Ask the Doctor

Measles have made a comeback, with outbreaks in many states. The infection is extremely contagious and can be deadly. Most people getting measles were not vaccinated against it. Adults should get the vaccine if they were born after 1957 and didn't receive two doses. They should get a booster shot if they received the vaccine between 1963 and 1968, when the vaccine used was not as strong as the one that's been given since 1968.

Substituting potassium-containing salt substitutes for regular salt can help lower blood pressure as well as the risk of stroke. But people should also check the sodium content in foods and eat more potassium-rich produce.

A 2025 study addressed the role of genes versus lifestyle habits and life circumstances in influencing a person's health. Researchers found that genes seemed to have a stronger influence than lifestyle and life circumstances for some diseases, including dementia, macular degeneration, and certain cancers. For other diseases, such as atherosclerosis involving arteries of the heart and brain, rheumatoid arthritis, and diseases of the lung, heart, and liver, lifestyle and life circumstances had a stronger influence than genes.

Nosebleeds are common, and dry air is the most prevalent cause. Other triggers include allergies, blood-thinning medications, or a deviated septum. People with frequent, heavy nosebleeds may need evaluation for a more serious underlying condition.

Wearing nail polish does not harm nails. However, doing so for long periods can dry out the surface, prompting chalky, white patches to form. Removing nail polish with acetone-based products can also dry out the nails and surrounding skin.

Some people may feel like it's pointless to exercise if they're not losing weight as a result. But there are many reasons to exercise beyond weight loss. Regular exercise has a long list of health benefits, including an energy boost, better sleep, and reduced risks for addictive behaviors as well as many chronic diseases such as heart disease, strokes, many cancers, dementia (including Alzheimer's disease), diabetes, depression, anxiety, pneumonia, osteoporosis, and kidney problems.

Body mass index (BMI) uses weight and height to calculate whether a person is overweight or obese. However, it cannot determine the amount of visceral fat that lies deep inside the body. Two better methods are measuring waist size and determining waist-to-hip ratio.

Most people don't need to fast before a lipid test because the difference between LDL cholesterol values when fasting or not fasting is very small. But people who have had high triglyceride levels should fast prior to the test.

Women officially reach menopause a year after periods end. Any vaginal bleeding after menopause should be evaluated. Bleeding can come from vaginal dryness or atrophy, medication side effects, various infections, endometrial thickening, or cancer.

Statins are among the most-prescribed drugs in the United States, but some people are concerned about side effects. Lifestyle changes involving diet and exercise can help lower cholesterol enough to take a statin break