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Are Lifestyle Changes Impossible?

Many years ago, I became exhausted dealing with a friend who ignored my advice on living a healthy lifestyle. His attitude toward exercise was similar to Oscar Wilde’s “I often take exercise. Why only yesterday I had breakfast in bed.” His attitude toward food, especially restaurant food, was that he didn’t care much about quality […]

Male Menopause: Is It Real?

Short answer: Yes, but don’t hope for any quick fixes—that’s pharmaceutical industry-think. Another way to view male menopause: Sure, a ball will bounce, just not as high over time. I get asked about male menopause all the time, almost always by women (who, admittedly, represent the majority of my patients) and only rarely by my […]

How To Not Gain Weight

Please note this Health Tip will not tell you how to lose weight. If you want to browse the offerings on that topic, go to amazon and search for diet books. Once our largest bookstore attempted to track the numbers, but when they surpassed 95,000 it apparently gave up and now tell us that the […]

Winter Wellbeing

It’s hard to overstate the degree (minus 11 F tomorrow here in Chicago) to which the Midwest has settled into the dead of winter. With the rush of the holidays behind us, two dark, cold months lie ahead. Snowstorms, sub-zero temps, and icy pavement prompt many of us to stay indoors when we’d rather be […]

For A Longer Life…Stand Up Now!

By far the most common answer to my question, “Exercising these days?” is “Not enough.” This is usually accompanied by the briefest flicker of melancholy regret, as if by such a confession my patient has permanently abandoned the hopes and dreams of both a svelte body and enviable longevity. “Don’t worry,” I say, “It’s just […]

How To Get Off Statins

Getting off statins is easy. Stop swallowing the pill. If you’re not in a potentially high-risk group (as described below) and your doc prescribed a statin to get your cholesterol down a bit, you won’t have a heart attack or a stroke that day or week or probably that decade.

Pushing Your Wellness Exam Into The 21st Century

Patients ask me, “What about those wellness exams my health insurance company says I’m entitled to every year at no cost?” Bad news. Let’s review one of life’s basic rules: you get what you pay for. What you receive during your short wellness visit (what many consider a sacrosanct ritual that boosts longevity) is little […]

Pre-Diabetes: What It Is And What To Do

Most physicians, myself included, jot a personal comment on a patient’s lab tests. My favorite is “Everything’s excellent!” which can be typed quickly and concentrates good news into two words that I hope trigger a smile. According to this New York Times article, doctors are writing the sentence “Your tests show you’re now in the […]

Fruitcake, Genes, and Exercise: A Spooky Holiday Story

Starting around Thanksgiving and generally ending on January 2, we’re surrounded by too much food. Many of us who spent the year really (really!) trying to lose weight and eat healthfully dread the havoc these dark days can wreak on our bodies. It’s agonizingly easy to add some pounds. Then, come January, we despair at […]

Osteopenia and Osteoporosis, Part 2

Last week in Part 1 we wrote an overview of osteoporosis and osteopenia. I couldn’t help but note that most US physicians can date their knowledge of both diagnosis and treatment to the saturation marketing of Big Pharma’s variety of osteoporosis medications, most notably the bisphosphonates (Fosamax, Boniva, Reclast). As we all get older, our […]

Osteopenia and Osteoporosis, Part 1

As is the case with many of our contemporary ailments, it was a combination of Baby Boomer longevity, the ready availability of devices to measure bone density, and Big Pharma creativity that taught both patients and physicians about osteopenia (low bone mineral density) and its more serious consequence, osteoporosis, in which bones become brittle and […]

Controversial Diagnosis #2: Chronic Fatigue Syndrome

In the mid-1980s, two outbreaks of what appeared to be infectious mononucleosis appeared in the US. Unlike typical mono, which caused exhaustion for a few weeks, people with this type were left in a permanent state of fatigue, with low-grade fevers, swollen lymph glands, muscle aches, and poor focus/concentration. In some cases, the fever and […]

The Best Piece of Financial Advice You’ll Ever Receive: Stay Healthy

The title of this piece should be in quotation marks because that advice is not my own. Based on my ineptness, I never give financial advice to anyone. Stock tips? I’m a Cumaean Sibyl in reverse. If ever money or finance come up in conversation, people who know me head for nearest exit in order […]

130/80: What The New High Blood Pressure Guidelines Mean For You

You might not have known it, but last Monday, November 13, 2017, you may have awakened with high blood pressure (hypertension). Don’t feel alone. A massive increase in the number of people with hypertension occurred overnight when the definition of high blood pressure was officially changed from 140/90 (and higher) to 130/80 (and higher). I’m […]

Functional Medicine 101 + Introducing Dr. Alaina Gemelas

Functional Medicine is without a doubt the fastest growing medical specialty of the 21st century. Public interest in it and public acceptance of it continues to please me. Every day I hear the sentence, “I made this appointment because I wanted a functional approach.” When I ask patients how they learned about it, the answer […]

Moving and Eating To Protect Your Heart

One of the great pleasures of Chicago is summer. We’re outdoors and moving around, whether jogging, swimming, biking, walking the dog, slamming a volleyball, or tossing a Frisbee. And because we’re all wearing fewer clothes, we can tell in a single furtive glance if we’re happy with our weight. “Oh, well,” you think, “I might […]

Health Screening Offers: Should You Bother?

Like most people, you’ve received one of those brochures in the mail with a headline screaming something like “Health Screening Can Save Your Life!” They’re filled with photos of happy, healthy people on golf courses or with their grandchildren and are liberally sprinkled with quotes like, “Dan’s alive today because an ultrasound revealed his aneurysm.”

Pain And How We Perceive It

Many people suffering chronic pain and fatigue hear far too often the dismissive “it’s all in your head.” Dr. Edelberg has written frequently on the destructive nature of this statement, which places all the blame on the patient and none on the physician to dig deeper into the causes. As Dr. E wrote in a […]

Worrisome Dementia Report For Women and Steps To Take

We’ve always known there was a higher rate of Alzheimer’s disease and other dementias in women than in men, initially attributed to the fact that women live longer and that the decline in mental function occurred with age. This turned out to be wrong. At 65, a woman has a greater than one-in-six chance of […]

Will You Live Another Five Years?

Of course you might not want to know the answer to that. Or, having worked diligently on healthful eating and regular exercise, you may want to know if it will all pay off. Now, in a joint project between Swedish statisticians and a half million (!) volunteers in the UK, there’s a simple questionnaire that […]