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November 22nd, 2014 · Leave a Comment

Cancer Survivors – Take Time for Thanksgiving

By Dana Sparks

Blue and white banner logo for 'Living with Cancer' blog

Cancer survivors, take time for Thanksgivingillustration that says Give Thanks
The holidays are a good time to reflect on the past, give thanks and give back.

Lung cancer
Find out how lung cancer is treated and ways to manage shortness of breath on your own.

Symptoms of pancreatic cancer
Signs and symptoms of pancreatic cancer often don't occur until the disease is advanced.

 

 

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Tags: Living With Cancer Blog, Lung Cancer, Pancreatic Cancer


November 22nd, 2014 · Leave a Comment

Weekend Wellness: Tracking headaches may help teen see patterns, avoid triggers

By lizatorborg

DEAR MAYO CLINIC: My daughter, 16, has had headaches off and on for the past year. Ibuprofen seems to help, and she says the headaches are not severe. But I am concerned that they are so frequent. What could be the cause of recurring headaches in teens? young teenaged woman with migraine or tension headache

ANSWER: Headaches in teens are common. In most cases, they are not symptoms of a larger medical problem. But when headaches continue, it is a good idea to have them evaluated. There also are steps to take at home that may help reduce headaches.

There are many kinds of headaches. Two of the most common are tension headaches and migraine headaches. Tension headaches are often described as feeling like a tight band around the head. A migraine headache usually causes intense throbbing on one side of the head. It can be accompanied by nausea, vomiting and sensitivity to light and sound.

Different kinds of headaches have a wide variety of triggers. For tension headaches, common triggers include stress, anger, anxiety, depression, muscle strain, fatigue, poor posture, lack of exercise, neck or jaw problems and certain medications. For migraine headaches, certain foods, hormonal changes, medications, changes in sleep or exercise, environmental factors (such as bright lights, strong scents or loud noises), stress and release from stress can play a role in provoking an attack in some individuals.

To get a clearer picture of her headaches, encourage your daughter to create a headache log. It should include when a headache starts, how severe it is on a pain scale of zero to ten, activities of the day, her sleep habits and her diet. This log may help your daughter see patterns in her headaches and may be useful in identifying and avoiding headache triggers and monitoring response to treatment.

If daily headaches continue or if they become more severe, make an appointment for your daughter to see her primary care provider for a physical and neurological exam. The provider should also do a thorough evaluation of possible headache triggers. Bring your daughter’s headache log to the appointment.

Your daughter’s care provider may ask about changes that are happening in her life. Has she had an increase in her stress level? Is she getting at least eight to nine hours of sleep every night? Is she exercising regularly? Has her diet changed?

Tests may be needed to better understand headaches. This often includes brain imaging, typically with MRI. In general, tests are not necessary.

Headache treatment varies based on the type of headache and how much it interferes with a person’s life. It may be tempting for your daughter to miss school or withdraw from activities to rest. But teens usually cope better with headaches when they are fully engaged in school, social events and extracurricular activities. Most teens need to make some lifestyle changes to reduce headaches, including making healthy sleep a priority, exercising regularly, eating a healthy diet and reducing stress.

Over-the-counter drugs and prescription medications are available to treat and prevent headaches. They can be useful. It may be preferable to make lifestyle changes to manage headaches rather than take medications. Improvement with lifestyle changes avoids medication side effects, prevents rebound headaches (a type of headache caused by medications), and promotes sustained well-being.

If her headaches persist after seeing her primary care provider and making some lifestyle changes, your daughter may be referred to a neurologist for additional headache evaluation or a psychologist who specializes in chronic pain management and headache prevention. Psychologists skilled in cognitive behavioral interventions or behavioral medicine can be particularly helpful to adolescents who are attempting to make healthy lifestyle choices and maintain healthy habits over time. Jennifer Fisher, Ph.D., Child and Adolescent Psychiatry, Mayo Clinic, Rochester, Minn.

