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It’s important to understand your bone health to avoid damage as you age. Losses of bone mineral density and bone mass can cause weakening, potentially leading to a fracture, especially in the hip, spine and wrist. Osteoporosis is considered a silent disease because it often has no symptoms until someone breaks a bone in an unusual way, according to the Hospital for Special Surgery in New York City. “Breaking a bone after falling while in a standing position could be a sign of osteoporosis,” endocrinologist Dr. Jessica Starr said in a hospital news release. “Any fracture should prompt a discussion of bone health with one’s doctor.” Chances of that happening go up with age. Before osteoporosis comes osteopenia, a less-serious loss of bone density. This affects more than half of adults ages 50 and up in the United States. Women are at greater risk. Bones are living tissue affected by hormones and whether someone gets enough vitamins and minerals. People have peak bone mass at puberty and it continues into the 20s and the 30s, when the body constantly creates new bone. Menopause often brings on a loss in bone density. A bone density test can diagnose osteopenia and osteoporosis. It’s an X-ray that provides information about bone strength and fracture risk. Healthy women should have an initial bone density screening at age 65. Men…  read on >  read on >

While people might assume suicide is more common in the darker months of winter, it actually peaks in spring and early summer. Researchers investigating what’s happening have found that suicidal thoughts peak in December but then take a few months to reach a “tipping point.” People are also most vulnerable to ending their lives between 4 and 5 a.m., according to a new study. “It is well documented that winter is the time when people with mental health problems may struggle with worsening mood and depression. Indeed, seasonal affective disorder is a recognized issue related to the change in season that affects many people’s mental health,” said study co-author Brian O’Shea. He is an associate professor of psychology at the University of Nottingham in the United Kingdom. It may seem surprising that spring, when someone might assume people’s moods lift, is actually a time of greatest risk, he said in a university news release. “The reasons for this are complex, but our research shows that suicidal thoughts and mood are the worst in December and the best in June,” O’Shea said. “Between these two points, there is a heightened risk of suicidal behavior, and we feel this is occurring because the gradual improvements in their mood and energy may enable them to plan and engage in a suicide attempt,” he explained. For the study, more…  read on >  read on >

It’s important to ask questions when your doctor or dentist writes you a new prescription. This is especially true for opioid pain medications, such as hydrocodone, oxycodone or morphine. While these drugs are approved by the U.S. Food and Drug Administration for acute and chronic pain, they can have serious side effects, including addiction and even death. Misuse of opioids have led to the current drug overdose crisis in the United States. The majority of overdose deaths in this country involve opioids, according to the U.S. Centers for Disease Control and Prevention. The FDA offers some tips for using these medications safely. Start by asking your doctor how long your pain is likely to last and what medication is being prescribed. If the drug is an opioid, ask if there are non-opioid alternatives. If your doctor decides an opioid is best, ask how long you should take the medication. Find out when and how to stop using it. Ask for the lowest dose possible for the shortest time needed and in the smallest quantity, the FDA advised. Also ask about a follow-up appointment. While prescription opioids can be safe and effective, using them in a way that differs from what was prescribed or for non-medical reasons can lead to dependence, addiction and even death, the FDA cautioned. Side effects from opioid use include dizziness, drowsiness,…  read on >  read on >

The U.S. Food and Drug Administration on Friday approved the first nonhormonal medication aimed at easing menopause hot flashes. The new pill, called Veozah (fezolinetant), is from a class of drugs called neurokinin 3 (NK3) receptor antagonists. It targets a specific brain neuron that’s thought to be set off balance as estrogen levels naturally decline during menopause. “It works by binding to and blocking the activities of the NK3 receptor, which plays a role in the brain’s regulation of body temperature,” the FDA explained in a news release issued Friday. “Hot flashes as a result of menopause can be a serious physical burden on women and impact their quality of life,” said Dr. Janet Maynard, who directs the Office of Rare Diseases, Pediatrics, Urologic and Reproductive Medicine at the agency’s Center for Drug Evaluation and Research. “The introduction of a new molecule to treat moderate to severe menopausal hot flashes will provide an additional safe and effective treatment option for women,” she said in the news release. According to the FDA, over 80% of menopausal women experience sudden, often debilitating hot flashes lasting several minutes that can be accompanied by sweating, flushing and chills. While estrogen-based hormone replacement therapy has long been used to help ease these symptoms, long-term use has been linked to a heightened risk for breast cancer and stroke. In addition, “some…  read on >  read on >

Think you might be struggling with depression? It’s not always easy to recognize, but identifying the symptoms is the first step toward getting the help you need. Depression is a common mental health condition that affects millions of people worldwide. In the United States alone, an estimated 21 million adults had at least one major bout of depression in 2020, representing about 8.4% of the adult population, according to the U.S. National Institute of Mental Health (NIMH). Symptoms of depression vary from person to person, but some are more commonly experienced than others. Exploring the most common symptoms will help you know what to look for if you suspect that you or someone you know may be struggling with depression. What are symptoms of depression? Craig Sawchuk, a clinical psychologist at the Mayo Clinic in Rochester, Minn., said “understanding the basics of depression can help you take the next step.” In a Mayo Clinic video, he noted: “Depression is a mood disorder that causes feelings of sadness that won’t go away … and people who experience depression can’t just snap out of it.” Depression can show up in many ways and can affect each person differently. But some common symptoms are associated with this condition. They can range from feeling persistently sad or hopeless to losing interest in activities you once enjoyed. Other symptoms may…  read on >  read on >

