Case of Hot Flashes Yet to Be Resolved Despite Therapy

DEAR DR. ROACH: I am 78; I had a hysterectomy in 1976 due to excessive vaginal bleeding, but I still have my ovaries. I have had hot flashes since undergoing menopause -- they usually last three to five minutes, and I have them about every two hours around the clock (which obviously interferes with my sleep).

Over the last 28 years, I have tried Premarin (which gave me bad headaches), gabapentin, venlafaxine, Bellergal, melatonin, black cohosh, clonidine, DHEA, Pro-Gest cream (chamomile, hops and valerian root), progesterone and estrogen (together), avoiding caffeine, and eliminating dairy products. None of these have helped. I would appreciate it if you could offer any suggestions.

-- L.E.

ANSWER: I’m sorry to hear of your difficulties. You have certainly tried about all the available therapies. There are two additional ones you might want to consider: Megesterol is a hormonal therapy that is helpful for some women, but the fact that you haven’t responded to estrogens and progestins is not promising. The other is called a stellate ganglion block. You can ask your physician about it. ***

DEAR DR. ROACH: After a patient has had megadoses of IV and oral antibiotics, is there anything they should do to restore the balance in their body, such as eating probiotics or yogurt? Or is that all nonsense? -- N.W.

ANSWER: The idea makes perfect sense: Antibiotics not only kill the bad bacteria that is infecting us, they also kill many of the healthy bacteria that help us with digestion and other functions. (The whole suite of healthy bacteria living in our gut is termed the “microbiome.”) Why not help the gut return to normal by giving it some healthy bacteria, such as those found in yogurt with live cultures, or specific probiotics, which are just the healthy bacteria?

The answer is that it has been very hard to prove that there is any benefit in doing so. In people with no symptoms after finishing an antibiotic course, there probably aren’t any benefits.

At least one study showed what researchers called a “very severe disturbance” in the person’s microbiome and actually slowed the return to a person’s normal microbiome, which they had prior to antibiotics. Worse still, very rarely, infections have been transmitted through probiotics.

Symptoms after antibiotic therapy, especially diarrhea and fever, could indicate a very severe infection called Clostridioides difficile (“C. diff”), which does not respond to probiotics and usually needs powerful antibiotics to treat. Probiotics have not been found to prevent C. diff.

***

Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

© 2023 North America Synd., Inc. All Rights Reserved

The Dangers Of Belly Fat

What’s so bad about belly fat? Seeing belly fat as a merely cosmetic concern overlooks the effects it has on overall health.According to the Mayo Clinic,belly fat is not limited to the extra layer of padding just below the skin known as subcutaneous fat. Belly fat also includes visceral fat,which means it extends to deep inside the abdomen and surrounds internal organs.Johns Hopkins Medicine notes that visceral fat in the belly is very close to the liver, which can turn it into cholesterol. From there, the fat goes through the bloodstream and may collect along the walls of the arteries, potentially contributing to a hardening and narrowing of the arteries known as atherosclerosis. The complications of atherosclerosis depends on which arteries are affected, but they can include an assortment of diseases that affect the arteries and a greater risk for aneurysms and chronic kidney disease.

Johns Hopkins Medicine notes that visceral fat is just as harmful for the heart as high blood pressure and smoking. So while efforts to reduce belly fat may initially be embraced to improve appearance, individuals should know that reducing fat in their midsections also can reduce their risk for a host of conditions,some of which are deadly.

CALL US TO JOIN! 585.571.4343

Try A Taste Of Hispanic Heritage

(NAPSI)—National Hispanic Heritage Month is an opportunity to acknowledge the history, culture and contributions of the people of Mexico, the Caribbean, Central and South America, and Spain. One of the best ways to celebrate, many say, is with food.

Making that easy is one restaurant chain that’s having a year-round love affair with Latin and Hispanic cuisine. Long known for its authentic Tex-Mex roots, Church’s Chicken®/Texas Chicken® has spent years championing the commemorative period—which runs from September15 to October 15th—on a global stage.

The first Hispanic influence on the company’s menu was the jalapeño pepper—the very first side item ever offered at the restaurant chain. The peppers were added to the menu due to a San Antonio tradition of squeezing their juice over various foods to give them a south-of-theborder style “kick” of heat and spice.

