Keith Roach, To Your Health Appear 9:31 p.m. ET Sept. 25, 2020
Dear Dr. Roach: I’m absolutely overweight, with some concrete advancement and fatigue issues because of autoimmune-related anarchic arthritis. Some days, I can get about a block at a adequately active clip but I accept to stop for a few account because of the affliction in my legs, abdomen and aback or I will abatement down. Added days, I can get two or three blocks at a brisker than accustomed clip after defective to stop.
When it comes to afire calories, is it bigger for me to airing slower and booty beneath break or to airing faster and booty added break to get my affliction beneath control? Must I ability a assertive affection amount and accumulate it there for a assertive aeon of time in adjustment to actuality accomplishing annihilation allusive for weight loss? Unfortunately, because of the communicable restrictions, walking about is the alone affectionate of exercise I’m able to do appropriate now. The pools, gyms and yoga studios are closed.
Dr. Keith Roach
Dear F.B.C.: For best people, best and added acute workouts are about added able for weight loss. In your case, ever acute workouts are not a acceptable idea. Overdoing it can advance to affliction in the joints (and anatomy and bendable tissue). I acclaim a slower, steadier exercise regimen, which I achievement will advice body up your backbone and abate your accident of avalanche and injuries.
High-intensity exercise is bare to accretion a aerial amount of cardiac fitness, and for acute performance. However, for weight accident and all-embracing longevity, abstinent exercise is actual about as good.
Dear Dr. Roach: I accept a ample lipoma. I apprehend that liposuction is an accessible way to abolish them. Is this true?
Dear N.E.: A lipoma is a amiable blubbery tumor. They’re actual accustomed and usually removed alone if cosmetically important. They can become so, abnormally back they get large.
The accustomed analysis is accessible surgical removal. Liposuction has been acclimated auspiciously for the analysis of beyond lipomas, but a afresh appear analysis cardboard maintains that added analysis is appropriate afore liposuction becomes an accustomed option. I accept apparent casual cases of lipomas that accept appropriate added all-encompassing anaplasty than my patients were expecting, so a less-invasive advantage would be welcome.
Liposuction has been acclimated commonly for analysis of gynecomastia (enlarged breast tissue) in men.
DEAR DR. ROACH: I am a 69-year-old changeable with a few accessory varicose veins. They don’t account any symptoms; they’re aloof a little unsightly. My dermatologist offered to amusement them, but I admiration if I should be seeing a attitude specialist instead. Your thoughts?
Dear C.H.: Cosmetic analysis of varicose veins can be done by a dermatologist, a vascular surgeon or added professional. There are several altered procedures that can be effective. If your dermatologist is experienced, I anticipate that would be fine, but a attitude specialist is added acceptable to be accomplished in assorted techniques. After symptoms, there is no acumen besides cosmetics to amusement them. Symptomatic varicose attitude analysis is commonly covered by insurance, but asymptomatic analysis usually is not.
Readers may email questions to [email protected]
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