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How do I calculate my BMI?
Ask the Nurse
I am 5'4 1/2" tall. When using the BMI calculator, should I use 5'4" or 5'5"?
FDA OKs Diagnostic Blood Test to Help Determine Menopausal Status
News
The US Food and Drug Administration (FDA) has approved Ansh Labs' PicoAMH Elisa diagnostic test to help determine a woman's menopausal status. The PicoAMH Elisa test measures anti-Müllerian hormone (AMH), a marker of ovarian function, and is meant to be used in conjunction with other clinical assessments and laboratory findings. Data from 690 women aged 42 to 62 years showed that the PicoAMH Elisa test performed "reasonably well" at determining blood AMH levels and identifying women who had…
FDA Approves Single-Dose Treatment For Flu
News
The first new flu drug in 20 years won approval Wednesday from the Food and Drug Administration.
The new antiviral, generically known as baloxavir marboxil but sold under the brand name Xofluza, is a single dose treatment. It is for use only in those aged 12 or more, the F.D.A. said, and should be taken only in the first two days after symptoms like fever, aches and sniffles appear.
The pill will cost $150, according to a spokeswoman for Genentech, which will sell Xofluza in this country. Genentech will offer coupons that lower the price to $30 for patients with health insurance and to about $90 for the uninsured.
Flu season has already begun, and last year’s was one of the most lethal in decades; about 80,000 Americans died of flu or its consequences, the Centers for Disease Control and Prevention said earlier this month.
The new drug is no miracle cure and it is not approved for young children, who are one of the most vulnerable groups, so the C.D.C. still strongly recommends that every American over the age of six months get a flu shot as soon as possible.

Highlights from the 2018 North American Menopause Society
Column
Read first year Specialized Women’s Health fellow Dr. Taryn Smith’s guest column on what is new in menopause.
Tamanna Singh, MD, FACC
Medical Advisory Panel
Tamanna Singh, MD, FACC is a clinical cardiologist and a member of the Sports Cardiology Center in the Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart & Vascular Institute. She sees patients at Cleveland Clinic main campus. Dr. Singh earned her medical degree from Boston University School of Medicine and completed her Internal Medicine Residency at Boston Medical Center. She then completed a three-year fellowship in Adult Cardiovascular…
American Cancer Society Honors Cleveland Clinic Researcher Charis Eng
News
Cleveland Clinic -- Charis Eng, MD, PhD, Founding Chair of Cleveland Clinic’s Genomic Medicine Institute, Founding Director of the Center for Personalized Genetic Healthcare, and internationally recognized leader in the cancer genetics field, has received the American Cancer Society’s prestigious Medal of Honor award. The annual award recognizes individuals who have made significant contributions in basic cancer research, clinical research and cancer control. Dr. Eng was honored alongside four…

No More Middlemen! Reduce Drug costs and stop medication shortages!
Column
Read Dr. Holly L. Thacker’s column explaining Pharmacy Benefit Managers (PBM) and Group Purchasing Organizations (GPO), and what can be done about the sky rocketing costs of medicines.
What hyaluronic acid vaginal creams are best?
Ask the Nurse
What hyaluronic acid vaginal cream do you recommend?
Can I get a spinal epidural while on antibiotics?
Ask the Nurse
If taking antibiotics why is getting a spine epidural not allowed?
What treatments are available for hair loss?
Ask the Nurse
I'm losing handfuls of hair. I have two bald spots, one on the back of my head and one on the side. I don't know what to do. I've had my thyroid checked and it is in a normal range, and I'm doing meditation to reduce my stress.

Aspirin For Prevention: What The Research Really Shows
Column
Dr. Camille Moreno and Dr. Jessica Erickson discuss if aspirin is safe and effective to take for prevention of cardiovascular diseases.
Genitourinary syndrome of menopause in breast cancer survivors: Treatments are available
News
Dr. Holly L. Thacker, Dr. Anna Camille Moreno and Dr. Sabrina K. Sikka discuss the genitourinary syndrome of menopause in breast cancer survivors and the treatments available in the Cleveland Clinic Journal of Medicine.When treating the genitourinary syndrome of menopause (GSM) in women with breast cancer or at high risk of breast cancer, clinicians must balance the higher cancer risks associated with hormonal treatments against the severity of GSM symptoms, which can be exacerbated by breast…

Joint, Muscle, and Body Pain! What is a Woman to do?
Column
Read Dr. Holly L. Thacker's column on therapies for body and muscle pain.
FDA Expands Gardasil to Include Adults Up to Age 45
News
The US Food and Drug Administration approved the use of a human papillomavirus vaccine called Gardasil 9 for men and women between the ages of 27 and 45. The FDA previously approved the HPV vaccine for people age 9 to 26. Most HPV infections go away on their own, but some remain and can cause cervix, vagina and vulva cancer in women; penis cancer in men; and genital warts, anal cancer and head and neck cancers in both sexes. There are 150 viruses that make up HPV, but most are rare. Gardasil…
Do I have a sleep disorder?
Ask the Nurse
Lately, I have been falling asleep for no known reason. I will be sitting watching tv and nod off. Do you know what could cause this?

Can Anxiety and Loss of Estrogen Age Women?
Column
Read Dr. Holly L. Thacker’s column on the latest research regarding anxiety and aging and what women can do to help with anxiety. Learn how you can protect your telomeres and reduce biological aging.
What can I do about vaginal itching?
Ask the Nurse
I have seen my gynecologist at least three times in the past year for vaginal itching. Nothing has relieved it, yet. First, I was treated for a yeast infection, but it didn't relieve anything. Then I was given a cream and instructed to take Benadryl at night. That is not working. I'm considering going to another gynecologist where I go for breast cancer care. I was having the itching problems prior to my masectomy, and nothing has ever helped. I've tried over the counter products and they don't work. My gynecologist tested me for cervical cancer and that was negative.
Does yogurt or bottled water cause cancer?
Ask the Nurse
Someone told me eating yogurt and drinking bottled water causes cancer, is this true?

Tips For Scheduling Your Mammogram
Column
Dr. Holly L. Thacker discusses the best time to schedule your next mammogram and more important tips on planning breast screenings.
Can cerebrospinal fluid increase after stent placement?
Ask the Nurse
I have a diagnosis of "idiopathic" Normal Pressure Hydrocephalus on my medical record. A stent was placed under my scalp to pump excess cerebrospinal fluid (CSF) off my brain. Can the amount of CSF increase markedly over a period of 4 - 5 years after placement of the stent?