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Tags: Dr Jennifer Fisher, Headache, Migraine, tension headaches, Weekend Wellness


November 21st, 2014 · Leave a Comment

Análisis de sangre puede evitar el proceso de ensayo y error con los medicamentos en pacientes con artritis reumatoide

By Emily Hiatt

BOSTON: Una molécula sanguínea se muestra esperanzadora como marcador capaz de predecir si los medicamentos biológicos serían provechosos para los pacientes con artritis reumatoide o si se debería intentar con otros fármacos, revela un estudio dirigido por Mayo Clinic. La proteína, que se analiza en exámenes de sangre, puede ayudar a evitar el proceso de ensayo y error con los medicamentos, evitando no solamente que se retrase el tratamiento de los pacientes sino también efectos secundarios y costos innecesarios. La investigación es uno de varios estudios que Mayo Clinic Ilustración de una mano con artritis reumatoidepresentó durante la reunión anual del Colegio Americano de Reumatología en Boston.

Los científicos analizaron las muestras de sangre obtenidas antes de la administración del tratamiento para la artritis reumatoide. Luego, los pacientes recibieron tratamiento con medicamentos biológicos antiinflamatorios, los inhibidores del factor de necrosis tumoral alfa, que son un nuevo tipo de fármaco para la artritis reumatoide. Los científicos descubrieron  que una proteína producida por el sistema inmunitario, el interferón tipo 1, parece ser un marcador válido para saber cuáles pacientes con artritis reumatoide responderán a los medicamentos biológicos o si se debe ensayar con otros fármacos.

“Intentamos personalizar el tratamiento de la artritis reumatoide, porque uno de los principales problemas de los reumatólogos es la dificultad de elegir el fármaco correcto para la persona correcta”, comenta el Dr. Timothy Niewold, reumatólogo de Mayo Clinic en Rochester, Minnesota.

“Cualquier fármaco nuevo funciona bien con algunas personas, pero no con todas. Ese no es un detalle insignificante, puesto que la enfermedad daña las articulaciones y si lleva entre uno y dos años encontrar el tratamiento correcto, los daños pueden aumentar. Este estudio buscó en el sistema inmunitario marcadores que pudiesen ser útiles”, explica el Dr. Niewold.

En la artritis reumatoide, el primer fármaco con el que se realiza un ensayo es el metotrexato. Cuando este fármaco no funciona, los medicamentos biológicos suelen ser el siguiente paso, aunque conllevan efectos secundarios, tales como riesgo de infección, y requieren que se realicen las  pruebas para tuberculosis antes de administrarlos.

Es importante lograr controlar la artritis reumatoide no solamente para prevenir sus daños directos, sino para reducir el riesgo de sufrir otras complicaciones graves, como cardiopatías. Los pacientes con artritis reumatoide son doblemente proclives a desarrollar cardiopatía que cualquier persona promedio, y Mayo descubrió en investigaciones anteriores que la gravedad de la artritis reumatoide es un factor que incide sobre esto. Las personas en quienes el metotrexato no funciona tienden a padecer artritis reumatoide más grave, anota el Dr. Niewold.

Es necesario investigar más antes de estandarizar la aplicación del marcador en la práctica médica, dice el Dr. Niewold. Actualmente está en curso un ensayo más grande que abarca a varias instituciones, y los futuros estudios posiblemente examinarán si el marcador también puede guiar la decisión sobre los medicamentos para otras afecciones tratadas con fármacos biológicos, tales como la artritis psoriásica, la psoriasis y la enfermedad inflamatoria intestinal, añade.

Los descubrimientos de otros estudios presentados durante la reunión del Colegio Americano de Reumatología son los siguientes:

