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December 2, 2014

Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Is hormone therapy safe again?

By Harvard Health Letters




What to consider and why


JewishWorldReview.com | Several authoritative organizations have issued new guidelines about hormone therapy (HT)--an area that has led to confusion and conflicting guidelines for the past decade.

From around 1960 until 2002, doctors often prescribed HT both to treat symptoms of menopause and to protect women from the condition that kills more women than any other: heart disease. Beginning in 2002, reports from a large, well-designed study called the Women's Health Initiative (WHI) suggested that HT increased the risks of heart attack, stroke, dementia, breast cancer, and blood clots in the lungs and legs.

These results understandably led many doctors to discourage HT.

"Nobody expected the results of the WHI, and in some ways we overreacted," says Dr. Martha Richardson, assistant clinical professor of obstetrics, gynecology, and reproductive biology at Harvard Medical School. However, new evidence has emerged in the past decade that is leading to a more nuanced view.

THE PARADOX

There's no doubt that HT helps women deal with the unpleasant symptoms of menopause. But does it protect against heart disease, as doctors believed before 2002, or increase the risk of heart disease, as the WHI found?

The women who participated in the WHI had an average age of 63. For women that age, the risks of heart attack and stroke from HT are real. However, recent studies indicate that HT is protective in women under age 60. For example, a Danish study published in October 2012 in the journal BMJ concluded that women who take HT for 10 years following menopause have a significantly reduced risk of death, heart failure, and heart attack without any increased risk of cancer, blood clots, or stroke.

HT TREATMENT


  • Usually involves a combination of estrogen and progesterone (or a synthetic version called progestin). If you've had a hysterectomy, you won't need progesterone, which helps prevent abnormal buildup of the uterine lining, which can lead to cancer.

  • Can help relieve many menopausal symptoms, especially hot flashes, night sweats, vaginal irritation, dry skin, and possibly fuzzy thinking, low libido, and mood swings.

  • Is available in pills, skin patches, creams, gels, vaginal rings, and intrauterine devices



NEW EXPERT RECOMMENDATIONS

In July 2012, in effort to stop the confusion, a coalition of 15 medical groups, including the North American Menopause Society, issued a statement declaring that HT is acceptable for short-term use in healthy women with marked menopausal symptoms up to age 59 or within 10 years of menopause. Short-term use in women of that age does not increase the risk for heart attack and stroke, and does relieve symptoms of menopause.

"Ten percent of women get very symptomatic during menopause. They are miserable, and hormones make them feel better," says Dr. Richardson.


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In October 2012, the U.S. Preventive Services Task Force came out with a review that again recommends against HT for the purpose of preventing chronic medical conditions, as contrasted with the purpose of treating menopausal symptoms. Dr. Richardson agrees with this recommendation and says there are other ways to prevent or treat chronic conditions such as heart disease.

WHAT SHOULD YOU DO?

If you have marked menopausal symptoms, are generally healthy, and are 59 or younger, Dr. Richardson suggests you go to a menopause clinic or find a specialist through the North American Menopause Society. Short-term use will not put you at risk for heart disease. If you have minor symptoms but don't want to take HT, there are lifestyle and alternative pharmaceutical options.

"For example, there are drugs that can help with hot flashes. And remember to dress in layers, sleep in a cool room, and carry a small portable fan with you," says Dr. Richardson.

Q&A with Dr. Martha Richardson

Q. Who's a candidate for short-term HT?

A. There's no pat answer. I treat women on the basis of their symptoms, personal health history, and preferences.

Q. Who should not be on HT?

A. The women I worry about most are women with a history or tendency to clot, and women with breast cancer. The jury is still out on every other risk factor.

Q. How long is the short term?

A. The data show that breast cancer risk goes up after four or five years, so most clinicians start to worry about using hormones for more than three to five years. However, it must be individualized.

Q. Are bioidentical hormones safer?

A. No, the people who perpetuate the idea are basing it on theory and on ridiculously old studies. - Harvard Health Letter

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