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Author: Jodi Gelfand, PA

New Views on Hormone Replacement Therapy

Hormone replacement therapy (HRT) has been a hot topic of debate for many years. With this year’s release of new and conflicting data about the potential harmful rather than protective effects on the cardiovascular system and increased incidence of invasive breast cancer, most women are more confused than ever before about the pros and cons of HRT. Let’s review some of the data from the Women’s Health Initiative study published in July. They indicate that for every 10,000 women on HRT for the duration of one year, 8 additional women will develop invasive breast cancer compared with those not...

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Insomnia

insomnia as a chief complaint, the main reason for a patient visit, is responsible for approximately 10% of medical visits. When one considers that It’s a common add-on to visits for many other diagnoses, its importance is further underscored. A careful history can help to glean underlying causes and hopefully help in putting together a treatment plan. It’s important, for instance, to ask whether a patient has difficulty falling asleep or whether he or she awakens frequently after falling asleep easily. Difficulty falling asleep can be easier to treat as patients with this complaint often respond to more natural...

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