Heart disease isn’t just a man’s disease – everyone should know their risk by taking these 3 simple tests

2024-10-07T06:01:00

(BPT) – Are you concerned about your cardiovascular (CV) health? Even if you don’t have a family history of CV diseases, it’s important to find out if you’re at risk so you can proactively take care of your cardiac health. Luckily, three simple universally available tests can detect your risk of life-threatening CV events like heart attack and stroke — decades in advance.

Since 1950, heart disease has been the leading cause of death in the U.S. While heart disease affects people of all genders, races and ethnicities, heart disease in women, especially young women, has increased, with more women than men dying of heart disease every year.

While these statistics may be shocking, there is good news. A recent study has shown that a simple blood test of three biomarkers can predict a woman’s lifelong risk for heart attack and stroke.

Predicting the risk of CV disease as simple as 1, 2, 3

The recent study published in The New England Journal of Medicine followed nearly 30,000 healthy American women to predict their risk of CV disease over the subsequent 30 years. Researchers measured participants’ levels of high sensitivity C-reactive protein (hs-CRP), LDL cholesterol (LDL), and lipoprotein(a) (Lp(a)). Each biomarker independently contributed to a woman’s overall CV risk, but one stood out above the rest: hs-CRP.

You’re probably familiar with an LDL test and likely Lp(a), which measures fats in your blood. What makes hs-CRP different is that it doesn’t test for fats — but rather for inflammation.

Inflammation’s role in CV disease

It may sound odd that inflammation, your body’s natural response to illness or injury, can contribute to CV events, but if you think about inflammation’s health role, it’s easy to see why.

Cholesterol and plaque in your arteries can also trigger an inflammatory response, according to Johns Hopkins Medicine. When you suffer from long-term inflammation, it can damage healthy tissues, including your arteries and heart.

By measuring your hs-CRP levels, you’ll have a clearer picture of your risk of CV events down the road. In fact, according to another study, among patients already taking cholesterol-lowering statins, hs-CRP may be an even stronger predictor of future CV events than measuring high LDL cholesterol.

“Our understanding of how increased levels of inflammation can interact with lipids to compound cardiovascular disease risks has significantly improved our ability to treat patients based on their individual inflammatory risk which we can now treat with low-dose colchicine,” said Brittany N. Weber, M.D., Ph.D., director of the Cardio-Rheumatology Clinic, and associate physician in preventative cardiology and cardiovascular imaging at Brigham and Women’s Hospital. “This new study shows the importance of measuring the inflammatory biomarker, hs-CRP, in addition to fats in the blood, to be able to better treat our patients, especially women, even earlier and potentially prevent life-threatening heart events.”

A low-dose treatment option for inflammation

Many statin medications have some anti-inflammatory properties but do not fully address inflammation issues. To help manage your inflammation and lower your risk of CV events, you’ll need an anti-inflammatory medication that can further reduce your risk of a heart attack or stroke.

If your hs-CRP levels are high, your doctor may recommend low-dose colchicine. Low-dose colchicine, 0.5 mg, is the first and only therapy FDA-approved as an anti-inflammatory medication shown to reduce the risk of a cardiovascular event, including heart attack or stroke.

The once-daily oral tablet can be used alone or in combination with a patient’s current lipid-lowering medication to effectively treat cardiovascular disease. Low-dose colchicine addresses your inflammatory risk to reduce the risk of a heart attack or stroke in secondary and primary prevention.

If you’re concerned about your heart health, ask your doctor about the three simple tests above and take special notice of your inflammation marker. Learn more about your risk and steps you can take to support your cardiac health at CVDInflammation.com.

Don’t just age, age better: 5 longevity tips for healthier aging

2024-10-04T06:01:00

(BPT) – Do you know how well you’re aging? Aging well goes beyond how you look. To live a healthier, more active lifestyle as you age, it’s important to know your current health baseline and identify potential future issues that you can prevent or manage now.

As we hit the home stretch of 2024, get a jump on next year’s resolutions and be your own health advocate. Create a personalized healthy aging plan with the help of next gen services, like genetic sequencing, and knowing your body’s “true” biological age.

Don’t know where to start? Here are five proactive steps you can take to invest in your health and longevity.

1. Find your baseline

While knowing your family medical history is a great place to start, you’ll need more information to determine your baseline health.

Consider signing up for 23andMe’s Total HealthTM, a longevity platform that combines genetic testing, blood biomarker testing, Biological Age analysis, and expert clinician oversight.

Total Health provides advanced, clinician-ordered genetic testing called exome sequencing that evaluates high impact genes associated with health conditions that, if detected early, may have effective preventive measures and clinical interventions.

Nothing is more personalized than your genetics, and genetic screening really is for everyone (not just for a specific group of people), especially with the amount of information current testing provides. Genetics is a true foundation of health, and the information gleaned from your DNA can offer a lifetime’s worth of insights into your longevity.

2. Go beyond routine lab tests

Once you have genetics as a baseline, you can layer on more data to get a fuller picture of your health profile.

Traditional blood testing does provide important health information. However, frequent comprehensive blood tests can offer ongoing insight into prevention and early detection. In fact, 70% of clinical decisions rely on lab data — that’s why blood testing is so fundamental.1

A comprehensive test can measure things like blood sugar levels, kidney, liver and thyroid function, along with cholesterol and advanced lipoprotein levels. This is especially important if you have a family history of cardiovascular diseases.

Knowing your cholesterol level is just part of the story. When you have a comprehensive blood test, you can find out your lipoprotein(a) (Lp(a)) and Apolipoprotein B (ApoB) levels. High levels of Lp(a) and APOB are associated with an increased risk of heart and blood vessel disease, including heart attacks and stroke.

