Tapering off antidepressants sensibly

People taking antidepressants may have many reasons for wanting to discontinue the drug. They may feel they no longer need the medication or decide they cannot tolerate side effects. A doctor should guide the process of tapering off antidepressants. The chance of depression recurrence is higher for people who take antidepressants long-term and stop abruptly. Withdrawal symptoms can make the tapering process uncomfortable, but it’s generally not dangerous.

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When walking is the best medicine

Supervised exercise therapy (SET) for peripheral artery disease (PAD) requires pushing through pain while walking to improve blood flow through narrowed blood vessels in the legs. SET can work as effectively as surgical procedures to improve the calf pain and cramping of PAD. SET is a treadmill-based program overseen by clinicians at a health care facility. Home-based SET can work comparably at improving symptoms, but only if PAD patients walk at a faster pace and continue the regimen long-term.

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Not-so-sweet slumber

Morning back and neck pain are often triggered by sleep position or poor choice of mattress or pillow. Certain sleep poses, especially stomach-down, can lead to pain by creating misalignment of the spine and other areas of the body. To prevent back and neck pain, people can switch sleep positions frequently, align all body areas when shifting positions, use firmer pillows, consider buying a new mattress, and place a foam wedge under the pelvis or between the legs while sleeping.

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Pregnancy’s lasting toll

Pregnancy and childbirth effects on the body can linger or develop years or decades after the birth. Muscles, ligaments, and nerves in the pelvis can be damaged, leading to urine or stool leakage or sagging pelvic organs. Treatment approaches include a pessary, various surgical procedures, or pelvic floor physical therapy. Women can protect their pelvic floor from weakening further by maintaining a healthy weight, preventing constipation, and managing conditions that contribute to chronic cough.

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A new drug to treat heart failure

Most people with heart failure (or those at high risk for it) need several medications to treat their symptoms. New guidelines from the American College of Cardiology/American Heart Association have added another drug class to the treatment list: a group of diabetes drugs called sodium-glucose cotransporter-2 (SGLT-2) inhibitors. SGLT-2 inhibitors offer multiple benefits, such as helping to reduce swelling, lowering high blood pressure, assisting with weight loss, reducing complications associated with heart failure, and preventing hospitalization.

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Three moves for functional fitness

Older adults can benefit from functional fitness exercises—those that focus on the muscles needed for basic everyday actions, like squatting, bending, reaching, and twisting. An all-around exercise routine that addresses the major muscle groups is ideal for improving functional fitness. Still, people should add specific exercises that mimic basic movements, such as getting up and down from the ground or a seated position, bending down and lifting objects, and carrying heavy or bulky items.

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