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Use reliable literature sources for information about vitamins

DEAR DR. ROACH: Would you recommend the most reliable literature source(s) for vitamin and supplement information and interactions? For instance, health magazines give these examples of supplement information: — Take magnesium with vitamin D3 for best absorption. — Do not take magnesium with zinc or iron supplements. Take it hours apart to avoid poor absorption […]

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Ibuprofen needs to be used in caution after hernia operation

DEAR DR. ROACH: My second inguinal hernia operation resulted in pain and a lot of blood in my groin area. I can understand why I was prescribed acetaminophen, but I am confused about ibuprofen. It’s a blood thinner, and I am not sure if my blood needed thinning, since there was plenty of blood in […]

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Immunotherapy for peanut allergies is still a work in progress

DEAR DR. ROACH: Why aren’t people able to see an allergist to be desensitized to a peanut allergy? As a child, I was allergic to dust, pet hair, milk and other things, but I received treatments. I am not bothered by any of these now. It would seem prudent to desensitize people who have allergies […]

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The course of rare Van der Knaap disease is somewhat unclear

DEAR DR. ROACH: I have a question that I hope you can help me with. My 1-year-old grandniece (my brother’s granddaughter) was recently diagnosed with Van der Knaap disease after suffering seizures and getting an MRI. An internet search described it as a rare inherited disorder with walking difficulties and a progressive decline in brain […]

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Treatment for thymic cancer begins with surgery or chemo

DEAR DOCTOR ROACH: I have recently learned that my sibling, age 70, has rare cancer of the thymus. She will be getting chemotherapy and perhaps radiation treatment. I have heard of immunotherapy. Is this an option? Would you know what could have caused this type of cancer? When she was younger, she had bouts of […]

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Antihistamines are still worth trying for interstitial cystitis

DEAR DR. ROACH: You recently wrote that the antihistamine Zyrtec might be helpful for interstitial cystitis (IC). A recently published review found no benefit. Would you readdress your opinion? — D.M. ANSWER: The review that you sent looked at the same studies I did to make its recommendation, but they came to a different conclusion. […]

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Pain after a total knee replacement might be due to the hip

DEAR DR. ROACH: I read your recent column about a person who had knee pain after a knee replacement. I am a retired orthopedic surgeon who performed on over 10,000 total joints of the hip, knee and shoulder in my 47 years of active surgical practice. A well-done total knee replacement does not give the […]

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Steatotic liver disease can be treated with weight loss, exercise

DEAR DR. ROACH: I had right upper abdominal pain, and my doctor suspected gallbladder problems. The abdominal ultrasound showed that my gallbladder was normal, and the HIDA scan showed normal gallbladder function. But the ultrasound reported “hepatic steatosis,” aka fatty liver disease. My labs were all normal, including an ALT test of 19. My doctor […]

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Apple cider vinegar is a surprising help for blood in urine

DEAR DR. ROACH: Recently, I had anal cancer and was treated with chemo and radiation. The radiation burned my insides, severely damaging most of my internal organs. One of the aftereffects was occasional blood and small clots in my urine. A few months ago, both the frequency and the amount of blood, especially the clots, […]

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Doctor oddly recommends less liquid to avoid kidney disease

DEAR DR. ROACH: I am a 79-year-old woman who weighs 123 pounds and exercises with Zumba, yoga and cardio drumming. I feel well and have plenty of energy, friends, support and family. I have been on a low-salt eating program to treat Meniere’s disease for 25 years. My blood pressure is 115/69 mm Hg. My […]

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