If you have high levels of either (or both) markers, your health care provider can recommend treatments and lifestyle changes that can help you manage these levels and reduce your risk of related conditions.

Having both genetic and blood biomarker data together is key to constructing your health baseline. Together, they can help you identify screening, treatments and lifestyle changes that promote longevity and build long-term resilience.

3. Combine your genetic results with your bloodwork and take action

Genetics is about future risk. Lab tests are about the now.

Having both genetic and blood biomarker data together is key. Your genetic data gives you deep insights into your potential future risks, while your biomarker data gives you insight into the now. And together they could help provide you with answers.

For example, if you have high cholesterol today, you might be wondering why. Is it your daily habits, or is there more to it? Your genetics could help piece it all together and provide insight into why you may have higher cholesterol beyond your lifestyle habits. In fact, you might have a higher likelihood based on your own genetics! And you might need personalized interventions.

Your genetic test results can also guide you toward concrete steps to prevent disease related to a genetic variant. Genetics can provide insights on potential serious health risks for hereditary cardiovascular disease, neurological disease, and different types of cancers — risks you may not know otherwise. Take, for example, a variant in the MLH1 gene that causes Lynch syndrome.

Lynch syndrome affects about 1 in 280 people and can have serious health consequences. Individuals with Lynch syndrome are at a greater risk of colorectal, endometrial, ovarian and certain other cancers than the general population.

If your genetic results indicate you have Lynch syndrome, you can take proactive steps to manage your cancer risks. For example, the U.S. Centers for Disease Control and Prevention recommend that people with Lynch syndrome should have colonoscopes starting at age 20-25 (instead of waiting until age 45) and continue to get screened every 1-2 years. Earlier, more frequent screening can catch the disease at the beginning stages when it’s most treatable.

4. Make lifestyle changes to lower your biological age

Your age is just a number. It doesn’t tell you how your body is truly aging. That’s why it’s critical to find out your biological age number and potentially lower or maintain your biological age.

23andMe’s Total Health membership includes access to a new Biological Age feature. This feature can help tell you how old you really are from the inside by analyzing biomarkers that reflect the condition of major body systems and organs and how it may differ from your calendar age. This measure is checked biannually so you can track it and take steps to potentially slow down or even reverse course if your biological age is outpacing your calendar age.

5. Make a tailored health plan with a clinician who understands genetics

All of this sophisticated health data is only helpful if you know what to do with it. Once you have your genetic and blood work results, it’s a good idea to work with a clinician to create a tailored health plan that includes lifestyle, screening and other health management tools.

If, for example, you have high cholesterol and elevated Lp(a) levels, a clinician can help you take concrete steps to lower your risk of cardiovascular disease. They might discuss the benefits of statins and how your genetic results can be used to inform what your doctor prescribes to help reduce the risk of side effects.

Finding a clinician may sound daunting, but if you have a Total Health membership, you’ll have unlimited direct access to expert clinicians who have unique training in genetics. They can help connect all of the dots and build a hyper-personalized health plan that focuses on ongoing disease prevention and early detection.

Don’t address health issues as they come along. Get ahead of possible health risks to increase your odds of aging better with these proactive steps. To learn more about genetics, blood testing and personalized care, visit 23andMe.com/Total-Health.

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759162/

5 simple ways to harvest your health this fall

2024-10-03T11:19:00

(BPT) – Fall is here and it’s time to cozy up with healthier habits! If you’re looking to refresh your routine and embrace healthier habits this season, Registered Dietitian and Nutritionist Dawn Jackson Blatner shares valuable tips to help you harvest your health this fall.

1. Enjoy seasonal produce

Fall offers a variety of nutrient-rich produce like pumpkins, squash and sweet potatoes, which are great for hearty, immune-boosting meals. These seasonal foods are packed with vitamins, minerals and fiber to help support your immune system during flu season. Consider making a trip to your local farmers market or grocery store and stock up on these delicious and healthful ingredients.

2. Recommit to healthful habits

The slower pace of fall offers the perfect opportunity to support your overall well-being. Mindfulness practices like meditation or journaling can help you manage stress and maintain a positive mindset during the seasonal shift. Whether it’s starting a gratitude journal or taking a few minutes each day to meditate, setting aside time for yourself can greatly benefit your mental health.

3. Bake healthier fall treats

‘Tis the season to enjoy favorite seasonal treats like pumpkin bread and apple cinnamon muffins — but with a healthier twist! This season, try incorporating more nutritious ingredients into your favorite baked goods. Simple swaps like using whole grains, natural sweeteners and nutrient-dense additions such as fortified eggs can make a big difference. Fortified eggs, in particular, are a great source of high-quality, essential vitamins like Vitamin D and Omega-3s, helping to maintain energy levels during cooler days.

4. Maintain energy with exercise

As the weather cools, it may be tempting to cozy up indoors, but staying active is just as important in fall as any other season. Before it gets too cold, take advantage of outdoor activities like hiking, biking and apple picking to enjoy the crisp autumn air while getting in some fun exercise.

When it gets too uncomfortable to exercise outside, take your workouts indoors with a cozy yoga flow, a strength-training circuit or an indoor cycling class to keep your fitness routine fresh and exciting all season long.

5. Test out new protein-rich recipes

Fall is a fantastic time to explore fresh, protein-rich dishes that highlight seasonal ingredients. With protein-rich recipes trending, it’s more important than ever to ensure you’re getting enough protein for sustained energy this fall.

Experimenting in the kitchen can be both fun and rewarding, especially when you incorporate nutritious ingredients, such as eggs, into your meals to provide the boost your body needs. Eggland’s Best eggs, which contain 6 times more Vitamin D and 10 times more Vitamin E compared to ordinary eggs, provide superior nutrition and help to boost your body’s immunity and reduce oxidative stress during this transitional time. If you’re looking for a delicious, protein-packed recipe to make this fall, try this Shredded Beef and Egg Burrito recipe from Eggland’s Best.

