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Georgia shows rough road ahead for states as Medicaid work requirements loom
Every time Ashton Alexander sees an ad for Georgia Pathways to Coverage, it feels like a “kick in the face.”
Alexander tried signing up for Pathways, the state’s limited Medicaid expansion, multiple times and got denied each time, he said, even though he met the qualifying terms because he’s a full-time student.
Georgia is one of 10 ...Read more
Low-Dose Estrogen Patch Shouldn't Raise Risk Of Complications
DEAR DR. ROACH: I had a complete hysterectomy in my late 40s due to endometriosis. I am now 68 and have been on 0.1-mg patches of estradiol since. Should I ask my gynecologist to do a hormone study, or should I just not worry? I have an annual checkup with her and a mammogram every year. -- J.S.
ANSWER: While many doctors no longer prescribe ...Read more
For better exercise habits, match workouts to your personality
There's a TikTok video of the New England Patriots' wide receiver Stefon Diggs trying to do Pilates -- and getting flipped off the device like a pancake. But Chelsea Handler had the opposite experience: "I was a fitness fiasco until I found Pilates," she's admitted.
Clearly, it pays to find out what your exercise personality -- and ability -- ...Read more
Mom's Mental Health
Between 2016 and 2023, the mental health of mothers in the U.S. significantly declined, according to new research. And while the decline occurred across socioeconomic groups, it was sharpest among single mothers, those with less education, with publicly or uninsured kids and those born in the U.S.
Study authors analyzed self-reported data ...Read more
What Is Considered 'too High' Of An HDL Cholesterol Level?
DEAR DR. ROACH: I'm a healthy and fairly active 62-year-old female. My blood pressure and cholesterol levels have always been very good, and there's no history of heart issues in my immediate family. At my last checkup, my total cholesterol was 178 mg/dL; my LDL was 81 mg/dL; my triglycerides were 61 (all a bit high for me); and my HDL was 87 mg...Read more
How sunglasses help protect your eye health
Not to throw shade on you, but if you're not wearing sunglasses, your eye health is not "made in the shade." That's because sunglasses protect your eyes -- and eyelids -- from the damage that ultraviolet (UV) sunlight can do to them.
In fact, basal cell and squamous carcinoma on the eyelids are not uncommon and account for approximately 10% of ...Read more
Don't flip out over the latest fat flip
There's a lot of flap online about two fat flips. One is in a study in Cell Reports that's calling out a component of "super-healthful" olive oil -- the omega-9 called oleic acid -- for its fat-cell-building ability that can fuel obesity. Another study, from the American Society for Nutrition, says seed oils, long-targeted for links to ...Read more
Magnesium Hasn't Consistently Been Found To Help Heart Risk
DEAR DR. ROACH: I have low serum cholesterol but a high coronary calcium score, and I was told to take magnesium supplements to bring my calcium score down (in addition to daily aspirin and a statin). What are your thoughts about magnesium to bring down a high calcium score? -- D.B.
ANSWER: A coronary calcium score is a measurement of calcium...Read more
Does BMI stand for 'bad medical information'?
There's been criticism about using BMI (body mass index) to determine if a person is obese or overweight and to predict how it might indicate risks to health and longevity. After all, the weight of a super-muscular body may register as "obese" when the percentage of body fat may be extremely low. And now, a study published in the Annals of ...Read more
Physician Bills Patient For Exam But Wasn't In The Room For It
DEAR DR. ROACH: When I have appointments with my physicians (at our local, highly rated academic health system), they no longer do a physical exam. But in the after-visit note, there is a documented and complete physical exam that doesn't reflect reality. This happened on all types of visits, including annual visits and pre- and post-surgery ...Read more

On Nutrition: Grilling down on cancer risk
I was in the waiting room of our local mammography clinic when an illustration on the wall caught my eye. It featured an exquisitely designed trunk overflowing with precious jewels. Underneath were the words, “Treasure your chest. Get yours checked.”
Excellent advice. Regular bodily checkups are a practical and valuable way for us to detect...Read more
Irregular Fasting Blood Sugar Levels Might Call For Intervention
DEAR DR. ROACH: I'm a 70-year-old woman. I have Type 2 diabetes, and my morning fasting blood sugar numbers are all over the place. It's very frustrating. I take glipizide and metformin. Could you tell me how to correct the numbers? -- L.C.
ANSWER: Unfortunately, I can't give you specific advice without a whole lot more information, but I ...Read more
Testing your knowledge of testicular cancer
When cyclist Lance Armstrong was diagnosed with testicular cancer in 1996 at age 25, people were shocked that someone so young could have the disease. Well, most people haven't learned much about the condition since then, according to a new survey by the Ohio State University Comprehensive CANCER Center. They found that only 13% of folks know ...Read more
Vaping's Secret Ingredient
Just like regular smoking tobacco, electronic cigarettes or vapes rely on nicotine as a primary draw. But there's another addictive ingredient too, especially aimed at younger users.
Neotame is an artificial sweetener 7,000 to 13,000 times sweeter than traditional sugar. A survey found neotame is used in all of 11 popular disposable vape ...Read more

On Nutrition: Learning from plants
A young friend of ours, an emergency room nurse, was staying at our home for a few days when we were out of town. I nonchalantly asked her to give my plants a little water if they felt dry.
She almost had an anxiety attack. “I’m much better at keeping people alive than plants,” she confessed.
That encounter reminded me of a commercial I ...Read more
Cost at Sea
There is growing awareness -- and alarm -- at news that human brains (and the rest of our bodies) contain microplastic particles that may be causing harm, such as increasing the risk of type 2 diabetes, coronary heart disease and stroke.
Now comes news that location is a risk factor.
New data suggests that people who live near the ocean have...Read more

On Nutrition: The battle against MS
We just returned from a reunion in Idaho with some of my closest cousins and their families. One especially poignant visit was with my cousin who is fighting a rare form of multiple sclerosis called “progressive MS.” In spite of it all, she remains as beautiful and spunky as she was in our younger years.
While there is currently no cure for...Read more
Thirdhand Smoking Gun
Thirdhand smoke occurs when chemical residues from smoking linger in carpets, furniture and walls long after the cigarette has been extinguished.
Researchers have found that children who inhale these particles by disturbing fabric fibers while playing or ingest them by touching contaminated surfaces and then putting their hands in their ...Read more

On Nutrition: America's food
When our recent road trip across three states concluded, a stockpile of random popcorn kernels littered the floor of our vehicle. It happens every time we take a long trip. And it probably won’t change, especially since it’s a food that got its origins in the Americas.
According to information from USDA’s National Agricultural Library, ...Read more
The Middle Ground of Loneliness
A new study of 64,000 adults across Europe, North America and the Middle East reaffirmed that loneliness generally increases with age, but unlike in other parts of the world, middle-aged people in the U.S. and the Netherlands felt lonelier than older generations.
"Advocacy and interventions to address the loneliness epidemic have historically...Read more
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