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Low-dose aspirin: Little benefit for people without prior heart attack

A draft guideline from a national panel of experts recommends that people without heart disease who are 60 and older should not take low-dose aspirin to prevent a heart attack or stroke.

Don't fail your heart health

The most common type of heart failure in older adults is heart failure with preserved ejection fraction. This is caused by the heart's left ventricle not being able to relax, which means less blood enters the chamber, so less gets pumped out. Prevention and treatments continue to evolve, but include controlling blood pressure, addressing weight gain with exercise and diet, not smoking, and curbing alcohol intake.

Are bioidentical hormones superior to hormone medications?

Bioidentical hormone preparations aren't superior to FDA-approved hormone medications and may bring additional risks.

What is "walking pneumonia"?

Walking pneumonia means a person with pneumonia is highly likely to get well at home and not develop complications. Still, walking pneumonia is considered a significant infection and requires prompt and appropriate treatment. Doctors usually prescribe antibiotics and rest.

Heart-safer NSAID alternatives

Common pain relievers known as nonsteroidal anti-inflammatory drugs (NSAIDs) carry an added risk of heart problems. Use only what you need and for only as long as you need it. Men with heart problems should be extra cautious.

How can I tell if my statin is working?

Statin therapy can help lower the risk of developing new plaques in the arteries and having a heart attack, although the effect may not show up on coronary artery calcium scans that measure the amount of calcium in the walls of the heart's arteries.

Risk factors for benign breast conditions identified

Family history of breast cancer may up the risk of benign breast conditions.

Breakthrough: AI and better medicines

Many diseases occur because of defects in particular proteins—the workhorses of every cell. But developing a drug that targets a defective protein requires knowing that protein's shape. Protein shapes have always been difficult to predict. Then in July 2021, a company called DeepMind reported that its software predicted the structures for 98% of human proteins. By the end of 2021, DeepMind says it will publish the shape of 50% of the 280 million nonhuman proteins, up from 0.01%. These breakthroughs are expected to lead to new medicines.

Over-the-counter drugs that can boost blood pressure

People with high blood pressure should avoid certain popular over-the-counter drugs used to treat cold and flu symptoms and pain. The problematic products are those that contain decongestants such as oxymetazoline, pseudoephedrine, and phenylephrine; and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen sodium. Because drugstores contain an overwhelming number of products that feature those drugs, people should ask their pharmacist to recommend a product.

What’s new in diabetes drugs

Two classes of diabetes drugs—GLP-1 receptor agonists and SGLT-2 inhibitors—have received much attention lately. They not only lower blood sugar, they also help with weight reduction and may lower the risk of heart attack, stroke, and chronic kidney disease. The drugs can be taken as daily oral tablets or in some cases weekly injections, both of which are preferable over daily insulin shots.

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