Shredded Beef and Egg Burrito

This popular burrito from the Mexican state of Chihuahua features meat cooked until it’s falling apart, seasoned with a spiced-up chunky tomato base and finished with tender scrambled nutritious Eggland’s Best eggs.

Prep time: 20 minutes; Cook time: 1 hour 30 minutes; Yield: 6

Ingredients

12 Eggland’s Best eggs, large
1 pound flank steak
1 white onion, halved and divided (half of it finely chopped)
3 garlic cloves
2 bay leaves
2 1/2 teaspoons kosher salt, divided or to taste
1-2 fresh jalapeno chiles, stemmed, finely chopped (don’t remove seeds)
1 pound ripe tomatoes, cored and finely chopped (about 2 1/2 cups)
2 tablespoons vegetable oil
1/2 teaspoon coarsely ground black pepper
6 10-inch flour tortillas

Preparation

1. Place meat in large pot along with half the onion, garlic cloves, bay leaves and 1 teaspoon salt. Cover with water up to 2 inches above meat. Bring to a boil over high heat and remove any foam that has risen on top. Cover, reduce heat to medium and simmer about 1 hour to 1 hour 15 minutes, until meat is thoroughly cooked, soft and easily shreds. Strain and set aside. Once the meat has cooled enough to handle, shred into fine pieces.
2. Heat oil in large skillet over medium heat. Once hot, add chopped half onion and jalapenos, and cook about 3-4 minutes until wilted. Incorporate tomatoes and one teaspoon salt and cook 8-10 minutes, until completely softened. Add meat, stir and cook a couple more minutes so it all comes together.
3. Meanwhile, in medium bowl, crack eggs. Season with remaining 1/2 teaspoon salt and black pepper and whisk until foamy.
4. Stir beaten eggs into meat mixture and reduce heat to medium low. Scramble gently as eggs cook until desired doneness. Set aside.
5. Thoroughly heat flour tortillas on a preheated comal, griddle or nonstick skillet over medium heat. One by one, add generous amount of filling in thick strip to one side of the tortilla. Tuck in the top and bottom, fold and roll into burrito shape. You can also leave untucked and just roll it. Serve hot and eat, or wrap and take it on the go!

Find more tasty recipes at Egglandsbest.com/recipes.

In honor of Hispanic Heritage Month, Eggland’s Best has partnered with acclaimed chef and TV personality Pati Jinich to launch the “Latin Heritage Celebracion de Huevos” Sweepstakes. Now through October 22, fans can enter daily at EBFamilySweeps.com for a chance to win the Grand Prize of $5,000 to elevate their Latin cooking experience, along with weekly prize packs featuring a signed cookbook from Chef Pati, her favorite salsas from La Costena, EB branded cookware and three-month supply of Eggland’s Best eggs!

New nationwide notification policy will help women with dense breast tissue

2024-10-03T15:27:00

(BPT) – Have you scheduled your mammogram? If you’re a woman over 40 and haven’t had a mammogram before or are putting off your next one, this is your friendly reminder to schedule it now. Doing so can give you important health information and potentially save your life.

Regular mammograms are the best way to find breast cancer early when it is most treatable. While diagnosis can be scary, catching breast cancer in its earliest, localized stages increases a patient’s 5-year relative survival rate to 99%.

Another benefit of mammograms you may not know about is that they can show if you have dense breast tissue. While dense breast tissue is common, it puts women at a higher risk of developing breast cancer.

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“Mammograms remain the gold standard for detecting breast cancer,” said Michele Brands, MD, Network Director of Women’s Imaging at St Luke’s University Health Network. “But the reality is that dense breast tissue and cancer appear white on mammograms, so the dense tissue can hide the cancer.”

After years of varying policies across the United States, the U.S. Food and Drug Administration (FDA) recently announced a new nationwide reporting standard for breast density notification. As of September 10, 2024 all patients must be informed about their breast density.

With this knowledge, women can then ask their doctors about supplemental imaging options that could make a big difference in early detection of breast cancer.

Your breast health toolbox

Traditional 2D mammograms have a reputation for being uncomfortable and anxiety-producing. However, advancements like GE HealthCare’s Senographe Pristina with Dueta make the screening less scary and put women in the driver’s seat of their mammogram.

Should a mammogram reveal you have dense breast tissue, you may need more detailed 3D imaging screenings, like an automated breast ultrasound, which is specifically designed for detecting cancer in dense breast tissue, or magnetic resonance imaging (MRI). When results remain inconclusive, another tool that may be recommended is contrast-enhanced mammography (CEM) which uses an injected dye to examine breast tissue and flag abnormalities with high levels of sensitivity and specificity.

These screening tools have been invaluable to Dr. Brands and her team at St. Luke’s One-Stop Clinic for Breast.

“Utilizing these tools has been amazing and it’s really helped us with the One-Stop Breast Clinic to create this rapid diagnostic approach for women and bring them through the process as quickly as possible,” said Brands. “One woman may have dense breast tissue, and another may not. The presence of dense tissue is going to inform the process and help you get very personalized care.”

Personalized breast care is critical. Take advantage of the different tools available to get the answers clinicians and their patients deserve. To learn more, visit GEHealthCare.com.

5 reasons coaches are key for weight loss and weight management

2024-10-03T08:01:00

(BPT) – Kristen Glass struggled with weight her entire life. She tried program after program, unable to uncover a solution that worked for her — then one night, she connected with a friend over dinner who had recently lost weight and “had a twinkle back in her eye.” Whatever had ignited that glow in her friend, Kristen wanted to experience it for herself. That night, Kristen called her friend’s independent OPTAVIA® coach — a stranger who would become her own coach and close friend.

