoking is the hardest thing I ask my patients to do. Losing weight is the second hardest. Many patients struggle for years with their weight, and frequently after successfully losing weight, slowly regain it.
Last week's New England Journal of Medicine had an important article about keeping weight off: A...
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Many Americans Unaware They Have Diabetes
A new study from the National Institutes of Health (NIH) and Centers for Disease Control highlights how common type II diabetes is among American adults. The study is summarized in this NIH news release. 6.5% of American adults have diabetes. Even more alarming is that a third of them don't know they have it.
Type II diabetes has serious potential consequences, and its high prevalence makes it a common cause of disabi...
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Gastric Banding is a Reasonable Treatment Option for Obesity
Obesity is a serious problem in America and in my practice. Obesity predisposes to type II diabetes, high blood pressure, and high cholesterol. It also increases stress on joints and worsens arthritis. Nevertheless, losing weight for most patients is very difficult. Dietary modification and exercise have been the most proven weight loss techniques, but many patients can not adhere to a strict exercise and diet regimen.
More recently, surgical treatments for weight loss have offered an alternati...
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Preventive Care — Separating Facts from Myth
This article published yesterday in the Los Angeles Times features a great summary of the current scientific evidence about preventive care. (Registration is required by the Times to read the article, but is free.) Some of what is known may surprise you. The annual physical examination -- for example listening to the heart and the lungs, feeling the ...
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A Single Episode of Exercise Can Improve Your Mood
This Washington Post article reviews a recent study in which depressed patients were randomized to either rest quietly for 30 minutes or to walk on a treadmill for 30 minutes at 60 to 70 percent of their maximum heart rate. The people who exercised reported higher scores of well-being afterwards.
This post-exercise sense of accomplishment and vigor is familiar to anyone who does c...
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