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Addressing language challenges after a stroke

Stroke is the most common cause of aphasia, a language-based brain disorder that can affect speaking, understanding, reading, and writing. But the brain has the ability to rewire brain cells and recover lost function through a process known as neuroplasticity. Therapy with a speech-language pathologist facilitates this recovery, which is greatest in the first several months after a stroke. Stroke survivors who keep working on their language processing problems can continue to improve for years.

Statins vs. supplements: A reckoning

A 2022 study found that a statin drug lowers LDL cholesterol better than six popular dietary supplements. While not everyone with high LDL needs a statin, these drugs are proven to lower heart attack risk in people who have or are at high risk of heart disease based on a common risk calculator. Dietary supplements such as cinnamon, garlic, and turmeric aren't helpful for addressing heart-related risks, and product labels often offer false promises regarding cardiovascular benefits.

The new diabetes drugs: Your best shot for weight loss?

Several drugs originally developed to treat type 2 diabetes can help people shed as much as 20% of their body weight—far more than other anti-obesity drugs. Known as incretin mimetics, they also improve blood pressure and cholesterol levels. Up to half of all new-onset diabetes cases in this country are linked to obesity, a disease that now affects more than 40% of Americans. Both conditions are closely linked to cardiovascular disease.

Exercising when you have a heart condition

For people with all types of cardiovascular disease, regular exercise helps prevent the disease from getting worse. Even very short exercise stints can make a difference. Many people with heart disease qualify for cardiac rehabilitation, which includes an exercise stress test that shows how your heart and body respond to exertion. The results can inform recommendations for safe, effective physical activity.

From the editors

With this issue of the Harvard Heart Letter, Dr. Christopher Cannon, professor of cardiology at Harvard Medical School, becomes editor in chief.

Shift work can harm sleep and health: What helps?

Mounting evidence paints a worrisome picture of the potential health consequences of nontraditional shift work schedules. So how can people who are required to work during the night and sleep during the day protect their health and well-being?

What makes your heart skip a beat?

The human heart normally keeps a predictable pace, but occasionally you might notice a sensation that feels like your heart is racing, fluttering, or has skipped a beat. While this can be alarming, it's usually not a cause for concern.

Don't buy into dietary supplements for heart health

Statins were more effective at lowering cholesterol levels compared with six dietary supplements touted for heart health benefits, including managing cholesterol.

Healthy gut, healthy heart

The gut is home to trillions of microbes, collectively known as the gut microbiota, which help with digestion, manufacture certain nutrients, and release various substances that have wide-ranging health effects, including on cardiovascular health. As diet plays a significant role in the composition of the gut microbiota, people's diet can indirectly affect heart health. Following a plant-based diet that emphasizes less red meat and more fiber can support the gut and its heart-healthy benefits.

Don't count on a supplement to fix high cholesterol

A 2022 study found that taking supplements for four weeks to treat "bad" LDL cholesterol was ineffective, compared with taking a statin drug for four weeks. Supplements studied included fish oil, cinnamon, garlic, turmeric, plant sterols, and red yeast rice.

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