OPTAVIA, the habit-based, coach-guided lifestyle solution, immediately clicked for Kristen — and she became a coach that same year. In the six years since, she has impacted 150,000 people across the OPTAVIA community, inspiring them to lose weight and helping them keep it off. Kristen believes coaches are the secret to weight loss and establishing a healthy lifestyle, and to celebrate National Coaches Day this October, she’s sharing why.

1. Coaches won’t let you do it alone

We all need a coach — someone to guide us through the ups and downs, join us in celebrating our wins and keep us committed to our goals. This is especially true along the weight-loss journey, as 96% of people recognize that lifestyle changes are needed for weight loss and weight management, yet only 17% are confident they can manage it on their own.*

2. Coaches keep it simple

Weight loss can be overwhelming with complicated, trendy diets and counting calories. Coaches like Kristen can provide guidance to streamline health and wellness. “People are craving someone to help simplify this process,” she said, noting this is especially true for the women and mothers that make up most of her client base.

Kristen focuses on an uncomplicated approach, especially in the critical early weeks of a health journey. She fosters straightforwardness, asking her clients pointed questions that get to the heart of their health choices.

3. Coaches keep it real

Accountability is crucial. As an OPTAVIA coach, Kristen challenges her clients to confront their lifestyle choices head on. Her coaching philosophy is to “get straight to the truth quickly and jump into discomfort fast and together.” Kristen emphasizes honesty and initial discomfort and encourages clients to take ownership of their choices to foster growth.

4. Coaches truly know what you’re going through

Empathy and shared experiences are powerful tools in a coach’s arsenal. This is particularly true at OPTAVIA, where over 90% of coaches were clients first. No matter where they are in their personal health journey, their coach has been in their shoes.

Kristen knows that thousands of women like her have struggled to uncover a solution to weight loss and weight management. In her own journey, Kristen has also learned the role mental health plays in physical health. This breakthrough prompted her to help her clients reflect on the mental and emotional reasons for their health decisions so they can make better choices going forward.

5. Coaches celebrate your successes and milestones

A coach is there beside you every step of the way to celebrate the wins, both big and small. Whether you hit a new weight loss milestone or made a healthy choice at dinner, your coach is there to reinforce positive behaviors and motivate you to keep going. They become your cheerleader, your mentor and your guide — providing the encouragement and support you need to stay committed to your goals.

Learn more at Optavia.com/results.

*IPSOS commissioned by Medifast, June 2023.

What one man learned about the value of precise imaging for prostate cancer

2024-10-03T10:41:00

(BPT) – When retired aerospace engineer Steve Sakakini was diagnosed with prostate cancer at the age of 61, his doctor said he’d have to have his prostate removed. Caught off guard, Sakakini sought a second opinion. That was the beginning of his journey to learn about prostate cancer and the diagnostics available to determine the best treatment plan for him.

Sakakini’s new urologist recommended active monitoring of his cancer and treating it only when it showed signs of progression. This meant regular tests to determine the prostate-specific antigen (PSA) levels in his blood, plus MRIs to watch for signs the cancer might be spreading.

For the next 11 years, Sakakini monitored his cancer, but at his annual physical in 2022, his PSA had risen to 160, and an MRI discovered his cancer had spread to surrounding bones. His doctor recommended PSMA PET imaging. PSMA stands for prostate-specific membrane antigen, a protein found mainly on prostate cancer cells. PET means positron emission tomography, a scan that uses a special dye with radioactive tracers that allow doctors to scan for cancer or other diseases. PSMA PET is an effective new body scan that helps doctors track hard-to-find prostate cancer potentially earlier and in smaller tumors, as opposed to standard imaging.

Sakakini was worried; he could not get an appointment with his urologist for several weeks. Fortunately, he was referred to an oncologist specializing in prostate cancer at a major cancer research center. Based on his test results, including PSMA PET imaging, Sakakini’s oncologist recommended an aggressive three-drug treatment regimen grounded in state-of-the-art research: a new oral hormone therapy drug and a new testosterone blocking drug, plus chemotherapy. After six chemotherapy sessions, his PSA dropped to zero.

Today Sakakini is doing well. He continues taking the two medicines to keep testosterone low. His PSA remains undetectable, and there is no evidence of prostate cancer on scans. Sakakini stays in touch with his care team to monitor his condition. He maintains a healthy diet, exercises and loves spending time with his family. His advice to others?

“I believe my treatment was successful because my doctor knew about the latest research on my type of prostate cancer and applied it to my care.” Sakakini said, “But it’s equally important to empower yourself with knowledge and be your own advocate too.”

How common is prostate cancer?

According to the American Cancer Society, 1 in 8 men in the U.S. will have prostate cancer at some point in their lives, and an estimated 3.3 million men are living with prostate cancer in the U.S. In addition, prostate cancer develops more often in Black men, and when it does develop in these men, they tend to be younger.

For your best health outcome, early detection is key. Talk to your doctor about your risk factors and screening. This is especially important as you age, because older men are at increased risk.

How PSMA PET helps doctors treat prostate cancer

Before doctors can treat your prostate cancer, they need to see it clearly. PSMA PET imaging can help diagnose better than conventional imaging and build a plan to treat prostate cancer for many patients with the disease.

Doctors performing a PSMA PET scan inject patients with a small radioactive molecule that is attracted to PSMA, which is specific to prostate cancer cells. The radioactive part lights up when a whole-body scan is done, giving doctors a clear image of exactly where the cancer is.

Ask your doctor if PSMA PET imaging is a good option for you and learn more about PSMA PET at Time2See.com.

