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Q.ÌýI have always had my blood tests taken the first thing in the morning, before I've had breakfast. We've just moved to a new home and I'll have a long commute to the hospital, so I'd like to eat before I start out. My cholesterol has always been great, so my doctor said a light breakfast won't interfere with cholesterol tests. But he didn't know if eating would change my PSA result. What do you think?

A.ÌýAt last â€� a PSA question with a simple, un-equivocal answer: Breakfast will not affect your PSA result, nor will lunch or dinner. In June 2005, doctors proved the point by measuring PSA levels three times over the course of a single day in 80 patients with an average age of 62 years. The samples were obtained before breakfast, after breakfast, and after lunch â€� and there were no changes in the PSA results.

New guidelines provide advice on the role of drugs, weight loss, and procedures to cope with this common heart rhythm disorder.

The classic symptom of atrial fibrillation � a fluttering or thumping sensation in the chest � can leave you breathless, dizzy, and tired. Caused by electrical misfires in the heart's upper chambers (atria), this condition affects an estimated one in 11 people ages 65 and older.

While the symptoms of atrial fibrillation (often called afib) can be unsettling, the real danger is a heightened risk of serious strokes (see "How afib can lead to a stroke"). As many as 30% of strokes from afib prove fatal, notes Dr. Christian Ruff, a cardiologist at Harvard-affiliated Brigham and Women's Hospital.

Heart and lung issues are often to blame for breathlessness. But an accurate diagnosis may require advanced testing.

Like your heartbeat, the regular inhale and exhale of your breathing is something you usually don't notice � until something doesn't feel quite right. Shortness of breath can result from a range of problems, including an allergic reaction, an anxiety attack, or anemia. But most often, the underlying cause is a heart or lung condition.

"Because these two organ systems are so intertwined, one always affects the other," says Dr. Aaron B. Waxman, who directs the Pulmonary Vascular Disease Program at Harvard-affiliated Brigham and Women's Hospital. In fact, about 60% of people with heart disease also have a lung disease. As a result, it's not always easy to distinguish cardiac and pulmonary issues, he says.

Digital breast tomosynthesis may also reduce the number of unnecessary and nerve-racking callbacks for additional testing.

If you're in your 40s, you may want to consider switching from digital mammography to digital breast tomosynthesis (DBT) for your next breast cancer screening, say the authors of a study published online February 28 by JAMA Oncology.

A review of more than 170,000 screening mammograms using the two technologies determined that DBT � sometimes referred to as 3D mammography � did a better job at accurately detecting cancers in women of all ages. The advantages were most pronounced for women in their 40s. DBT was also better at finding cancers in women with high breast density, which can make cancers more difficult to spot on screening exams. High density indicates a larger proportion of active tissue in the breast and is a risk factor for breast cancer.

Research we're watching

If your hair has been thinning, an infusion of your body's own plasma may help grow it back, according to the American Academy of Dermatology.

A number of recent studies show that platelet-rich plasma (PRP) therapy is successfully regrowing lost hair. This includes a 2018 study in the International Journal of Women's Dermatology that found the technique was beneficial in treating androgenetic alopecia, a type of genetically and hormonally driven hair loss that affects as many as 35% of women by age 60.

Are you doing everything you can to keep your heart healthy?

After decades of steady decline, the number of deaths from cardiovascular disease (CVD) has risen over the past few years, according to the American Heart Association.

The good news is that an estimated 80% of all CVD cases � heart disease, heart attack, heart failure, and stroke � can be prevented. The key is to control high blood pressure and high cholesterol and to maintain healthy habits, such as exercising regularly, eating a plant-based diet, getting enough sleep, and not smoking.

Interesting heart palpitations causes and treatment for a case of the heart flutters

Does your heart unexpectedly start to race or pound, or feel like it keeps skipping beats? These sensations are called heart palpitations. For most people, heart palpitations are a once-in-a-blue-moon occurrence. Others have dozens of these heart flutters a day, sometimes so strong that they feel like a heart attack.

Most palpitations are caused by a harmless hiccup in the heart's rhythm. A few reflect a problem in the heart or elsewhere in the body.

What Is It?

Abortion is the removal of pregnancy tissue, products of conception or the fetus and placenta (afterbirth) from the uterus. In general, the terms fetus and placenta are used after eight weeks of pregnancy. Pregnancy tissue and products of conception refer to tissue produced by the union of an egg and sperm before eight weeks.

Other terms for an abortion include elective abortion, induced abortion, termination of pregnancy and therapeutic abortion.

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News briefs

A warning for people who take the dietary supplement biotin (vitamin B7): the FDA says taking too much of the vitamin may interfere with the results of some lab tests. Biotin is often included in multivitamins, prenatal vitamins, and dietary supplements marketed to improve nails, hair, and skin. While there's no recommended dietary allowance established for biotin, the adequate intake value is 30 micrograms per day for people ages 19 or older and for pregnant teens and women. But biotin supplements may contain up to 650 times the adequate intake. The FDA warns that taking too much biotin can interfere with lab tests, such as hormone tests and tests for markers of heart attacks (like troponin). An inaccurate lab result can have dangerous consequences. For example, the FDA reports that one person taking high levels of biotin died after a falsely low troponin test result. The FDA also notes it's seeing an increase in reports of biotin interference in lab work. The bottom line: Always tell your doctor which supplements you're taking. And remember, most people can get enough biotin from a healthy diet that includes seeds, nuts, meat, fish, eggs, and certain vegetables (such as spinach and broccoli).