Get back your social life to boost thinking, memory, and health

Staying socially active is associated with cognitive benefits and may play a role in longevity, stress reduction, and controlling mood. If a person has been out of touch with friends for a long time, one way to restart contact is to send a brief message asking how they’re doing or recalling a shared activity. If the person reciprocates, the next step might be to suggest a meeting, ask to get together, or schedule a catch-up phone call or video chat.

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Unmasking the varied causes of breathlessness and fatigue

Cardiopulmonary exercise testing (CPET) can help diagnose unusual causes of breathlessness, such as pulmonary hypertension or heart failure with preserved ejection fraction. CPET collects information about a person’s heart and lung function to assess how the body responds to exercise. It may also help doctors better understand the lingering fatigue and breathlessness that sometimes occur after a COVID-19 infection.

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Staving off heart problems in your 80s and beyond

For people in their 80s and beyond, the advice for preventing and treating heart disease is similar to that for young people, especially with respect to staying physically active. But octogenarians may need to adjust their medication regimens. Low-dose aspirin is not recommended after age 70, and doses of anti-clotting medications may need to be reduced. Some people may also need to dial back their blood pressure medications if they experience side effects such as dizziness.

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The changing landscape of LDL lowering drugs

For most people, statins are still the best way to lower harmful LDL cholesterol. But two newer drugs may be promising additions or alternatives for those with stubbornly high LDL levels. Bempedoic acid, which lowers LDL by about 25%, works in a manner similar to statins but may help reduce muscle-related side effects seen with statins. Inclisiran interferes with a protein that’s involved with regulating LDL production in the liver; it lowers LDL by about 50%.

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Smart snack strategies

Between-meal snacks can either help or hinder people’s efforts to eat a heart-healthy diet. Simple strategies such as upgrading food choices can help. Instead of low-quality carbs like candy or potato chips, people should choose high-quality carbs like fruit or whole-grain crackers, along with a little protein or healthy fat (such as half an apple with a handful of nuts). They should also try to avoid eating simply out of habit when they’re not actually hungry.

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