If you or a loved one are impacted by prostate cancer, please visit The Prostate Cancer Foundation (PCF) to learn more or access patient resources. PCF funds the world’s most promising research on biology and treatment of prostate cancer, accelerating those discoveries into therapies and strategies designed to extend lives and improve quality of life for patients.

For love of family: How one woman persists throughout her breast cancer treatment journey

2024-10-03T13:01:00

(BPT) – Southern California native Lisa Shoemaker has been coping with breast cancer for a long time, and one thing keeps her going: her family. She married her high school sweetheart and had two boys before she was first diagnosed with stage 2 breast cancer at age 29. With this devastating diagnosis, Shoemaker feared she wouldn’t live to see her 2- and 4-year-old sons grow up.

That was 26 years ago.

Through all these years, Shoemaker has been motivated to keep going because of her love for her family — first her husband and sons, and now her three grandchildren, too.

While her initial treatment for the stage 2 breast cancer was intense and extensive, it provided stability for nearly a decade until a routine mammogram and subsequent MRI revealed that her cancer had returned. She went through treatment again, including surgery and hormone therapy, but after all she had endured, Shoemaker decided to undergo a preventative double mastectomy. With her cancer again stable, she was able to continue raising her children through their high school years and live life as she normally would.

But unfortunately, that was not the end of her cancer story. At age 45, and several years after her preventative double mastectomy, Shoemaker experienced pain in her shin, which she initially attributed to increased exercise. When her pain could no longer be ignored, she sought medical attention. An orthopedic doctor immediately sent her to the hospital after telling her that her cancer had likely metastasized to her bones.

After meeting with specialists, she had surgery to remove a tumor in her tibia which had caused it to fracture. Shoemaker was then diagnosed with metastatic breast cancer (mBC) and told she had about two years to live.

What is metastatic breast cancer?

When someone has mBC, that means the cancer is considered to be stage 4 and has spread to other parts of the body. While mBC has no cure, according to the National Breast Cancer Foundation, people with mBC have been able to live longer by managing it as a chronic illness with continuous treatment and monitoring.

For those living with ER+/HER2- metastatic breast cancer — the most common subtype of mBC — the first treatment is often a hormone therapy taken alone or in combination with a CDK4/6 inhibitor. But over time the cancer changes and mutates to try and “outsmart” the treatment, and these mutations can cause tumors to stop responding to certain therapies.

A specific mutation, called an ESR1 mutation, is an example of one mutation that may cause treatment to stop working, which can lead to disease progression and tumor growth. An ESR1 mutation develops as a result of previous exposure to endocrine, or hormone, therapy. Nearly 50% of people with ER+/HER2- metastatic breast cancer may develop an ESR1 mutation, which in turn can cause their disease to progress.

If you live with ER+/HER2- mBC, knowing whether this mutation is present can provide important information to help your health care team understand what other kinds of treatment options may be appropriate. This is why it is vital to ask your doctor about ESR1 mutation testing whenever mBC progresses.

ESR1 mutations are most likely to be found when:

  • A person’s metastatic breast cancer has progressed (spread, grown or worsened) while on hormone therapy
  • The current hormone therapy is no longer working
  • The person has taken a hormone therapy for a year or more
  • The person has taken multiple hormone therapies

“Unfortunately, for the majority of patients living with metastatic breast cancer, treatments eventually stop working,” said Dr. Aditya Bardia, Director, Breast Oncology Program, UCLA Health Jonsson Comprehensive Cancer Center, “which means, if possible, ESR1 mutation testing should be considered at every point of progression of the disease, as it might open doors for additional treatment options. We know that ESR1 mutations are acquired and serial testing might pick up mutations that are not present initially.”

This is exactly what happened to Lisa Shoemaker, as she had already been through several rounds of chemotherapy and hormone therapies after living with mBC for over 10 years. Shoemaker had regular scans and tests done to monitor her cancer. One of those was a blood test which found that the ESR1 mutation was present, and indicated a different treatment could potentially help manage the progression and spread of her cancer.

Thanks to this important information, Shoemaker’s health care team was able to adjust how they were treating her mBC. ESR1 mutation testing enabled her oncologist to tailor her treatment appropriately. Best yet, she can spend time with her grandchildren, which is one of the greatest joys in her life.

“I am so thankful that I’m able to help raise my grandchildren, not only to be alive to see them, but also to be present in their lives. I feel a sense of normalcy again,” said Shoemaker. “My grandchildren are the light of my life and motivate me. They are my reason to keep on keeping on.”

Because the ESR1 mutation can develop at any time during treatment, it’s essential to be retested for this mutation at every point of mBC disease progression throughout the treatment journey. If you or a loved one has ER+/HER2- metastatic breast cancer, ask your health care provider about being tested for the ESR1 mutation. Testing for an ESR1 mutation can be done via a blood test and does not require a tissue biopsy.

Learn more at mBCTesting.com.

Skip the waiting room: How professional online second opinions services simplify healthcare

2024-10-02T07:01:00

(BPT) – Getting a second opinion after a medical diagnosis has been a routine part of healthcare for nearly as long as doctors have been diagnosing patients. However, the process of getting a second opinion can be complicated and time consuming. That’s because it requires finding another physician or specialist, perhaps scheduling another appointment, transferring records and other information, and waiting for a diagnosis.

Wouldn’t it be nice if it could be done at home?

Second Opinions, an online medical consultation service, has been at the forefront of virtual second opinions since 2012. The process is simple: a patient creates an account with Second Opinions, plugs in information about their diagnosis, and uploads scans and other health records. All of that information is reviewed by expert clinicians who then deliver a second opinion diagnosis via a phone call, video chat or email.

No second appointment, no travel, no hunting on your own for specialists. It’s a fast, easy and convenient way to up the quality of your healthcare, and ultimately help give you peace of mind before making a critical medical decision.

