Lifestyle

DEAR DR. ROACH: I have osteoporosis. My mother had it very badly, so I was screened and treated early. I’ve had a five-year-long Reclast prescription, and I worry about my chance of a femur fracture. My T-score for my hip is -3.4 and has worsened despite the Reclast. Prolia scares the heck out of me. I just wonder if you know anything about Evenity. My endocrinologist has only one or two other patients who are on this drug. I’m really struggling with deciding which course of action to take. -- R.C.

DEAR DR. ROACH: My almost-42-year-old daughter was informed today by her gynecologist that she has two CHEK2 genetic mutations.

Q: Since I turned 50, I’ve been gaining weight and don’t seem to be able to stop the slow decline I’m feeling. What’s the secret to avoiding adding more weight and getting rid of what’s accumulated? -- Haley T., Greensboro, North Carolina

Dear Amy: I have been married to my husband for more than 30 years. Our relationship is loving, but challenging.

DEAR DR. ROACH: I have had gastroparesis for many years. About two years ago, it led to small intestinal bacterial overgrowth (which I once read about in your column). I worked with a dietitian for several months. One of the treatments she suggested was an herbal product called Iberogast. The combination of herbs helps the stomach to empty quicker. I use it each night before bed (as part of a 12-hour fast) or whenever I have overeaten and feel bad. It has been most helpful for me. Iberogast is available online. -- L.E.

Dear Amy: This summer I attended a large family celebratory gathering. There were several teenage boys in attendance, along with younger girls.

DEAR DR. ROACH: My brother has low blood platelets and anemia. He will be 73 this year and has had three back surgeries. What causes low blood platelets? Can anything be done to raise platelet count? He drinks alcohol everyday -- not hard liquor, but canned alcoholic mixed drinks. He is in constant pain from his back. Also, he has osteoporosis. We have told him to stop drinking, but he won’t or can’t. What, if anything, can be done for him?