  • Los pacientes con artritis reumatoide y sus médicos generalmente describen el dolor de manera diferente, lo que conduce a un vacío entre cómo entienden los pacientes los niveles de dolor y cómo califican los médicos el dolor.Los pacientes son más proclives a describir el dolor mediante palabras de connotación emotiva, lo que posiblemente refleja las redes cerebrales de activación del dolor, el ánimo de la persona y el miedo a la inflamación, anotan los científicos. Los médicos, por su parte, son más proclives a usar descripciones sensitivas, tales como “agudo, sordo o pulsátil” para definir el dolor. Investigar más puede ayudar a los médicos a desarrollar nuevos métodos para aliviar mejor el dolor, opinan los autores del estudio.
  • Los rebrotes de la artritis reumatoide aumentan el riesgo de cardiopatía. “Cada recrudecimiento de la enfermedad en las articulaciones representa un golpe al corazón”, comenta el Dr. Eric Matteson, coautor del trabajo y director de Reumatología en Mayo Clinic de Rochester. “Los pacientes deben seguir la pista de todos sus rebrotes y llamar al médico ante cualquier recrudecimiento”.
  • Igual que quienes padecen de artritis reumatoide, las personas con artritis psoriásica corren más riesgo para enfermedades cardiovasculares. En esos pacientes, es particularmente importante la prevención de la cardiopatía, así como los esfuerzos por detectarla y tratarla, dicen los científicos.
  • Los pacientes con artritis reumatoide, sean hombres o mujeres, son más proclives a ingresar al hospital que quienes no padecen este trastorno inflamatorio. Los hombres con artritis reumatoide son más proclives a hospitalizarse debido a depresión, mientras que las mujeres y la gente con artritis reumatoide de 45 a 64 años de edad son más proclives a internarse en el hospital debido a diabetes.

La Fundación para Investigación Reumatológica y los Institutos Nacionales de Salud financiaron el estudio sobre el interferón tipo 1.

Declaraciones económicas sobre algunos coautores:

  • Dr. Niewold: Productos Farmacéuticos Janssen S. L.; EMD Serono; Biogen Idec.
  • Dra. Hilal Maradit Kremers de Mayo Clinic, coautora del estudio sobre la artritis psoriásica: Amgen.
  • Coautores del estudio sobre el rebrote de la artritis reumatoide, Dra. Elena Myasoedova, Dr. Arun Chandran, Cynthia Crowson y Brittny Major de Mayo Clinic: Farmacéutica Roche.

###

Información sobre Mayo Clinic
Mayo Clinic es una organización sin fines de lucro, dedicada a la investigación y educación médicas, que ofrece atención experta e integral a todos los que necesitan recobrar la salud. Si desea más información, visite http://www.mayoclinic.org/espanol/ y newsnetwork.mayoclinic.org.

CONTACTO PARA LOS MEDIOS DE COMUNICACIÓN:
Emily Hiatt, Relaciones Públicas de Mayo Clinic, 507-284-5005, correo electrónico: newsbureau@mayo.edu

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Tags: artritis psoriásica, artritis reumatoide, Dr. Eric Matteson, Dr Timothy Niewold, En español, espanol, interferon, spanish, Spanish News Release


November 21st, 2014 · Leave a Comment

Es muy personal la decisión de extirpar el seno sin cáncer

By Emily Hiatt

ESTIMADA MAYO CLINIC:
Hace poco me diagnosticaron cáncer de mama en etapas tempranas en un seno. Pienso someterme a la mastectomía y la reconstrucción del seno. ¿Cuál es la probabilidad de que el cáncer aparezca en el otro seno? Intento decidir si debo seguir adelante con la mastectomía doble ahora, aunque realmente no lo desee, pero no creo que podría atravesar por esto dos veces.

RESPUESTA:
Un hombre abraza amorosamente a una mujer: la intimidad después de la cirugía para cáncer de mama
Para alguien que se encuentra en su situación, el riesgo de desarrollar un nuevo cáncer en la otra mama en general suele ser muy bajo. El tratamiento para el cáncer de mama no exige extirpar el seno normal. La decisión de someterse a una mastectomía en el lado con cáncer y también extirpar el seno sin cáncer (del otro lado) es muy personal. Existen razones válidas por las que algunas mujeres optan por proseguir con una cirugía que conlleva efectos secundarios duraderos sobre el cuerpo, pero es preciso que la paciente se sienta satisfecha con la decisión que tome.

La mastectomía es una cirugía que implica extirpar la mayor parte del tejido mamario de un seno como medio de tratar o prevenir el cáncer. Desde el punto de vista de la prevención del cáncer, esta cirugía reduce el riesgo de desarrollar cáncer de mama en alrededor de 90 a 95 por ciento, pero no es 100 por ciento porque después de la mastectomía todavía restan ciertas áreas de tejido mamario en las que puede desarrollarse cáncer, aunque la probabilidad de ocurrencia sea muy baja.

