The 3 a.m. wake-up: Why it happens to women more often after 55

Waking up in the middle of the night happens to women more often after age 55 due to many factors. These include diminished hormones and circadian rhythm changes. Stress, bladder changes, medications, chronic pain, and alcohol and caffeine use can also contribute. People can break the cycle of nighttime wake-ups by practicing good sleep hygiene, addressing medical issues, trying mind-body techniques such as deep breathing or meditation, and limiting caffeine, alcohol, and heavy evening meals.

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FDA removes menopause hormone therapy black box warnings

After an FDA panel was convened to review black box warnings on menopause hormone therapy, which includes both systemic and vaginal estrogen treatments, the FDA announced in November 2025 it would remove black box warnings from all hormone therapy products containing estrogen. Women considering hormone therapy should discuss their individual health risks with their doctor — such as a history of heart attack or stroke, a blood clot in the legs or lungs, hormone-sensitive cancer, active liver disease, and overall breast cancer and cardiovascular risks.

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Battle of the bulge

Diastasis recti occurs when the rectus abdominis muscle — the “six-pack” — separates and leads to a midline abdominal bulge. This might happen because of pregnancy, aging, genetics, excessive abdominal pressure, or abdominal surgery. The bulge becomes more noticeable when lifting heavy objects, getting out of bed, or even performing everyday tasks. The condition usually doesn’t resolve on its own. Working with a physical therapist can help decrease the muscle separation.

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Knee braces, hydrotherapy, and exercise stand out as the best nondrug therapies for knee osteoarthritis

Among 12 physical therapy approaches for knee osteoarthritis compared in a 2025 study, three stood out. Knee braces, followed by hydrotherapy (exercise in water) and exercise (strength training and aerobics), were best for reducing pain and stiffness and improving physical function.

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Urine and your health

A urine test, also known as a urinalysis, can reveal a great deal about a person’s health. The kidneys produce urine to remove excess fluid and waste products from the body. But urine also contains various chemicals, minerals, toxins, bacteria, and red and white blood cells. Analyzing a urine sample with visual, chemical, and microscopic exams can reveal the presence and amounts of these substances, which can provide clues to specific conditions.

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Are lunges safe for older adults?

An exercise routine that targets muscles in the legs and buttocks can help build the strength and stability that are essential for daily functioning. Lunges are an excellent exercise for this. Older adults can do them safely if they have sufficient leg strength to do the exercise correctly. For those who lack the necessary strength, modified versions can be done until it’s possible to gradually work up to doing the full lunge. Once that is mastered, more advanced versions include the side lunge and walking lunge. Holding weights can increase the challenge.

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