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Sugars and sugar alcohols

DEAR DR. ROACH: I recently was diagnosed as being prediabetic and told to watch my sugar intake. So I now read the nutrition facts on packages. However, I am confused about the listed sugars. Sometimes the label includes both “sugar” and “sugar alcohols.” For instance, a package can read “sugars 1 g” and “sugar alcohols […]

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Weigh pros and cons of a brain shunt for NPH

DEAR DR. ROACH: About two years ago, my husband, who will turn 79 in June, developed a balance/gait problem. This has affected so many of his interests: golf, hiking, photography and some social events. His walking has deteriorated even further, to an extremely slow, shuffle-type walk. Parkinson’s and MS have been ruled out. He had […]

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Most medication increases fall risk

DEAR DR. ROACH: You recently wrote that antihistamines used for sleep can increase risk of falls. Are there any sleep aids that don’t increase fall risk? — C.A.L. ANSWER: Since almost all medications are associated with fall risk, reducing the overall number of medications should be a goal for all of us who prescribe medication […]

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The snap, crackle and pop of knee pain

DEAR DR. ROACH: Isn’t age-related “snap, crackle and pop” likely chondromalacia? How is chondromalacia different from osteoarthritis of the knee? — B.P. ANSWER: Both chondromalacia and osteoarthritis are causes of knee pain. Both can cause crunching noises and sensations. Chondromalacia refers to irreversible damage to the cartilage of the patella, most frequently as a complication […]

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How to choose a kidney doctor

DEAR DR. ROACH: How can I find the most successful, experienced kidney doctor? Would I be better off with a doctor who has his or her own practice, or one who works in a hospital? My kidney function is at 32 percent, down from 44 percent four years ago due to hypertension. — J.A. ANSWER: […]