Cuando una mujer se somete a una mastectomía para tratar el cáncer en un seno, puede también someterse simultáneamente a la extirpación de la mama sin cáncer. Si bien algunas mujeres optan por hacerlo debido a la ansiedad de desarrollar cáncer en el otro seno, usted también tiene la alternativa de mantener el seno normal. Las investigaciones revelan que esa decisión no repercute sobre la supervivencia general.

Las evidencias médicas actuales indican que el riesgo de desarrollar cáncer en el otro seno es razonablemente bajo, de alrededor de 0,5 por ciento anual. En quienes reciben terapia hormonal después de una mastectomía porque el tumor no es positivo al receptor hormonal, dicho riesgo se reduce en alrededor de 50 por ciento.

No obstante, existen algunos factores que pueden cambiar el riesgo personal. Si usted tiene antecedentes familiares fuertes de cáncer de mama o si los análisis para una mutación en uno de los genes para cáncer de mama son positivos, entonces las probabilidades de desarrollar cáncer en el otro seno son significativamente mayores. Antes de tomar una decisión respecto a someterse a una mastectomía doble, revise atentamente su riesgo personal de cáncer de mama con el médico.

Si en su caso no existieran más factores que aumentan el riesgo, de todas maneras, hay otros puntos que deben considerarse. Primero, si se somete a una mastectomía doble, ¿se siente tranquila con los riesgos de una operación más compleja y larga? Someterse a la extirpación de ambas mamas, en lugar de solamente una, aumenta la posibilidad de complicaciones quirúrgicas como sangrado e infección.

Segundo, si no se somete a la mastectomía doble, ¿está dispuesta a controlarse continuamente para cáncer en el otro lado? Si no se somete a la extirpación de ambas mamas, usted deberá realizarse la mamografía regular en el seno restante una vez al año.

Tercero, ¿cuán importante es para usted que los senos luzcan similares? Después de la reconstrucción mamaria posterior a la mastectomía, no es muy probable que el seno restante tenga la misma apariencia sin ningún tipo de cirugía estética.

Converse con el médico respecto a estos temas, así como sobre cualquier duda o pregunta que tenga. Además, hable sobre lo que ocurrirá antes, durante y después de la operación para que pueda tener expectativas reales. Optar por la mastectomía doble es una decisión importante. Asegúrese de estar bien informada respecto a todas las posibles ventajas y desventajas en su caso, antes de proseguir.

Dra. Judy C. Boughey, Cirugía, Mayo Clinic de Rochester, Minnesota.  

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Tags: cáncer de mama, Dra Judy Boughey, En español, espanol, mastectomía, mastectomía doble, Preguntas y respuestas, spanish


November 21st, 2014 · Leave a Comment

Ten Turkey Tips for Thanksgiving

By Dana Sparks

Journalists: The broadcast quality video is available in the downloads.

Preparing a Thanksgiving turkey can prove tricky for even the most experienced cooks. How big of a bird to select, how to thaw it in time and how to avoid undercooking, overcooking or — even worse — food poisoning, are among the challenges faced by holiday chefs. Here are some tips from Mayo Clinic to help avoid turkey-related mishaps:

*Turkey selection: At least 1 pound per person is the rough rule of thumb. That might sound like a lot, but much of that weight comes from bone and fat that you will trim away. If you enjoy leftovers, do the math for the number of people you will serve, then choose a turkey at least a few pounds heavier.

*Defrosting: Keep your turkey frozen until it is ready to thaw. To thaw it in the refrigerator, leave it in its original wrapper, place it on a tray and allow at least a full day for every 4 pounds. For example, a 12-pound turkey, enough for about eight people plus leftovers, will take three or four days to thaw. You can also thaw the turkey in its wrapper submerged in cold water in a clean sink; allow a half-hour per pound and change the water every 30 minutes.

*Turkey prep: After thawing, remove the giblets and rinse the turkey inside and out with cold water.

*The base: Raw, chopped vegetables make a nice base on which to place the turkey in the pan. They keep the turkey off the bottom of the pan and let air circulate. And, roasted vegetables make a healthy side dish.

*Take steps to avoid salmonella: Use sanitizer to wipe down anything the raw poultry might have touched, then wash your hands to avoid spreading salmonella.

*Start at a high temperature and finish low and slow: Preheat the oven to 450 degrees. Starting at a high temperature will sear the outside of the turkey, brown it nicely and push moisture toward the center of the bird. In about 30 minutes, reduce the heat to 275.

