Is it time for a knee replacement?

Annually, about 790,000 Americans (about 60% women) undergo knee replacement surgery. Women are more likely to have arthritis, the main culprit leading to most knee replacements. Before surgery becomes an option, people first need to try conservative treatments such as pain relievers, injectable medications, and physical therapy. Signs a knee replacement may be necessary include pain that hinders people from doing basic activities, unstable walking, and needing multiple medications to function.

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Nutritional power couples

Certain food pairings work synergistically, enabling the body to absorb nutrients more efficiently than if either food were eaten alone. Other combinations keep people full longer. Examples of synergistic combinations include beans and brown rice, spinach and citrus, cereal and milk, tomatoes and olive oil, apples and peanut butter, and turmeric and black pepper. But people absorb nutrients differently, meaning there’s no guarantee someone will extract as many nutrients from a certain combination of foods as another person does.

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Antidepressants: Not just for mood disorders

Antidepressants influence the way brain chemicals regulate mood and other body functions and behaviors. Examples include selective serotonin reuptake inhibitors, such as fluoxetine (Prozac) and citalopram (Celexa); and serotonin and norepinephrine reuptake inhibitors, such as venlafaxine (Effexor) and duloxetine (Cymbalta). Although the medications are commonly used to treat depression, sometimes they are used to treat other conditions such as insomnia, headaches, gynecological pain, or nerve pain.

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Are you resistant to meditation?

Some people find it difficult to meditate, perhaps due to inexperience, stress, or chronic pain. To overcome meditation resistance, it helps to take a meditation class or work with a meditation coach; use a meditation app; meditate in a setting free of interruption; meditate at the same time each day, so it becomes part of a daily routine; and try various meditation styles, such as Transcendental Meditation, mindfulness meditation, or guided meditation, to see which one is most comfortable.

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