Changes with cholesterol and weight occur without effort
DEAR DR. ROACH »
I recently had my yearly blood work done. I always check last year's results against my current results, so I was surprised to see that my total cholesterol levels had dropped from 222 mg/dL to 181 mg/dL, and my triglyceride level dropped from 174 mg/dL to 146 mg/dL. I do not take statins. There have been no remarkable dietary, medication or lifestyle changes. I've recently lost 8 pounds of weight.
I was concerned and checked with my doctor. She didn't seem to care or even want to discuss the changes; she only said that she liked the new numbers. Can you offer any reasons for such drastic changes? I guess I'm worried that something isn't working right.
DEAR READER » Weight loss often leads to improvement in cholesterol, but I am also surprised to see a 20% decrease with 8 pounds of weight loss. Cholesterol numbers do go up and down over hours and days, and you may have just happened to hit your low point. If you were to get it rechecked, I wouldn't be surprised if the numbers went up a little bit (a statistical concept called “regression towards the mean”). It's also possible that last year's numbers were taken after a meal, or you just happened to catch yourself at a high point.
I do wonder, though, with no remarkable dietary or lifestyle changes, why did you lose 8 pounds? Unintentional weight loss always gets me concerned that there might be something else going on. Thyroid disease, diabetes, malabsorption and, of course, cancer are on the list, but so are depression and anxiety.
Still, regression to the mean and weight loss are a better explanation for the lowered cholesterol levels than a worrisome metabolic problem. If you continue to lose weight without trying, that deserves further evaluation.
DEAR DR. ROACH » I'm a 63-year-old nonsmoking man, and I've been developing skin tags on my arms, neck and abdomen. I even have one in my underarm. What causes them? Is there any way to get rid of them?
DEAR READER » Acrochordons (skin tags) are outgrowths of normal skin, and they're not considered to be any kind of tumor. They most commonly occur in places where skin can rub up against itself. I see many in the underarm area, in neck folds, in the groin or under breasts. They seem to be more common in people with insulin resistance, such as those with Type 2 diabetes or prediabetes. If you are at risk for diabetes because of family history, being overweight or high blood pressure, you should consider getting tested.
Skin tags don't need to be treated, but if they are bothersome, or a person wants them removed for cosmetic reasons, they can be treated surgically in the office. I've been cautious ever since I removed one in a patient who came back an hour later still bleeding, requiring a stitch. Although there are over-the-counter preparations I have seen, most of my patients and readers have told me that they are ineffective. Still, others have written to me that the treatment was completely effective for them.
Contact Dr. Roach at ToYourGoodHealth@med. cornell.edu.
ACROSS 1
5 10 14
15 16
17 20
21 22 23
24 31 32
33 35
37 38 39 40
41 42
44 45
Pitterpattering precipitation Discussion group ___-driven programming Alan of “Wanderlust” Infuse (with) Mastercard rival, for short Stick to your own side, in politics Neptune and Varuna Egg dishes ___Pen Letter after zeta Break political ranks ... and a hint to solving this puzzle’s five starred clues Colorful carp Organ between the lungs Eggs in dishes Site with film trivia Words on Alice’s cake “Money doesn’t ___ on trees!” Hierarchy level Cook, as banh te Autumn tool “Hit the road, Jack!” “Battle of the ___” (2017 sports film) *Spicy food in a corn husk 48
50 51 53
55 56 57
60 61
62 63
64 65 66 67
DOWN 1
2 3 4 5 6 7
Like colts and boars *Crumble Give a speech Chinese “way” *How rotisserie chicken is roasted Part of a peach or lychee One who’s a big deal, briefly
Big head *No social butterfly Exploit ___ mode (fuel-saving car feature) Abbr. aptly on the left side of this grid *Soaked, as tea
___ XING (street sign) Abbr. aptly on the right side of this grid
Something an unsuccessful exterminator might shout? Soothing balm Creative notion “SharkFest” channel, informally They hold flaky desserts Bands’ boosters L.A. Clippers’ org. 8 9 10 11 12 13 18 19 24 25 26 27 28 29
30 31
Coin in Croatia “I want to brawl!” City near Fort Worth Friend, in Cannes Camp shelter Gives the boot to Moves like a frog Cryptid in cold weather “Calvin and Hobbes,” e.g. Train passenger Calf’s milk source REALLY dislike Funny Bombeck Orange environmentalist of kid lit Call to mind Lions : cubs :: foxes : ___ 34 36 38 43 44 46
47 48
49 50
52 53
54 58 59
Knocks the socks off Astronomer whose name is found backward in “safe harbor” Fist-bump, say
The “M” of GM
On the schedule Palindromic belief
Use a stencil Clean, as a spill
Get out of bed Gloom and ___ Even once TV coach Lasso
59, for Tracy Chapman With 59-Down, frozen treat See 58-Down