Second Opinions, owned by USARAD Holdings Inc, a subsidiary of medical imaging company Nanox, was founded with the notion of using the internet to help increase the standard of care and provide virtual second opinions to people everywhere. Patients have the opportunity to connect with physicians from a wide variety of medical specialties, including radiology, neurology, oncology and cardiology. Multiple areas of surgery are also covered, such as orthopedic, vascular and bariatric.

“Healthcare today is more complicated than ever, and getting a second opinion can be crucial for patients facing an important medical decision,” says Erez Meltzer, Nanox Chief Executive Officer. “Through Second Opinions, we have expanded on USARAD’s extensive network of radiologists and offer patients access to top specialists across many areas of medicine. We want to give patients the information they need to make confident healthcare choices, with the convenience and speed of an online platform.”

AI assists in diagnoses

Virtual second opinions were made possible by advances in technology. And now, as we’re learning more about artificial intelligence, it’s possible to harness this powerful tool to enhance the process of second opinions even more.

In June 2024, Nanox announced the integration of advanced AI to further enhance the Second Opinions offerings in radiology and imaging. Patients upload their chest and abdominal scans, which are evaluated by AI. Those evaluations are reviewed by real, human doctors, before delivering the diagnosis to patients, ensuring a balance of technological precision and human expertise.

A team of medial professionals reviewing a patient's x-ray.

It’s all about early detection of chronic conditions on existing scans, often before symptoms appear. As the medical publication STAT recently noted, AI-based second opinion services can also improve clinical decision making by helping eliminate bias.

Creating more opportunity for a higher standard of care

Another positive aspect of online second opinions is the opportunity it brings to people in rural areas or other parts of the country where it’s not easy or even possible to get a second opinion, Meltzer noted. In many rural locations, getting quality healthcare can mean a long car trip, staying overnight and other costly factors; oftentimes one hospital, with one team of specialists, serves entire communities. There simply isn’t the option to find a second opinion locally. Second Opinions simplifies the process of accessing and obtaining a second opinion — anyone with an internet connection can request this service from home. And now AI can level up that care even more.

For more information about getting a second opinion, visit https://www.secondopinions.com/ and enter coupon code CSO10OFF at signup for a 10% discount.

Do you or a loved one have advanced multiple myeloma?

2024-10-02T08:01:00

(BPT) – Two clinical trials are seeking adults for research on an investigational medicine for relapsed and/or refractory multiple myeloma.

Multiple myeloma is a rare bone marrow cancer, and about 35,000 people in the United States will be diagnosed this year.[1],[2] Most people will be diagnosed over the age of 65, and African Americans are more than twice as likely to be diagnosed compared to Caucasian patients.[3] Multiple myeloma can cause a range of difficult symptoms, from bone pain and infections, to weakness, nerve damage, or impaired kidney function.[4]

While there are treatments approved for multiple myeloma, most people will have their cancer return after treatment (what doctors call “relapse”) or they may no longer respond to a certain medicine (called “refractory” disease).[5],[6] Doctors may determine suitable treatments for each patient based on a range of factors, including the stage of the disease and previous therapies, as different treatments may be combined or used one after another.[7]

Bristol Myers Squibb is currently investigating the potential of an investigational therapy for patients living with relapsed or refractory multiple myeloma.

Evaluating an investigational treatment option for multiple myeloma:

Medical research built on existing scientific knowledge and proven mechanisms of disease have the potential to improve anti-myeloma activity and overcome treatment resistance.

Clinical trials are controlled studies of potential new medicines, procedures or other treatments, and doctors use information they learn from these studies to help figure out new or improved ways to treat diseases like multiple myeloma. While clinical trials offer the possibility of accessing cutting-edge treatments and contributing to medical advancements, they also come with potential risks, including side effects and uncertainties about the effectiveness of the treatment being studied.

Two clinical trials are underway evaluating an oral therapy called mezigdomide, which is part of a group of novel therapies known as CELMoDs™. CELMoDs, like mezigdomide, have been designed to help remove harmful proteins from cells, potentially killing cancerous myeloma cells and helping the body’s immune system to attack these cells as well.

“Despite continued scientific progress, multiple myeloma is still incurable, and many people have periods of remission followed by relapse, making the long-term management of this cancer incredibly important,” said Anne Kerber, M.D., Senior Vice President and Head of Late Clinical Development, Hematology, Oncology and Cell Therapy for Bristol Myers Squibb. “Having many different medicines available for people as they live with this cancer is necessary for the future of myeloma therapy and clinical trials are critical in helping us find the next wave of potential treatment approaches. People who take part in clinical trials play a vital role in how we advance research for this disease and, ultimately, improve outcomes.”

About the SUCCESSOR-1 and SUCCESOR-2 studies:

The SUCCESSOR-1 and SUCCESSOR-2 studies are studying the safety, tolerability, and effectiveness of mezigdomide in combination with other myeloma treatments, compared to standard medicines for multiple myeloma without mezigdomide in adults with relapsed and/or refractory multiple myeloma.[8],[9],[10],[11]

Before joining a SUCCESSOR trial, patients sign their consent, then take part in a screening period, during which a doctor performs several tests and assessments to see if they are eligible to participate in the study. For both SUCCESSOR studies, eligible participants must be at least 18 years of age, have a diagnosis of progressive multiple myeloma, and have received prior treatment for multiple myeloma with certain medicines. After all necessary tests and assessments have been completed, and if patients are eligible to take part, they may enter the study assigned and will be randomized to receive standard multiple myeloma treatment or standard multiple myeloma treatment with mezigdomide. Participation in a clinical trial is voluntary. Once study treatment begins, it will continue until the disease returns or the treatment is stopped for another reason, such as issues with tolerability. There are also follow-up visits to assess the long-term effectiveness and safety of the therapy.

