Some examples: If you have arthritis


pain, taking a nonsteroidal anti-infl am- matory drug (NSAID) in the evening has been found to better reduce pain and stiff - ness that usually occur in the morning and decrease the risk of side eff ects (such as stomach discomfort), more than taking the same drug in the morning or at midday. Similarly, taking angiotensin receptor


blockers or ACE inhibitors in the evening more eff ectively lowers blood pressure, ac- cording to research in the European Jour- nal of Internal Medicine. Conversely, it may be better to take pro-


ton pump inhibitors (for symptoms of acid refl ux or heartburn) in the morning, and getting a fl u shot in the morning produces better protection than having it in the af- ternoon.


SCALP CHILLING TO REDUCE CHEMOTHERAPY-INDUCED HAIR LOSS Receiving a diagnosis of cancer is up-


setting enough. Finding out that chemo- therapy is necessary can make it even more so, especially for women who fear the hair loss associated with it. “There are many reasons why losing


hair is very upsetting for patients who are undergoing chemotherapy — it is very public and it can make people feel sicker than they really are,” notes Dawn Hersh- man, M.D., leader of the Breast Cancer Program at New York-Presbyterian Hos- pital/Columbia University. A new practice called scalp cooling


7


(a.k.a. wearing a cold cap or Penguin cap) makes it possible to cross “hair loss” at least partly off the worry list. With this approach, someone wears


a special frozen cap on her head (or one that’s connected to a cooling machine) for a specifi ed amount of time before, during, and after each chemotherapy session; it’s believed that the cooling process may pre- vent hair loss by reducing blood fl ow to the hair follicles. Research shows that using a scalp cool-


58 NEWSMAX | JANUARY 2019


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