Lifestyle

Cancerous tumor in salivary glands could be cured surgically

DEAR DR. ROACH: My husband has a tumor in the right sinus of his face, and the biopsy results show that it is cancer of the salivary glands (adenoid cystic carcinoma). The oral surgeon says it will continue to grow and cause discomfort, and wants to remove part of his jaw and teeth to do reconstructive work. All this involves several weeks in the hospital and a lot of trauma. He says radiation won’t help. My husband is distrustful and says “surgeons just want to cut.” He wants to study all the options, including chemotherapy. The tumor has “migrated” into the upper roof of his mouth and is causing ear and jaw pain, as well as loosened teeth. – K.N.

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Identifying weight-loss blockers; handling early signs of dementia

Q: I’ve gotten my food habits pretty well under control, but I’m still gaining weight! What could be causing that? – Kayla E., Tucson, Arizona A: That is a great question – because so many people find out that their weight issues develop from a combination of problems, not just overeating or eating the wrong foods. You know, of course, that for longterm weight management, you need to crank up your metabolism and build more calorie- burning muscles by getting plenty of physical activity (300 minutes a week minimum). Plus, muscle and metabolism decrease by 5 percent per decade, so you need to eat less to keep weight constant. But other contributing issues could include: 1. Lack of restful sleep. Too little sleep increases secretion of the “feed me” hormone ghrelin and suppresses the “I’m full” hormone leptin. It’s also linked to elevated levels of the stress hormone cortisol and a growth hormone deficiency – both can contribute to obesity. For great sleep improvement info go to https://health.clevelandclinic. org and search for “insomnia.” And ask your doctor for a referral to a sleep clinic or expert.

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