The restaurant’s sister brand, Texas Chicken, features the Mexicana Burger on menus worldwide. This tasty chicken burger is a fiesta of tastes and textures, with a juicy hand-battered chicken breast fillet that’s topped “taco style” with cheese, fresh lettuce, tomato, spicy mayo, crunchy tortilla chips and chopped onions.

Learn More: For further facts and to see a menu and a map of the nearest location, go to www.churchs.com.

Penny Saver

Hi! My name is Levi. I am a very good pup, yes! I like to spend time with mama and papa, but also my kitty brother. My favorite things to do are, um, to sit, to play, to eat kibble, go on walkies, and poo on the lawn and make mama and papa pick it up. I love them so very much. The end.

Did you Know?

Ebenezer Allen, one of the rst white settlers west of the Genesee River, came to the Genesee Valley in 1782 following the Sullivan campaigns. Allen le Mt. Morris and settled on Oatka Creek in 1786, near what is now the Village of Scottsville. Allan was the infamous “Indian Allen” who established a gristmill at the falls of the Genesee and thus founded the rst Rochester industry.

- www.scottsvilleny.org

Avon

215 Clinton St., Avon, NY 585-226-2225

Please send your resume to John Gagnon, Administrator at jgagnon@avonnursinghome.com

Openings

Information Technology Director

Technology Support Assistant

ELL Teacher

General Education Teacher (Grade 2)

General Education Teacher (Grade 6)

School Aide

Continual Recruitment - Substitutes: Teachers (Certi ed & Uncerti ed), RN/LPN & Cleaners All interviews begin upon receipt of application Application and information available at: www.yorkcsd.org

Send cover letter, resume, and application to: York Central School

Att: Heidi Newcomb, District O ce P.O. Box 102 • 2578 Genesee Street • Retsof, NY 14539

School District IS

Central

• Bus Monitors

Hours and pay vary by position. NYS Pension and bene t eligible positions available. To apply, visit: www.work4h .org

Local Avon, NY Manufacturer accepting applications for Full-Time B Shi

Monday – ursday 5:30PM-2AM and Fridays 3PM-11:30PM.

Bene ts include: $250 sign-on bonus, PTO, paid recognized holidays, 401K, medical, dental, life insurance, EAP, long and short term disability

Positions available:

Production Workers

Hourly Starting Compensation: $16.75-$17.25

Local Avon, NY Manufacturer accepting applications for Safety Manager

Monday-Friday, 40-50 hours per week.

Bene ts include: PTO, paid recognized holidays, 401K, medical, dental, life insurance, EAP, long and short term disability

Starting Salary: $1,100/wk. plus bene ts. Minimum 5 years’ experience in comprehensive safety management. NYS DOT experience a must. Bachelor’s degree required. Apply at:

Apply in person at 495 Rochester St., Avon, NY or email: H-R@graymetal.com

Apply in person at 495 Rochester St., Avon, NY or email: H-R@graymetal.com

Local Avon, NY Manufacturer accepting applications for Full-Time A Shi

Bene ts include: $250 sign-on bonus, PTO, paid recognized holidays, 401K, medical, dental, life insurance, EAP, long and short term disability.

Positions available:

Production Workers

$15.40-$16.10/Hour

Monday – ursday 7AM-5:30PM

Loader/Pullers

$17.40/Hour

Monday – Friday 7AM-3:30PM

Local Avon, NY Manufacturer accepting applications for Maintenance Technician

• M-F 8AM – 4:30PM. A shi , overtime available.

• General manufacturing machinery maintenance.

• Minimum 5 years’ experience in maintenance.

• Eligible for PTO per company handbook.

• Paid recognized holidays.

• Eligible for medical/dental.

• Life insurance & 401K

• Must have basic tools. Uniforms provided.

• Start hourly compensation $22.25 – $23.25 based on experience plus bene ts.

• Sign-on bonus $250 at 90 day review.