During the study, patients would not be responsible for study-related costs, such as doctor visits, lab tests and procedures. Those costs are all covered by Bristol Myers Squibb. Patients and caregivers may also be able to receive reimbursement for some costs like time, travel, or transportation.

If interested in learning more about the SUCCESSOR trial program, patients should talk to their doctor to decide if taking part is right for them. Visit the BMS Clinical Trials website for more information.


[1] Hansen JD, Correa M, Nagy MA, et al. Discovery of CRBN E3 ligase modulator CC-92480 for the treatment of relapsed and refractory multiple myeloma. J Med Chem. 2020;63(13):6648-6676. doi:10.1021/acs.jmedchem.9b01928. Accessed September 2024.

[2] American Cancer Society. Cancer Facts & Figures 2024. American Cancer Society. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/2024-cancer-facts-figures.html. Published January 2024. Accessed September 2024.

[3] American Cancer Society. Multiple Myeloma Causes, Risk Factors and Prevention. American Cancer Society. https://www.cancer.org/cancer/types/multiple-myeloma/causes-risks-prevention/risk-factors.html. Published January 2024. Accessed September 2024.

[4] American Cancer Society. Signs and Symptoms of Multiple Myeloma. Available at: https://www.cancer.org/cancer/types/multiple-myeloma/detection-diagnosis-staging/signs-symptoms.html. Published February 2018. Accessed September 2024.

[5] Cancer Treatment Centers of America. Multiple myeloma relapse. Cancer Treatment Centers of America. https://www.cancercenter.com/cancer-types/multiple-myeloma/types/relapsed-multiple-myeloma. Published June 2023. Accessed September 2024.

[6] Yang WC, Lin SF. Mechanisms of Drug Resistance in Relapse and Refractory Multiple Myeloma. Biomed Res Int. National Library of Medicine. https://pubmed.ncbi.nlm.nih.gov/26649299/. doi:10.1155/2015/341430. Published November 2015. Accessed September 2024.

[7] Multiple Myeloma Treatments | Drugs & Treatment by Stage. MMRF. https://themmrf.org/diagnosis-and-treatment/treatment-options/#:~:text=The%20choice%20of%20initial%20treatment Accessed September 2024.

[8] Richardson PG, Badelita S, Besemer B, et al. A phase 3, two-stage, randomized study of mezigdomide, bortezomib, and dexamethasone versus pomalidomide, bortezomib, and dexamethasone in relapsed/refractory multiple myeloma: SUCCESSOR-1. Poster presented at: 11th Annual Meeting of the Society for Hematologic Oncology (SOHO); September 6-9, 2023; Houston, TX.

[9] A phase 3, two-stage, randomized, multicenter, open-label study comparing mezigdomide (CC-92480), bortezomib and dexamethasone (MeziVd) versus pomalidomide, bortezomib and dexamethasone (PVd) in subjects with relapsed or refractory multiple myeloma (RRMM): SUCCESSOR-1. ClinicalTrials.gov identifier: NCT05519085. Updated October 27, 2023. Accessed September 2024. https://clinicaltrials.gov/study/NCT05519085

[10] Richardson PG, Amatangelo M, Berenson JR, et al. A phase 3, two-stage, randomized study of mezigdomide, carfilzomib, and dexamethasone versus carfilzomib and dexamethasone in relapsed/refractory multiple myeloma: SUCCESSOR-2. Poster presented at: Annual Meeting of the American Society of Clinical Oncology (ASCO); June 2-6, 2023; Chicago, IL.

[11] A phase 3, two-stage, randomized, multicenter, open-label study comparing mezigdomide (CC-92480/BMS-986348), carfilzomib and dexamethasone (MeziKD) versus carfilzomib and dexamethasone (Kd) in participants with relapsed or refractory multiple myeloma (RRMM): SUCCESSOR-2. ClinicalTrials.gov identifier: NCT05552976. Updated October 31, 2023. Accessed September 2024. https://clinicaltrials.gov/study/NCT05552976

5 Things Everyone Should Know About Falls and Concussions

2024-10-02T15:01:00

(BPT) – Five million people go to the emergency department for a traumatic brain injury (TBI) in the U.S. each year, but more than half of people who suspect they have a concussion never get it checked.[1],[2] A main reason for this is that people aren’t familiar with the common causes and symptoms of concussions, and unfortunately, there are a lot of myths out there. One especially dangerous myth is that concussions only happen to athletes. Most concussions occur when people fall while doing everyday activities — such as falling while taking a shower or tripping on a toy at home. These types of falls account for nearly half of all concussions in the U.S.[3] And while concussions can happen to anyone, rates of concussions increase significantly in older adults.

Abbott, the developer of a rapid test for the assessment of concussions, and the National Council on Aging (NCOA) want to share five things everyone should know about concussions and falls prevention.

1. Concussions can happen to anyone, anywhere, anytime.

Concussions can result from almost anything when the brain moves in ways it shouldn’t. While falls are the most common cause, concussions can also be caused by a hit to the head or jolts (think: a car crash or whiplash).

Dr. Beth McQuiston is a neuroscientist, licensed physician, registered dietitian and medical director for Abbott’s diagnostics business. She wants everyone to know the importance of getting your head checked if you think you’ve sustained a concussion.

“The brain is literally everything that makes you, you. It holds memories of the people we love, the songs we can’t stop listening to, and the information we need for work and life, so we should treat it with the utmost respect. Concussions may be an invisible injury, but it’s just as important to immediately seek care for a concussion as you would for a broken bone,” said McQuiston.

