DEAR DR. ROACH: I'm 64 and thin, on no medications and had my bloodwork done. Cholesterol showed 226 total, HDL 77, triglycerides 79, LDL 131, glucose 94. My blood pressure is usually about 90/60, and I have never smoked.

My doctor wants me to go on a statin, which I know is not good. I want to try adjusting my diet. Are these levels so high that they warrant a statin? Should his first course of action be to suggest changing diet? Your opinion is important. Thank you. -- J.F.

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DEAR DR. ROACH: I am a 72-year-old female with MGUS. I was just diagnosed with an ulcer, Barrett's esophagus, GERD and a hiatal hernia of 8 cm. My surgeon has put me on high-dose Prilosec and Carafate before bed. My oncologist has given the OK for surgery for the hernia, but friends have tol…

Q: In a recent column you responded to R.W. from Minnetonka, Minn., that he should not need spark plug replacement of the platinum tipped plugs until the manufacturer recommended 60,000 miles. One thing that is often not considered is that over time, the dissimilar metals in the aluminum hea…

Building a world-class sport sedan is tougher than it looks. Of course, that's true of everything from making an omelet to setting a broken bone, but a smart, focused student can generally master either of those in less than a decade.

Q. My husband's ex asked me what we bought their son for Christmas. Because he and his dad love baseball, I told her we bought him a jersey and tickets to a game when their team comes into town. She has remarried and celebrates Hanukkah with her new husband and wanted her son to participate …

DEAR DR. ROACH: I would like to know how to treat arthritis. I have been using Voltaren per my doctor's orders, but it does not seem to be helping much. I have also been taking ibuprofen, but I am afraid of stomach bleeding. The arthritis is in my wrists and thumb. I can hardly open a doorkn…

Q: I have about 500 3.5-inch floppy disks, and some Commodore computer equipment. Does anyone have a use for these things, or is the landfill the best solution? -Robert Anderson, Bloomington, Minn.

DR. ROACH WRITES: In a previous column, I deferred making a recommendation about a COVID-19 vaccine until more data were available. The Food and Drug Administration has now made the safety and efficacy data publicly available for the Pfizer COVID-19 vaccine. It has been approved and already …

DEAR DR. ROACH: Two years ago, I received the high-dose flu vaccine at my doctor's office. It resulted in a severe case of SIRVA bursitis in my shoulder. I suffered for three months, taking Tylenol after getting two shots of steroid from my orthopedic surgeon and physical therapy. Since then…

Q:Our son is 7 years old and in the second grade. His school went virtual this past spring and we see no end to it, not in the near term at least. When he was going to a brick-and-mortar schoolhouse, he did very well. Close to the top of his class, in fact. Ever since last spring, however, h…

DEAR DR. ROACH: I read your recent response to a question about the efficacy of brain supplements. You note there is a paucity of published data, and that there is "no consistent evidence" that supplements help, except perhaps vitamin E.

DEAR DR. ROACH: I am an 83-year-old white male. I am overweight and have high blood pressure and Type 2 diabetes. I recently have been diagnosed with stage 4 kidney failure. I'm told that I have three strikes against me with these health issues, and there is not much hope in saving my kidney…

DEAR DR. ROACH: About a month ago, I had pain in my chest, so I went to the emergency room, where I was admitted. My blood pressure was in the 200 range, and they did an echocardiogram and a stress test. Both came out negative, but the cardiologist did an angiogram, and they found out that I…

DEAR DR. ROACH: There is much information about the spread of COVID germs from coughing, sneezing, speaking, etc. However, I have not seen anything about two other ways that could also spread the germs. Could you please address these in your column?

Q. The woman I'm considering marrying has never had children. I have two, ages 6 and 7. They are scheduled to spend the holiday with me this year, but my girlfriend wants me to trade the holiday with their mother and go skiing with her. I refused and it started a huge fight. She says our rel…