Apply in person at 495 Rochester St., Avon, NY or email: H-R@graymetal.com

Apply in person at 495 Rochester St., Avon, NY or email: H-R@graymetal.com

RUSH-HENRIETTA CENTRAL SCHOOL DISTRICT

FULL-TIME CLEANERS NEEDED

NEW HIRING RATE $15.00/HR PLUS SHIFT DIFFERENTIAL

• 2nd shift • Must have ability to lift 30 lbs

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• Includes excellent benefits

Apply online at rhnet.org

Experience the R-H Advantage!

Rush- enrietta CentralSchoolDistrict Is Hiring... SCHOOL

Bus Drivers

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Call(585)359-5380or visitrhnet.org/drive

Experience the RH Advantage!

Manufacturing

Industrial filter company looking for individuals to fill

positions in Light Assembly

(full-time)

Must have 2-3 years experience in an assembly environment. Basic knowledge of measuring and hand tools very helpful.

Great opportunity for the right individuals. Excellent pay & benefits. Email resume: hr@aftechnologies.com or mail to:

American Filtration Technologies, Inc.

100 Thruway Park Drive W. Henrietta, NY 14586

PT Counter Person

at an established family owned plumbing distributor Responsible for providing customers with product or service information to assist them in determining appropriate merchandise to purchase. Duties also include: recommending additional products or services to meet customer needs, restock merchandise as needed and answering phones. Hourly wage based upon plumbing experience. No nights or weekends. Stop in to apply or mail/email resume to:

Geck Plumbing & Heating Supply

620 Meigs St. Rochester, NY 1462 gecksupply@gmail.com Call 585-271-8311 for more info.

DID YOU KNOW?

Numerous studies have found that vacationing produces a host of health benefits. The ongoing Framingham Heart Study, which began in 1948 and is currently studying its third generation of participants, found that men who did not take a vacation for several years were 30 percent more likely to have heart attacks than men who took time off. In addition, the FHS found women who take a vacation only once every six years or less were nearly eight times as likely to develop coronary heart disease or have a heart attack as women who vacation at least twice per year. Vacations also have been linked to lower stress levels, as a study from the American Psychological Association concluded that vacations reduce stress by removing people from activities and environments that are the sources of their stress. Vacations can even benefit employers, as an internal study from the professional services firm Ernst & Young found that employees’ year-end performance ratings improved by 8 percent for each additional 10 hours of vacation time they took.

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DIDYOUKNOW...

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Facts About February

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Items For Sale

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Pets

THEKITINN: CatBoarding.SpaciousSuites.Peaceful.Private.Affordable.Immaculate.Insured.Home AwayFromHome.Visitwww. thekitinn.com585-698-8799

POMERANIANCROSS WELSH CORGIpuppies:Shots andwormed.Readytogo.$400 eachorbestoffer.6424Liberty PoleRoad,Dansville,NY14437.

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For Rent

HENRIETTA/RIVERTON/ RIT area:23WakeRobin.3bedroom,1.5 bathtownhome.$1750+Utilities.No smoking/dogs.MarkGugginoReal Estate585-334-3166.

ROOMMATEWANTED toshare house.$450/month,includesall. Henriettaarea.Call/Textfordetails, 585-233-8398.

MUSTSEE! Nice ranchhousein peaceful,quiet,countrysetting.Minutesfromtownforconveniences.This househas2bedrooms,1bath,adeck, and2cargarage.Newhighefficiency gasfurnaceandnewwindowskeepit cozyandeconomicaltoheat.Italso featuresalargeeat-inkitchen,nice yard,laundryareawithW/Dhookups,andtonsofstorage.NOPETS (notnegotiable).NOSMOKING. $1450/mo.plusutilities.References andbackgroundcheckrequired.1 yearlease.Onlyseriousinquiries. 585-346-2023notexting.

Services

TRICODOORCOMPANY for garagedoorsandopeners.Parts,Service, Salesandinstallations.Commercial, Residential,Automatic.FREEESTIMATES.585-924-3210.Insured.

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HANDYMANSERVICES

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DON’TPAYFORCOVERED

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WANTED

WANTED COINS - CURRENCY US Coins,Currency,Collections HIGHESTPRICESPAID

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Spring, summer, and fall fill us with hope; winter alone reminds us of the human condition.

~ Mignon McLaughlin, The SecondNeurotic’sNotebook,1966