*Quitting time: Use a meat thermometer to test whether the turkey is done. Insert it in the thickest part of the thigh and make sure it reaches 165 degrees. A 12-pound bird will take roughly five hours to cook.

*Let it rest: Resist the temptation to nibble when the turkey comes out of the oven. Let the turkey rest for at least 20 minutes, putting a lid on it if you're worried about the bird cooling. Letting the turkey rest will help redistribute the moisture throughout, keeping the meat tender.

*Carving: Pop the thighs down first, then take the wings off and separate the legs from the thighs. Cut across the grain of the turkey.

*Leftovers: Refrigerate or freeze leftover turkey promptly. Leftovers can be kept in the refrigerator safely for three or four days. Do not let the turkey sit at typical room temperatures for more than two hours.

"Knowing how to properly prepare your turkey makes for a great-tasting main course for your Thanksgiving meal," says Donald Hensrud, M.D., a Mayo Clinic specialist in nutrition and obesity. "And proper preparation is also important to make sure your meal is safe."

Worried about fat, calories and sodium with your Thanksgiving feast? See MayoClinic.org for healthy turkey and side dish recipes.

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Tags: Dr. Donald Hensrud, Holiday Cooking, Turkey Tips


November 21st, 2014 · Leave a Comment

Skin Cancer Risks: Mayo Clinic Radio Health Minute

By Joel Streed

In this Mayo Clinic Radio Health Minute, Dr. Anokhi Jambusaria looks at the risk factors for skin cancer.

To listen, click the link below.

Skin Cancer Risks

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Tags: Dr. Anokhi Jambusaria, Mayo Clinic Radio Health Minute, podcast, skin cancer


November 20th, 2014 · Leave a Comment

MAYO CLINIC RADIO

By Dana Sparks

illustration of pancreatic cancer and related anatomy

Many of us might not really know where our pancreas is located or what it does, but one thing we DO know is that a diagnosis of pancreatic cancer has a poor prognosis, even when discovered early.  Pancreatic cancer typically spreads rapidly and is seldom detected in its early stages, which is a major reason why it's a leading cause of cancer death.  On the next Mayo Clinic Radio, Saturday, November 22 at 9 a.m. CT, we'll be joined by KMarie Reid Lombardo, M.D., and Gloria Petersen, Ph.D., to discuss signs and symptoms of pancreatic cancer, how it is diagnosed and what the future holds in research.

Myth or Fact: There is a pancreatic cancer screening test available.pancreatic cancer awareness

 
Follow #MayoClinicRadio and tweet your questions.

To listen to the program on Saturday, click here.

Mayo Clinic Radio is available on iHeart Radio.

Listen to this week’s Medical News Headlines: News Seg November 22, 2014 (right click MP3)

Mayo Clinic Radio is a weekly one-hour radio program highlighting health and medical information from Mayo Clinic. The show is taped for rebroadcast by some affiliates.

For a look at future program topics, click here.
To find and listen to archived shows, click here.

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Tags: Dr Gloria Petersen, Dr KMarie Reid Lombardo, Mayo Clinic Radio, Pancreas, Pancreatic Cancer


November 20th, 2014 · Leave a Comment

Signs and Symptoms of Pertussis

By Dana Sparks

ZUMBROTA, Minn. — Symptoms of an ordinary common cold are hard not to miss. But could it be worse? Mayo Clinic Health System has diagnosed several confirmed cases of pertussis, also commonly known as whooping cough.

Family medicine physician at Mayo Clinic Health System – Red Wing in Zumbrota, Elizabeth Cozine, M.D. has seen patients present with symptoms. “Children and adults alike can contract whooping cough,” she says. “Yet, a simple vaccination could have prevented many of these cases.” Whooping cough can take one to three weeks for signs and symptoms to appear. They're usually mild at first and resemble those of a common cold:

  • Runny nose
  • Nasal congestion
  • Sneezing
  • Red, watery eyes
  • A mild fever
  • Dry cough

Journalists: Video of baby coughing is available in the downloads.

