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Better Health While Aging

Practical information for aging health & family caregivers

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164 – 4 Must-Know Lab Tests for Older Adults: Kidney, Liver, CBC & More

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
164 – 4 Must-Know Lab Tests for Older Adults: Kidney, Liver, CBC & More
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  • Why Blood Tests Matter & Why Doctors Order Bloodwork
  • CBC: What It Measures and Why It’s Important
  • Basic Metabolic Panel: Kidney Function, Electrolytes & Glucose
  • Comprehensive Metabolic Panel: Liver Function & Calcium
  • Lipid Panel: Cholesterol and Cardiovascular Risk
  • Understanding “Normal” vs “Abnormal” Results
  • 4 Tips to Benefit From Blood Tests

[Read more…]

 

In This Episode:

Dr. K explains four common blood tests ordered in older adults: the Complete Blood Count (CBC), the Basic Metabolic Panel (BMP), the Comprehensive Metabolic Panel (CMP), and the Lipid Panel. She goes into detail about what these tests measure, what abnormal results might mean, and how they relate to common health problems like anemia, kidney issues, liver function changes, and high cholesterol.

She covers:

  • Why Blood Tests Matter & Why Doctors Order Bloodwork
  • CBC: What It Measures and Why It’s Important
  • Basic Metabolic Panel: Kidney Function, Electrolytes & Glucose
  • Comprehensive Metabolic Panel: Liver Function & Calcium
  • Lipid Panel: Cholesterol and Cardiovascular Risk
  • Understanding “Normal” vs “Abnormal” Results
  • 4 Tips to Benefit From Blood Tests

[Read more…]

163 – Dehydration in Older Adults: Symptoms, Treatment, & Prevention

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
163 – Dehydration in Older Adults: Symptoms, Treatment, & Prevention
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In This Episode:

Dr. K talks about dehydration in aging, including signs and symptoms of dehydration, how dehydration is actually diagnosed, and how to prevent and treat it.  She also explains what to know about heat stroke and how to take precautions during heat waves.

She covers:

  • Introduction to Dehydration
  • What is Dehydration?
  • Why Older Adults Are at Risk
  • Causes of Dehydration in Aging
  • Symptoms & Signs to Watch For
  • Diagnosing Dehydration
  • Consequences of Dehydration
  • How to Treat Dehydration
  • When to See a Doctor
  • Tips for Preventing Dehydration
  • Managing Hot Weather
  • Recap & Final Tips

    [Read more…]

    162 – Chronic Pain in Aging: What Really Helps & What to Know About Prescription Painkillers

    by Leslie Kernisan, MD MPH Leave a Comment

    Better Health While Aging
    Better Health While Aging
    162 – Chronic Pain in Aging: What Really Helps & What to Know About Prescription Painkillers
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    In This Episode:

    Dr. K explains how the most common causes of chronic pain in later life, and how pain should be evaluated. She also covers treating pain through non-drug methods, and explains what to know about commonly used painkillers.

    In this episode:

    • Truths about chronic pain in aging
    • Types of chronic pain: arthritis, stenosis, myofascial, more
    • How pain should be evaluated
    • How geriatricians approach chronic pain
    • Non-drug options for pain
    • Medications used to treat pain

      [Read more…]

      161 – Tylenol, Advil, or Aspirin? What’s Safest for Older Adults

      by Leslie Kernisan, MD MPH Leave a Comment

      Better Health While Aging
      Better Health While Aging
      161 – Tylenol, Advil, or Aspirin? What’s Safest for Older Adults
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      In This Episode:

      Dr. K explains what every older adult needs to know about over-the-counter painkillers. She explains how common medications like acetaminophen (Tylenol) and NSAIDs such as ibuprofen and naproxen (Advil, Aleve) affect aging bodies—and why some can increase the risk of bleeding, kidney problems, or stomach issues.

      She covers:

      • Introduction to Over-the-Counter Painkillers for Older Adults
      • What to know about acetaminophen (Tylenol)
      • What to know about NSAIDs such as ibuprofen (Advil)
      • Tylenol vs Advil (or Aleve)
      • What to know about aspirin
      • Why topical OTC painkillers are a good option
      • Tips on safer use of OTC pain meds
      • What to know about cannabinoids
      • Tips for pain management in general

        [Read more…]

        160 – Is Your Blood Pressure Too Low? Understanding Hypotension

        by Leslie Kernisan, MD MPH Leave a Comment

        Better Health While Aging
        Better Health While Aging
        160 – Is Your Blood Pressure Too Low? Understanding Hypotension
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        In This Episode:

        Dr. K explains what counts as low blood pressure, why it becomes common with aging, and what to do about it. She also explains orthostatic hypotension, a common problem that affects many older adults and can lead to symptoms, such as dizziness or even falls.

        She covers:

        • Defining Hypotension and Low Blood Pressure
        • Causes of Very Low Blood Pressure
        • Vasovagal Hypotension
        • Common Low Blood Pressure Causes in Aging
        • Understanding Orthostatic Hypotension
        • Signs and Symptoms of Low Blood Pressure
        • Managing Low Blood Pressure in Geriatrics
        • If You’re Concerned About Low Blood Pressure

          [Read more…]

          159 – Best Ways to Treat High Blood Pressure

          by Leslie Kernisan, MD MPH Leave a Comment

          Better Health While Aging
          Better Health While Aging
          159 – Best Ways to Treat High Blood Pressure
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          In This Episode:

          Dr. K explains the best ways to lower blood pressure in older adults, using both lifestyle changes and medications that are safe and effective for aging bodies. She goes into detail on the DASH diet, sodium and potassium intake, types of blood pressure medications (like calcium channel blockers and ACE inhibitors), and how to decide on the right blood pressure goals for your age and health status.

