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Posted inDr. Roach

CPAP can help with sleep apnea

DEAR DR. ROACH: How are sleep apnea, sighing and heart failure related? Recently, I was told that I have severe sleep apnea and that I must use a CPAP machine. I have noticed that during the day I frequently take a spontaneous deep breath. Is that sleep apnea while awake? I have coronary heart disease […]

Posted inDr. Roach

The battle for weight loss continues

DEAR DR. ROACH: I am looking for advice on diet pills. I have tried everything. I eat well, go to the gym and walk, but my meniscus problem limits my walking speed. Since menopause, I have gained 30 pounds. I am sure there is something out there that will kick-start my metabolism. I am so […]

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There are more than two types of diabetes

DEAR DR. ROACH: Last year, at 57, I was diagnosed with Type 1 LADA diabetes. Initially I was put on insulin to get my blood sugar within the normal range. Then I was just on metformin until the “honeymoon period” was over. My endocrinologist is great. I now am back on insulin (six units at […]

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Balance risk against benefit with estrogen cream

DEAR DR. ROACH: In a recent column, you addressed the costs of vaginal Premarin but did not mention the risks associated with stroke and dementia. Do you consider these risks to be of importance? I am wary of using Premarin, although I suffer from vaginal atrophy. — J.S.B. ANSWER: Hormone replacement, given orally or by […]