MEDIA CONTACT: Kristy Jacobson, Mayo Clinic Health System Public Affairs, 507-284-5005, Email:  jacobson.kristy@mayo.edu

After a week or two, signs and symptoms worsen. Thick mucus accumulates inside your airways, causing uncontrollable coughing. Severe and prolonged coughing attacks may:

  • Provoke vomiting
  • Result in a red or blue face
  • Cause extreme fatigue
  • End with a high-pitched "whoop" sound during the next breath of air

Other things Dr. Cozine would like parents and academic leaders to be aware of during pertussis season:

  • Pertussis is a highly contagious respiratory tract infection. It is often marked by a severe hacking cough followed by a high-pitched intake of breath that sounds like "whoop." However, the characteristic “whooping” cough may be absent.
  • Pertussis is caused by bacteria. When an infected person coughs or sneezes, tiny germ-laden droplets are sprayed into the air and breathed into the lungs of anyone who happens to be nearby.
  • Pertussis is on the rise because the whooping cough vaccine one receives as a child eventually wears off. This leaves most teenagers and adults susceptible to the infection during an outbreak.
  • If you think you or your child has pertussis (whooping cough), contact your family’s health care provider. Severe symptoms may warrant a visit to an urgent care center or a hospital's emergency department.
  • Treatment for older children and adults who have pertussis can usually be managed at home. Antibiotics kill the bacteria causing pertussis and help speed recovery. Family members may be given preventive antibiotics. Unfortunately, not much is available to relieve the cough.
  • Stay home from school or work for five days after receiving antibiotic treatment.
  • There are six tips on dealing with coughing spells that apply to anyone being treated for pertussis at home. Those steps include: getting plenty of rest, drinking plenty of fluids, eating smaller meals, vaporizing the room, keeping the air clean, and preventing transmission.
  • The best way to prevent whooping cough is with the pertussis vaccine. Doctors recommend beginning vaccination during infancy.

Although most pertussis vaccinations are given during infancy, there is also a vaccination called the TDaP vaccination that is offered beyond infancy. This is a very important vaccine that is offered at the 11-year-old (pre-adolescent) well child check-up. Revaccination at age 11 is recommended because of the wearing off of the immunization described above.Dr. Elizabeth Cozine with Mayo Clinic Health System

An additional tip, one that applies to everyone: “Wash your hands and make sure your children wash their hands frequently throughout the day,” Dr. Cozine says. “The best way to prevent a cough or cold is to keep bacteria and viruses off of your skin.”

If you suspect you or your child has pertussis, call the Mayo Clinic Health System Nurse Line for expert advice. If appropriate, you or your family member may be treated with antibiotics via a pertussis exposure protocol, without an office visit. The nurse line is available 24/7 at these Mayo Clinic Health System locations in Goodhue and Wabasha counties:

Zumbrota – 507-732-7314

Red Wing – 651-267-5000

Cannon Falls – 507-263-6000

Lake City – 651-345-1100

Wabasha/Plainview – 651-565-4571

# # #

Mayo Clinic Health System consists of Mayo-owned clinics, hospitals and other health care facilities that serve the health care needs of people in more than 70 communities in Georgia, Iowa, Minnesota and Wisconsin. The community-based providers, paired with the resources and expertise of Mayo Clinic, enable patients in the region to receive the highest-quality health care close to home.

 

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Tags: Dr Elizabeth Corzine, Mayo Clinic Health System, Pertussis, Whooping Cough


November 20th, 2014 · Leave a Comment

Preventing Cholesterol Problems: Mayo Clinic Radio Health Minute

By Joel Streed

In this Mayo Clinic Radio Health Minute, Dr. Brent Bauer explains why it's never too early to be concerned about your cholesterol levels.

To listen, click the link below.

Preventing Cholesterol Problems

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Tags: Cholesterol, Dr. Brent Bauer, Mayo Clinic Radio Health Minute, podcast


November 20th, 2014 · Leave a Comment

THURSDAY CONSUMER HEALTH TIPS

By Dana Sparks

Cinnamon sticks and meal close up on wooden table

High cholesterol treatment: Does cinnamon lower cholesterol?

Hypnosis

Congenital heart disease in adults

Medications and supplements that can raise your blood pressure

Tips for caregivers who need to take a break

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Tags: Blood Pressure, Caregivers, Cholesterol, Heart Disease, hypnosis, Thursday Consumer Health Tips