Tips for a high-quality, longer life

We can learn much from people who continue to live productive lives into their 80s and 90s. Doctors in this demographic have a unique perspective as they have the lessons from their decades of medical practice and their personal experiences dealing with Father Time. Here, two Harvard physicians — Dr. Marshall Wolf, 87, and Dr. Mitchell Rabkin, 94 — share lessons they’ve learned over the decades from their practice and personal life about how they keep their body and mind strong, healthy, and thriving.

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A heart disease trigger that lurks inside bone marrow

A condition caused by spontaneous genetic mutations in bone marrow cells, known as clonal hematopoiesis of indeterminate significance (CHIP), is linked to an increased risk of cardiovascular disease. Some of these mutations are clearly related to inflammation, a well-known contributor to the buildup of fatty plaque inside arteries. Experts hope that future research on CHIP will eventually lead to genetically directed therapies to address the condition.

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Practical pointers for pickleballers

Playing pickleball can boost cardiovascular health, but this popular sport can leave older players prone to injuries. Preventive strategies including taking a class to learn proper form; choosing supportive gear such as well-fitting shoes and sleeve braces; warming up before playing with squats, lunges, and heel raises; and doing lower-body strength-building exercises a couple of times per week.

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Why do I choke on my saliva?

People may choke on their own saliva when talking quickly, laughing, or turning their head. Other causes include postnasal drip or dry mouth, which medications may trigger. Certain health conditions can also affect swallowing.

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Do I have carpal tunnel syndrome?

Carpal tunnel syndrome is caused by increased pressure within the carpal tunnel, a narrow passage in the wrist containing the median nerve and tendons that run into the hand. The condition can lead to persistent tingling and numbness in the hands.

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When aging steals hunger

Anorexia of aging affects about one-quarter of older adults, and women more often than men. The condition is marked by diminished appetite and can prompt a breakdown of muscle and bone mass that can lead to frailty, falls, delayed recovery from illness or surgery, and earlier death. Risk factors include changes in smell and taste, swallowing problems, slower digestion, medications that lead to dry mouth, dental problems, cognitive decline, and loneliness or social isolation. Treatments can include exercising, boosting protein intake, and medications.

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