The lowdown on vaginal TLC

Substances women eat, drink, or use can support or detract from vaginal health. The vagina’s microbiome includes trillions of healthy bacteria that inhibit harmful bacteria. Certain conditions, such as an infection called bacterial vaginosis, indicate a harmful shift in the vaginal microbiome. Fruits, vegetables, legumes, and whole grains benefit the vagina by tamping down inflammation. Other vagina-friendly foods include yogurt and soy. Staying well hydrated helps ward off dryness. Smoking or douching, however, can harm vaginal health.

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Should I get the shingles vaccine?

The shingles vaccine, Shingrix, can trigger side effects such as a sore arm, achiness, fatigue, and fever. But Shingrix is highly effective at preventing painful shingles rashes and a complication called postherpetic neuralgia, which involves long-lasting nerve pain.

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Rethinking your morning coffee

Coffee and other caffeine sources can interact with many common drugs, changing the way they’re absorbed, distributed through the body, processed, and excreted. Coffee (even decaf) makes stomach contents more acidic, accounting for some drug interactions, but caffeine is mostly the cause. Medications vulnerable to coffee or caffeine’s effects include those for cold or allergy, depression, high blood pressure, asthma, osteoporosis, anemia, Alzheimer’s disease, thyroid problems, and insomnia. Drinking coffee and taking medications at separate times is advised.

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How low should LDL cholesterol go?

People who are at high risk for cardiovascular disease can benefit from driving down “bad” low-density lipoprotein (LDL) cholesterol levels as low as possible to help reduce their risk for heart attacks and strokes. Guidelines recommend that people at high risk aim for LDL levels below 70 milligrams per deciliter (mg/dL). The general population should strive for levels below 100 mg/dL. Taking statins and adopting healthier lifestyle habits like following a plant-based diet and increasing exercise can help manage LDL levels.

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The perception of pain

Most people experience occasional acute musculoskeletal pain as part of daily living, such as an injury caused by exercising or a minor household accident. Acute pain is short-term and often becomes manageable with home remedies and over-the-counter medication. However, when symptoms persist there is greater chance that it will become chronic pain, which lasts two to three months or longer. That’s when medical advice is needed.

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