          She covers:

          • Defining hypertension
          • Causes of high blood pressure
          • How high is too high?
          • How to lower BP
          • Lifestyle changes to lower BP
          • DASH diet for hypertension
          • Reducing dietary sodium
          • Potassium and blood pressure
          • Medications for hypertension treatment
          • Special hypertension considerations for older adults

            [Read more…]

            158 – Bradycardia and Pacemakers in Aging: What to Know

            by Leslie Kernisan, MD MPH Leave a Comment

            Better Health While Aging
            Better Health While Aging
            158 – Bradycardia and Pacemakers in Aging: What to Know
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            In This Episode:

            Dr. K speaks with cardiologist and electrophysiology expert Cara Pellegrini, MD, to explain bradycardia (slow heart rate), how it’s diagnosed and treated, and when a pacemaker might be recommended. Dr. Pellegrini also explains the different types of pacemakers, including traditional and leadless options, what to expect during implantation and recovery, and how modern pacemakers are monitored.

            She covers:

            • Introduction to Bradycardia and Pacemakers
            • What is a pacemaker?
            • What is bradycardia & when is it a problem?
            • Signs, symptoms & diagnosis of bradycardia
            • Causes of bradycardia in aging
            • How to treat bradycardia
            • How different pacemakers work
            • Implantable Cardiac Devices: Pacemakers vs. ICDs
            • Understanding pacemaker insertion & recovery
            • Monitoring and adjusting pacemakers
            • Pacemakers in frailty or Alzheimer’s
            • End-of-life considerations for pacemakers
            • Recap of bradycardia and pacemakers
            • Battery changes for pacemakers
            • Questions to ask your doctor

              [Read more…]

              157 – High Blood Pressure in Aging: When to Treat & Why It Matters

              by Leslie Kernisan, MD MPH Leave a Comment

              Better Health While Aging
              Better Health While Aging
              157 – High Blood Pressure in Aging: When to Treat & Why It Matters
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              00:00 / 00:38:43
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              In This Episode:

              Dr. K explains what blood pressure numbers really mean, what’s normal BP in older adults and what’s considered too high, and why managing hypertension is so important for long-term health. She also talks about what causes high blood pressure and what to do if you’re concerned.

              She covers:

              • What is blood pressure?
              • Defining hypertension
              • How to accurately measure BP
              • What causes high blood pressure?
              • Signs and symptoms of high BP
              • How high is too high for BP?
              • The concept of a “BP” goal

                [Read more…]

                156 – Methylcobalamin vs Cyanocobalamin: Which Vitamin B12 is Best?

                by Leslie Kernisan, MD MPH Leave a Comment

                Better Health While Aging
                Better Health While Aging
                156 – Methylcobalamin vs Cyanocobalamin: Which Vitamin B12 is Best?
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                In This Episode:

                Dr. K addresses a common question: which type of Vitamin B12 supplement to take? She takes a closer look at the two most common forms  — methylcobalamin and cyanocobalamin — to help older adults make an informed choice about which type of Vitamin B12 to take.

                She covers:

                • Vitamin B12 Deficiency Overview
                • The Main Types of Vitamin B12 Supplements
                • Features of Cyanocobalamin vs Methylcobalamin
                • How Different Types of Vitamin B12 Work in the Body
                • Clinical Evidence on Different Types of Vitamin B12
                • Dr. Kernisan’s Interpretation of Vitamin B12 Science
                • Recommendations on Methylcobalamin vs Cyanocobalamin

                  [Read more…]

                  155 – Vitamin B12 Deficiency in Aging: Causes, Symptoms and Treatment

                  by Leslie Kernisan, MD MPH 2 Comments

                  Better Health While Aging
                  Better Health While Aging
                  155 – Vitamin B12 Deficiency in Aging: Causes, Symptoms and Treatment
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                  • Introduction to Vitamin B12 Deficiency
                  • What is Vitamin B12?
                  • Common Causes of Vitamin B12 Deficiency in Older Adults
                  • Symptoms of Vitamin B12 Deficiency
                  • Pernicious Anemia and Its Relation to B12 Deficiency
                  • Why Vitamin B12 Deficiency is Often Missed
                  • Who Should Be Checked for Vitamin B12 Deficiency?
                  • Testing for Vitamin B12 Deficiency
                  • Treatment Options for Vitamin B12 Deficiency
                  • Preventing Vitamin B12 Deficiency

                  [Read more…]

                  In This Episode:

                  Dr. K explains how older adults can detect, treat, and prevent vitamin B12 deficiency, a common problem that can affect nerve function, red blood cells and brain function. 

                  She covers:

                  • Introduction to Vitamin B12 Deficiency
                  • What is Vitamin B12?
                  • Common Causes of Vitamin B12 Deficiency in Older Adults
                  • Symptoms of Vitamin B12 Deficiency
                  • Pernicious Anemia and Its Relation to B12 Deficiency
                  • Why Vitamin B12 Deficiency is Often Missed
                  • Who Should Be Checked for Vitamin B12 Deficiency?
                  • Testing for Vitamin B12 Deficiency
                  • Treatment Options for Vitamin B12 Deficiency
                  • Preventing Vitamin B12 Deficiency

                  [Read more…]

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