If you know anyone who has developed Shingles, then you might consider getting the shingles vaccine. It is not a guarantee you won't develop shingles, but will most likely reduce the severity of symptoms and reduce the risk of post-herpetic neuralgia, a common occurrence following an outbreak. The FDA approved this for people over 50 with a competent immune system. … [Read more...]

If you have trouble falling asleep or staying asleep, practicing good sleep hygiene is the best place to start. Instead of OTC sleep aids that may cause a hangover effect, try melatonin as a more physiologic option. … [Read more...]

Testosterone deficiency is a normal process in aging. Replacing testosterone  and sometimes optimizing levels has become the norm. Recent observational studies have raised questions about the risks of replacement. More studies are needed before a consensus can be made. Discuss this with your doctor before discontinuing your treatment. … [Read more...]

Hormone replacement has become controversial over the last decade. There is a plethora of information to be consumed and the fine details matter most.  The patient's age, age at menopause, family history and cardiovascular risk factors will help your physician decide if hormone replacement is right for you. … [Read more...]

Genetic testing is becoming more affordable and main stream.  Knowing what diseases you may be predisposed to developing can have some pitfalls.  Therefore a discussion with your physician will help you decide whether this is the right for you and your family. … [Read more...]

Cholesterol lowering medications called statins may cause muscle pain. Consider Co enzyme Q10 daily to decrease muscle pain. Discuss the optimum dose with your physician. Remember severe muscle pain is very different and can be life threatening. … [Read more...]

 If you are at least 50 years old consider an aspirin 81mg daily to decrease cardiovascular and cancer related morality. Ask your physician if this is right for you. … [Read more...]

If you take a medication to reduce stomach acid like a proton pump inhibitor, consider changing your calcium supplement to calcium citrate.  Which is more absorbable than calcium carbonate. … [Read more...]

Vitamin D has been a hot topic for research for the last several years.  Vitamin D receptors are found in bone, muscle, brain and immune cells. Deficiencies in vitamin D have been implicated in weak bones and muscles, poor immune systems and now autoimmune diseases like diabetes. … [Read more...]