2. Older adults are at an increased risk for falls and concussions.

Falls are the leading cause of injuries for older Americans and can have serious, life-threatening consequences, including concussions.[4] The latest data from the Centers for Disease Control and Prevention (CDC) show that people age 75+ have the highest numbers and rates of TBI-related hospitalizations and deaths compared to other age groups.[5] Furthermore, older adults have a higher risk for severe outcomes following a concussion, including strokes.[6],[7]

Many people think falls are a normal part of aging, but most falls can be prevented, and everyone has the power to reduce the risk.

NCOA leads the National Falls Prevention Resource Center, which supports awareness and educational efforts about falls, and promotes evidence-based falls prevention programs and strategies across the nation. Kathleen Cameron is senior director of NCOA’s Center for Healthy Aging, and she wants to increase awareness of fall risks and how to prevent them.

“Every 11 seconds in the U.S., an older adult is treated in the emergency room due to a fall. Falls and concussions threaten the safety and independence of older Americans. But practical lifestyle adjustments such as regular exercise, making sure your vision and hearing are checked annually and keeping your home safe from tripping hazards can substantially reduce falls,” said Cameron.

Visit NCOA’s website for more tips on falls prevention and healthy aging.

3. Recognize the symptoms of concussions.

Despite the widespread prevalence of concussions, most adults can’t identify the common signs. A common myth about concussions is that all concussions result in a loss of consciousness, but that isn’t the case.[8]

It’s important to recognize the following symptoms if you experience a head injury:

  • Changes in emotions
  • Changes to sleep patterns
  • Clumsiness
  • Dizziness or feeling off-balance
  • Exhaustion
  • Headaches
  • Memory Loss
  • Mental fog or concentration problems
  • Nausea or vomiting
  • Numbness or tingling
  • Personality changes or irritability
  • Sensitivity to noise or light
  • Loss of consciousness
  • Slowed reaction time
  • Vision issues
  • Vomiting

For more symptoms and information, visit Concussion Awareness Now.

4. You should never just “walk it off.”

When it comes to concussion, it’s never best to “wait and see.” For your best chance at a full recovery, seek professional medical help immediately.

If you hit your head, remember these steps:

  • Stop: Slow down, take a breath. Then, take a moment to assess.
  • Look for symptoms: Some symptoms like headaches or nausea or vomiting might not show up immediately, and other warning signs like dizziness or feeling off-balance may not appear for hours or even days after an injury.
  • Get it checked: It’s important to be cautious. If you have even the slightest suspicion of a concussion, seek medical attention.

5. Concussion evaluation is evolving and doesn’t always require a CT scan.

Concussions can be evaluated in several ways, most often including a physical evaluation and a series of questions. A physician will look for physical symptoms, such as balance and vision issues, and then ask questions that might help uncover other potential symptoms, such as memory loss and slowed reaction time.

Unfortunately, this process is subjective, as a physician must make a diagnosis decision based on their evaluation of the situation. In patients where symptoms aren’t obvious (think: a patient with memory loss being asked if they’ve forgotten anything), this approach to diagnosis isn’t always effective. CT scans and MRIs are often conducted when a concussion is suspected, but these scans are used to detect brain bleeds and can’t identify other concussion symptoms.[9]

The good news is that major advancements are happening in evaluating mild traumatic brain injury (mTBI). Abbott’s i-STAT TBI cartridge — a simple blood test — received clearance from the U.S. Food and Drug Administration (FDA) as a prescription use only test to help physicians assess patients with suspected mTBI at the patient’s bedside.[10] The test can share lab-quality results in just 15 minutes and is cleared for use in anyone 18 years and older. The test measures the level of two biomarkers associated with brain injury in the blood stream to assist in determining the need for a CT scan of the head within 24 hours of head trauma. Based on the test results and an overall patient evaluation, a physician may be able to quickly rule out the need for a CT scan of the head, allowing patients to be sent home sooner without unnecessary exposure to radiation or delays. Find more information about the test and brain health here.

Abbott is working with hospitals around the globe and the Concussion Awareness Now braintrust of partners to make concussion testing widely available to ensure everyone can get the best possible care. Because concussions can happen to anyone, it is vital that everyone knows the risks, what symptoms to watch out for, and how to respond if you may have experienced a concussion. Remember these five things to ensure you and your loved ones are protecting your heads and, ultimately, your health:

  • Concussions can happen to anyone, anywhere, anytime.
  • Older adults are at an increased risk for falls and concussions.
  • It’s important to recognize the symptoms of concussions.
  • You should never just “walk it off.”
  • Concussion evaluation is evolving and doesn’t always require a CT scan.

[1] Korley, et al. Emergency Department Evaluation of Traumatic Brain Injury in the United States, 2009-2010. J Head Trauma Rehabil. 2016 Nov/Dec;31(6):379-387

[2] Concussion Awareness Now. Thank you know about concussions? Think again. Accessed September 2024.

[3] Centers for Disease Control and Prevention. Facts about TBI. Accessed September 2024.

[4] Centers for Disease Control and Prevention. Older Adult Falls Data. Accessed September 2024.

[5] Centers for Disease Control and Prevention. Health Disparities in TBI. Accessed September 2024.

[6] June, et al. Lasting consequences of concussion on the aging brain: Findings from the Baltimore Longitudinal Study of Aging. Neuroimage. 2020 Nov 1; 221: 117182.

[7] Concussions in Older Adults. Concussion Alliance. Accessed September 2024. https://www.concussionalliance.org/concussions-in-older-adults

[8] Levin, et al. Association of Sex and Age With Mild Traumatic Brain Injury–Related Symptoms: A TRACK-TBI Study. JAMA Netw Open. 2021;4(4):e213046.

[9] Brain Injury Association of America. True or False? Seven Common Myths About Brain Injury. Accessed September 2024.