Receiving a diagnosis of asthma may be frightening, but learning what the treatment options are can help alleviate the anxiety that comes with diagnosis. Depending on the severity, certain asthma medications may help you manage your symptoms. Here, experts break down the most common long-term and quick-acting medications for asthma, how they work and potential side effects. Long-term medications These drugs are ones the patient takes daily as a means of controlling asthma and preventing asthma attacks. These can be in pill form or used as inhalers. Bronchodilators: Long-acting beta-2 agonists (LABA) relax the muscle bands around your airway (bronchi), making it easier to get air in and mucus out. These medications for asthma are taken twice a day through an inhaler and last up to 12 hours, according to the Cleveland Clinic. LABA medications should be given with a corticosteroid. (See combination medications below.) The main side effects of LABA medications are nervous or shaky feelings, hyperactivity, overexcitement, increased heart rate, upset stomach and trouble sleeping. Salmeterol (Serevent) Formoterol (Foradil) Long-acting muscarinic antagonists (LAMA) also relax the muscle bands around your airway, the National Heart, Lung, and Blood Institute (NHLBI) says. This asthma medication is used if the steroid/LABA combination doesn’t give enough relief. Do not use this medication if you have glaucoma or are at risk of urinary retention. Tiotropium bromide (Respimat) Theophylline.…  read on >  read on >

Older Americans are dying of falls at more than double the rate of 20 years ago — with women, men and all racial groups showing increases, according to a new study. In 2020, the study found, just over 36,500 Americans age 65 and up died of a fall-related injury. That was up from roughly 10,100 deaths in 1999. Adjusted for age, those numbers translated into a more than twofold increase in the rate of fall-related deaths among older Americans: from 29 per 100,000 in 1999, to 69 per 100,000 in 2020. It’s well known that falls are the leading cause of injury death among older Americans, and that the problem is growing. The new findings underscore that, and show that no demographic is unaffected, according to researcher Alexis Santos-Lozada, an assistant professor of human development and family studies at Pennsylvania State University. He found that fall-related death rates more than doubled among both women and men. Among racial and ethnic groups, white older adults had the highest death rate from falls, and the biggest increase — reaching 78 deaths per 100,000 in 2020. But death rates also rose among Black seniors, Hispanic seniors, Asian seniors and Native American seniors alike. “For every group, it’s going in the same direction,” Santos-Lozada said. “That’s concerning.” Yet, he added, “fall prevention is not something we talk about a…  read on >  read on >

Outside advisors for the U.S. Food and Drug Administration voted Thursday to recommend approval of Neffy, the first epinephrine nasal spray for severe allergic reactions. Although most of the Pulmonary-Allergy Drugs Advisory Committee members supported the spray for adults (16:6) and children (17:5), key questions linger about whether more data is needed from its maker, ARS Pharmaceuticals, CBS News reported. But Richard Lowenthal, co-founder, president and CEO at ARS, said in a company statement following the vote that, “We believe our clinical data from more than 600 individuals demonstrate Neffy’s absorption-enhancing nasal spray technology is comparable to injectable products in delivering potentially lifesaving epinephrine, but with unique advantages of being small, needle-free and conveniently sized.” Lowenthal added, “We are committed to making it easier for patients and caregivers to carry and administer epinephrine without the anxiety and hesitation associated with using a needle-based device.” Neffy delivers a 2-milligram dose of epinephrine. Instead of large clinical trials, the drug company compared its product to already approved injectable epinephrine products, such as the EpiPen. It showed the results for Neffy were neither substantially higher or lower than injectable epinephrine. “Patients need options — with different administration methods — to facilitate actual epinephrine use in an emergency event,” Dr. Carlos Camargo, a professor of emergency medicine at Harvard Medical School in Boston, said in the company’s news release.…  read on >  read on >

Asthma can be a tough disease to control, but to control it you first need to know if you have it. A chronic condition, there are telltale symptoms that crop up when an asthma attack strikes and knowing what those are could help you avoid a life-threatening emergency. According to the most recent data from the U.S. Centers for Disease Control and Prevention, asthma affects 7.8% of Americans. Asthma occurs when the airways become inflamed and narrow, which hinders airflow. More mucus is produced, which further blocks the air from moving in and out of the lungs. When something in the environment causes irritation, tiny muscles squeeze the airways, narrowing them even more. This is called an asthma attack, according to the Asthma and Allergy Foundation of America. While the effects of asthma vary from minor to severe, here are the most common symptoms of asthma. Shortness of breath One of the most common asthma symptoms, shortness of breath can be quite frightening, Mount Sinai says. When the airways narrow and more mucus is produced you have trouble pulling enough air in, as well as pushing it out. When this happens, you become short of breath, breathe faster and more shallowly, and use more muscles to get enough air in. This shortness of breath can come on suddenly, with exercise, or even when you are…  read on >  read on >

(HealthDay News) – Millions of Americans take cholesterol-lowering drugs called statins, but a new study finds Black and Hispanic adults get the drugs less often than white people do. “This adds to the known racial and ethnic disparities already highly prevalent in heart disease,” said lead author Dr. Ambarish Pandey, an assistant professor of internal medicine at UT Southwestern Medical Center in Dallas. “These findings have the potential to affect how we screen for and treat people who do not have heart disease but may have risk factors such as high blood pressure, high cholesterol and smoking,” he said in a medical center news release. Using national survey data and examining risk factors for heart disease, researchers found about 38% of white participants used statins like Lipitor (atorvastatin) and Zocor (simvastatin) compared with about 24% of Hispanic and Black participants. Statins are among the most prescribed drugs in the United States. Having health insurance and regular access to routine health care were associated with higher statin use. Rates of heart disease are higher in Black and Hispanic adults than white adults, according to past research, so race and ethnicity are considered factors in your individual risk of developing heart disease. Data for the study came from the 2013-2020 National Health and Nutrition Examination Survey (NHANES). A subset of participant records was selected to represent the…  read on >  read on >